Reid W
Can J Psychiatry. 1981 Oct;26(6):421-5. doi: 10.1177/070674378102600607.
Using a clinical case, I have attempted to demonstrate how an analytic "listening attitude" may permit a patient request which would at a manifest level, not usually require insight but, if such were given, would then influence the whole course of treatment. Thus, the fundamental concept of psychoanalysis dealing with unconscious mental mechanisms becomes operational if it is not limited simply to a technical frame of reference. The developing situation then approaches that of psychoanalysis. This process may occur if flexibility is maintained in the basic technique of psychotherapy. The views of Jean Bergeret on borderline states are briefly presented as tools of psychodynamic understanding of clinical situations.
通过一个临床案例,我试图展示一种分析性的“倾听态度”如何能够让一个在表面层面通常不需要洞察力的患者请求,如果给予这种洞察力,就会影响整个治疗过程。因此,如果不局限于简单的技术参考框架,精神分析处理无意识心理机制的基本概念就会发挥作用。这样,发展中的情况就接近精神分析的情况了。如果在心理治疗的基本技术中保持灵活性,这个过程就可能发生。让·贝热雷关于边缘状态的观点被简要介绍,作为对临床情况进行心理动力学理解的工具。