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失败与康复:一种针对住院精神科患者治疗问题的神话学方法

Failure and recovery: a mythic approach to treatment issues in hospitalized psychiatric patients.

作者信息

Myerson P G

出版信息

Int J Psychoanal Psychother. 1978;7:468-78.

PMID:738826
Abstract

A discussion of "Ttreatment Problems of the Hospitalized Physician" by W. W. Meissner, S. J., M.D. and Peter Wohlauer, M.D. Both Camus, in The Fall, and Conrad, in Lord Jim, have elaborated their own mythic versions about what happens to someone who has failed or fallen from grace. Hospitalized psychiatric patients have in some sense fallen from grace, most poignantly if they are physicians. The therapist who attempts to help them recover is on the horns of a dilemma. If he takes the pessimistic point of view implicit in Conrad's story, he will try to cure or at least mitigate the basic flaw which he believes is responsible for the failure thus risking a protracted and possibly pointless regression. On the other hand, if he ignores the tendency that some one who has fallen from grace has to recover in his own way-the theme depicted by Camus-his own self-esteem as a therapist will be in jeopardy and he himself may end up as the failure.

摘要

对W. W. 迈斯纳神父(医学博士)和彼得·沃尔豪尔医生(医学博士)所著的《住院医师的治疗问题》的讨论。加缪在《堕落》以及康拉德在《吉姆爷》中,都阐述了他们各自关于一个人失败或失宠后会发生什么的神话版本。住院的精神科患者在某种意义上已经失宠,而如果他们是医生的话,情况就最为惨痛。试图帮助他们康复的治疗师陷入了两难境地。如果他采取康拉德故事中隐含的悲观观点,他会试图治愈或至少减轻他认为导致失败的根本缺陷,从而冒着长期且可能无意义的倒退风险。另一方面,如果他忽视失宠之人必须以自己的方式康复的倾向——这是加缪所描绘的主题——他作为治疗师的自尊将受到威胁,而他自己最终可能也会成为失败者。

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