Hill J K
Department of Psychology, University of Saskatchewan, Saskatoon, Canada.
Bull Am Acad Psychiatry Law. 1995;23(1):105-16.
The concept of countertransference (CT) reaction has undergone dramatic changes in definition since its inception at the turn of the century. No longer viewed as a hindrance to effective therapeutic interventions, it has become central to building the therapeutic alliance. However, CT can interfere with the therapeutic task, and this is especially true in forensic settings in which one must help particularly difficult clients. In these cases, the CT must split into two parts in order for the therapist to be clinically effective. The therapist reacts to the individual as both an offender who has violated a societal law and as a client who needs help, separating the client from the behavior. Although not recognized explicitly in the forensic literature, the effects of the dual CT underlie investigations of therapist-offender relationships. This article reviews the concept of CT with specific reference to forensic settings and develops the concept of dual CT.
自世纪之交诞生以来，反移情（CT）反应的概念在定义上经历了巨大变化。它不再被视为有效治疗干预的障碍，而是成为建立治疗联盟的核心。然而，反移情可能会干扰治疗任务，在法医环境中尤其如此，因为在这种环境中必须帮助特别棘手的客户。在这些情况下，为了使治疗师在临床上有效，反移情必须一分为二。治疗师对个体的反应既是违反社会法律的罪犯，又是需要帮助的客户，将客户与行为分开。尽管在法医文献中没有明确承认，但双重反移情的影响是治疗师与罪犯关系调查的基础。本文特别参照法医环境回顾了反移情的概念，并提出了双重反移情的概念。
