Cohen J
Am J Psychother. 1983 Apr;37(2):222-6. doi: 10.1176/appi.psychotherapy.1983.37.2.222.
There is a striking silence in the psychotherapeutic, psychiatric, and psychoanalytic literature with regard to psychotherapists preparing for their deaths. The anxiety-provoking nature of contemplating, let alone actively planning for, death as well as the experience of separateness and timelessness that can be an integral aspect of the practice of psychotherapy, are factors that contribute to the denial of death. It is suggested that psychotherapists have an ethical responsibility to their patients to plan for their deaths by deciding who should contact which patients (current and perhaps past) and leaving instructions as to how this should be managed and what clinical measures should be considered with current patients. In addition, therapists (particularly those with serious illnesses) need to consider what (if anything) to tell patients before their deaths.
在心理治疗、精神病学和精神分析文献中，关于心理治疗师为自己的死亡做准备这一话题存在着令人惊讶的沉默。思考死亡，更不用说积极地为死亡做计划，其引发焦虑的本质，以及作为心理治疗实践不可或缺一部分的分离感和无时间感体验，都是导致否认死亡的因素。有人认为，心理治疗师对其患者负有道德责任，应为自己的死亡做计划，决定谁应该联系哪些患者（包括当前的患者以及可能还有过去的患者），并留下关于如何处理此事以及对当前患者应考虑哪些临床措施的指示。此外，治疗师（尤其是那些患有严重疾病的治疗师）需要考虑在死亡前告知患者什么（如果有的话）。
