Scharff D E
J Sex Marital Ther. 1978 Spring;4(1):35-49. doi: 10.1080/00926237808403003.
This paper describes the development by the author and his colleagues of a policy of full revelation of secrets between spouses as a prerequisite to offering sex and marital therapy. This stand is controversial, for it directly contradicts the advice and practice of many sex and marital therapists. The exploration of this therapeutic position by therapists who are firmly convinced of the need for sexual and emotional commitment, but who will not themselves betray confidences, has offered crucial new opportunities to couples. For example, many couples have been able to confront the self-serving aspects of the wish to "protect" the other partner from knowledge that would in reality subject both partners to risk and a sense of vulnerability. Remarkably, there has not been one casually in the series of more than 30 cases. Marital and sexual case illustrations, alternate methods of handling such secrets, and a discussion of the course of subsequent treatment are considered.
本文描述了作者及其同事制定的一项政策，即配偶之间完全披露秘密是提供性与婚姻治疗的前提条件。这一立场颇具争议，因为它直接与许多性与婚姻治疗师的建议和做法相矛盾。对于那些坚信性与情感承诺的必要性，但又不会泄露机密的治疗师而言，对这一治疗立场的探索为夫妻提供了至关重要的新机会。例如，许多夫妻能够直面那种想要“保护”另一方，使其不知某些实情的自私心理，而实际上这些实情会让双方都面临风险和脆弱感。值得注意的是，在这30多个案例中，没有出现一例随意处理的情况。文中还考虑了婚姻和性方面的案例说明、处理此类秘密的其他方法，以及对后续治疗过程的讨论。
