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[精神分析疗法中的价值观与目标,1984年]

[Values and goals in psychoanalytic therapy 1984].

作者信息

Bräutigam W

出版信息

Z Psychosom Med Psychoanal. 1984;30(1):62-71.

PMID:6702323
Abstract

The purpose of psychoanalytic therapy (quite nonproblematic at the beginnings of psychoanalysis) as well as the conception of the values imminent in the process of treatment have been extended more and more toward the patient's personality structure and his acceptance of himself. Moreover, under the influence of work, oriented on theoretically conceived methods, the factors of the very process of treatment-perception, regression, catharsis etc.--have often been made into an aim in themselves and into a purpose. Consequently there is a certain danger that the therapeutic responsibility toward the patient's social milieu is being neglected. In the present state of availability of psychiatric care the analyst is involved in the treatment of patients suffering from a wide range of disorders to which corresponds an equally wide range of values and aims. It is discussed in how far the present school-like organization of psychiatric training allows for the necessary flexibility to adequately deal with the various expectations concerning values and aims in different patients.

摘要

精神分析疗法的目的(在精神分析之初这是毫无问题的)以及治疗过程中所蕴含的价值观概念,越来越多地扩展到患者的人格结构及其对自身的接纳上。此外,在以理论构想方法为导向的工作影响下,治疗过程本身的因素——感知、退行、宣泄等——常常被当成了目的本身。因此,存在一种危险,即对患者社会环境的治疗责任被忽视了。在目前精神科护理可及的状况下,分析师参与治疗患有各种障碍的患者,与之对应的是同样广泛的价值观和目标。文中讨论了当前类似学校式的精神科培训组织在多大程度上能够提供必要的灵活性,以充分应对不同患者关于价值观和目标的各种期望。

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