Byrne J P, Valdiserri E V
Am J Psychother. 1982 Oct;36(4):547-53. doi: 10.1176/appi.psychotherapy.1982.36.4.547.
Psychotherapeutic issues encountered by beginning therapists in a Veterans Administration outpatient clinic are described. Emphasis is placed on the differences between the VA outpatient setting and the traditional dyadic, fee-for-service model of psychotherapy. In particular, issues of institutional transference, third-party presence, and disability compensation are discussed as possible obstacles to psychotherapy. Illustrative case vignettes are provided. The need for the beginning therapist to recognize these issues is stressed, in order to overcome potential therapeutic pessimism and improve treatment.
本文描述了初入行的治疗师在退伍军人管理局门诊诊所遇到的心理治疗问题。重点在于退伍军人管理局门诊环境与传统二元收费服务心理治疗模式之间的差异。特别讨论了机构移情、第三方在场和残疾补偿等问题，它们可能成为心理治疗的障碍。文中提供了案例 vignettes 作为说明。强调初入行的治疗师需要认识到这些问题，以克服潜在的治疗悲观情绪并改善治疗效果。
