Miéville C
Schweiz Arch Neurol Neurochir Psychiatr. 1977;121(1):55-61.
Today's popular image of the psychiatrist is often that of a specialist capable of analysing, with a sort of bewildering power, all of his patients's reactions and psychological problems. The patient's capacity to unfold appears to increase almost as a result of the psychiatrist's control over his own emotions. The author, who is here referring to Epinal's image of the infallible psychiatrist, believes that the psychiatrist, in moments of privacy can observe the effects of his own emotional stress and how they often relate to his unresolved neurotic problems. It is in his practice, nevertheless, that the psychiatrist can privilege and give meaning to his own emotional stress in order to gain deeper insight in his mode of relating to his patient. Such additional awarness should then permit a more careful and satisfying analysis of what is experienced in a two person or group relationship. The acknowledgment of physical state resulting from emotional stress precedes an insight which always corresponds to a signifier leading to a signified which is then to be decoded.
如今，精神科医生在大众心目中的形象往往是一位专家，他能够凭借一种令人困惑的能力，分析其所有患者的反应和心理问题。患者展现自我的能力似乎几乎因精神科医生对自身情绪的控制而增强。作者在此提及伊皮纳（Epinal）笔下完美无缺的精神科医生形象，认为精神科医生在独处时能够观察到自身情绪压力的影响，以及这些影响如何常常与他未解决的神经症问题相关联。然而，正是在其临床实践中，精神科医生能够重视并赋予自身情绪压力以意义，以便更深入地洞察自己与患者相处的模式。这种额外的觉察随后应能让人更仔细、更满意地分析两人或群体关系中所经历的事情。对由情绪压力导致的身体状态的认知先于一种洞察，这种洞察总是对应一个能指，通向一个所指，然后有待解码。
