Quinodoz J M
Int J Psychoanal. 1994 Dec;75 ( Pt 5-6):963-76.
A clinical fact is defined by the field in which it is situated. In the field of psychoanalysis, the author makes a distinction between psychoanalytic clinical facts arising outside the analytic situation, for example, during interviews or in the applied psychoanalysis, and psychoanalytic clinical facts arising within the psychoanalytic situation, where they find their full value in the transference and countertransference relationship. The author gives two illustrations of this. The characteristics of psychoanalytic clinical facts are that they are observable and communicable, and that they have at the same time a fixed and a transformational aspect. During a preliminary interview it is fruitful to use psychoanalytic clinical facts to open the patient to his/her psychic life through contact with the psychoanalyst.
一个临床事实是由它所处的领域所定义的。在精神分析领域,作者区分了在分析情境之外产生的精神分析临床事实,例如在访谈期间或应用精神分析中产生的事实,以及在精神分析情境中产生的精神分析临床事实,在这种情境中,它们在移情和反移情关系中找到其全部价值。作者对此给出了两个例证。精神分析临床事实的特点是它们是可观察和可交流的,并且它们同时具有固定和转化的方面。在初步访谈中,利用精神分析临床事实通过与精神分析师的接触,让患者向其心理生活敞开心扉是富有成效的。