Riesenberg-Malcolm R
Int J Psychoanal. 1994 Dec;75 ( Pt 5-6):1031-40.
In this paper the author discusses what she understands to be a clinical fact, stressing that it takes place within the analytic situation between patient and analyst. It is in the process of conceptualising the fact that the analyst comes to define it. In order to conceptualise, the analyst must have a frame of reference, a theoretical basis through which he perceives his patient's communications and is able to give meaning to them. In analytic work, the analyst uses his theory in mainly two ways. When working with his patient it operates mostly unconsciously, but interspersed by quick more conscious thinking. When away from the patient, theory needs to come to the front of the analyst's mind, consciously used by him. A clinical case is used to illustrate these two aspects of theoretical work. In the material presented, aspects of a first session are tentatively conceptualised. Then material from the same patient some years later is described, the method of working and the way of understanding is discussed and thus the process of conceptualising can be illustrated. The theme of hope has been singled out as a linking point between the earlier and later pieces of material.
在本文中，作者探讨了她所理解的一个临床事实，强调这一事实发生在患者与分析师之间的分析情境中。正是在对这一事实进行概念化的过程中，分析师才得以对其进行定义。为了进行概念化，分析师必须有一个参照框架，一个理论基础，通过这个基础他能够理解患者的交流并赋予其意义。在分析工作中，分析师主要通过两种方式运用他的理论。当与患者一起工作时，理论大多在无意识中起作用，但会穿插一些快速的有意识思考。当离开患者时，理论需要进入分析师的脑海前沿，由他有意识地运用。一个临床案例被用来阐释理论工作的这两个方面。在所呈现的材料中，对第一次会面的各个方面进行了初步概念化。然后描述了几年后来自同一位患者的材料，讨论了工作方法和理解方式，从而可以说明概念化的过程。希望这一主题被挑选出来作为早期和后期材料之间的连接点。
