Dewald P A
Arch Gen Psychiatry. 1978 May;35(5):535-42. doi: 10.1001/archpsyc.1978.01770290017001.
The patient in psychoanalytic psychotherapy experiences a variety of psychological and emotional responses during the treatment process. These are described and conceptualized as related to the structure of the therapeutic situation, the therapeutic relationship, the mobilization of conflict, the experience of affects and drive derivatives, the phenomenon of reinforcement, and the working through of the termination phase. The distinction between "core" and "derivative" psychic functions is developed, permitting a conceptual understanding of how this form of psychotherapy can produce significant and lasting intrapsychic change. Some of the differences between psychoanalytic psychotherapy and psychoanalysis are described. The general concepts are illustrated by clinical vignettes from a case of successful psychotherapy.
接受精神分析心理治疗的患者在治疗过程中会经历各种心理和情绪反应。这些反应根据治疗情境的结构、治疗关系、冲突的调动、情感和驱力衍生物的体验、强化现象以及结束阶段的贯穿性工作进行描述和概念化。“核心”和“衍生”心理功能之间的区别得以阐述，从而使人们能够从概念上理解这种心理治疗形式如何能在心理内部产生重大且持久的变化。文中还描述了精神分析心理治疗与精神分析之间的一些差异。通过一个成功心理治疗案例的临床实例来说明这些一般概念。
