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边缘型成年人:治疗联盟与移情

The borderline adult: therapeutic alliance and transference.

作者信息

Masterson J F

出版信息

Am J Psychiatry. 1978 Apr;135(4):437-41. doi: 10.1176/ajp.135.4.437.

Abstract

The author suggests that successful therapy with borderline patients requires the initiation, strengthening, and maturation of the therapeutic alliance as well as the working-through of the patient's difficulty with separation-individuation from the past. He defines a borderline transference as the activation and alternative projection on the therapist of the patient's primitive, split, positive, and negative object relations part-units. In the process of therapy confrontation and, later, interpretation bring these part-units to the patient's awareness, where they can be worked through and the separation-individuation process failure repaired. The therapist who deals with borderline patients must have both personal maturity and professional skill.

摘要

作者认为,对边缘型人格障碍患者的成功治疗需要建立、强化和巩固治疗联盟,以及帮助患者解决过去在分离个体化过程中遇到的困难。他将边缘型移情定义为患者原始、分裂、积极和消极客体关系部分单元在治疗师身上的激活和替代性投射。在治疗过程中,对抗以及随后的阐释会让这些部分单元进入患者的意识层面,在那里它们可以得到处理,分离个体化过程中的失败也能得到修复。治疗边缘型人格障碍患者的治疗师必须兼具个人成熟度和专业技能。

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