Spiegel R
Am J Psychother. 1980 Apr;34(2):178-87. doi: 10.1176/appi.psychotherapy.1980.34.2.178.
Psychotherapy often involves the person's recognition of the hostility, the role of reaction formation to hurtful situations and relationships, and transferential expression--and for the therapist, countertransference. Generally, underlying hostility is the wish to be free of it, granted the difficulty of some paranoid patients. Ambulatory therapy may be inadequate, and other resources, including hospitalization, may be required. The ethical issue of social responsibility transcending the obligation of confidentiality may arise.
心理治疗通常涉及个体对敌意、对伤害性情境及关系的反向形成作用以及移情表达的认知——而对治疗师来说，还涉及反移情。一般而言，潜在的敌意是摆脱它的愿望，不过有些偏执型患者做到这一点存在困难。门诊治疗可能并不充分，可能需要包括住院治疗在内的其他资源。可能会出现超越保密义务的社会责任伦理问题。
