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反移情在心理治疗督导中的应用。

The use of the countertransference in psychotherapy supervision.

作者信息

Hunt W

出版信息

J Am Acad Psychoanal. 1981 Jul;9(3):361-73. doi: 10.1521/jaap.1.1981.9.3.361.

DOI:10.1521/jaap.1.1981.9.3.361
PMID:7263345
Abstract

The countertransference, the therapist's emotional reaction to the patient at each point in time, should naturally and routinely be part of the data under discussion in the supervisory session. The countertransference is so important a part of the psychotherapeutic process that to ignore it is to risk missing an important part, perhaps even the core, of what is happening in the treatment. The countertransference can be utilized in supervision without risk of intruding into the student-therapist's private life, or of turning supervision into psychotherapy, if the supervisor maintains a mental set of readiness to seek the origins of the countertransference emotions in the therapist's interaction with the patient. That these countertransference emotions also have their connections with the therapist's own neurotic conflicts is acknowledged and in no way minimized, but this is left to one side as not germane to the goals of supervision. The supervisor should always hold in mind the question, "How can these emotional reactions of the therapist lead us to a deeper understanding of the patient, of the patient's current emotional situation, and of the therapeutic process?"

摘要

反移情,即治疗师在每个时间点对患者的情绪反应,自然且常规地应成为督导会议中所讨论数据的一部分。反移情是心理治疗过程中如此重要的一部分,以至于忽视它就有可能错过治疗中正在发生之事的一个重要部分,甚至可能是核心部分。如果督导保持一种随时准备在治疗师与患者的互动中探寻反移情情绪根源的思维定式,那么反移情可以在督导中加以利用,而不会有侵入学生治疗师私人生活或把督导变成心理治疗的风险。我们承认这些反移情情绪也与治疗师自身的神经症冲突有关,且绝不能低估这一点,但这一点与督导目标无关,暂不考虑。督导应始终牢记这个问题:“治疗师的这些情绪反应如何能引导我们更深入地理解患者、患者当前的情绪状况以及治疗过程?”

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