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分析师在分析过程中的参与。

The analyst's participation in the analytic process.

作者信息

Levine H B

出版信息

Int J Psychoanal. 1994 Aug;75 ( Pt 4):665-76.

PMID:7989140
Abstract

The analyst's moment-to-moment participation in the analytic process is inevitably and simultaneously determined by at least three sets of considerations. These are: (1) the application of proper analytic technique; (2) the analyst's personally-motivated responses to the patient and/or the analysis; (3) the analyst's use of him or herself to actualise, via fantasy, feeling or action, some aspect of the patient's conflicts, fantasies or internal object relationships. This formulation has relevance to our view of actualisation and enactment in the analytic process and to our understanding of a series of related issues that are fundamental to our theory of technique. These include the dialectical relationships that exist between insight and action, interpretation and suggestion, empathy and countertransference, and abstinence and gratification. In raising these issues, I do not seek to encourage or endorse wild analysis, the attempt to supply patients with 'corrective emotional experiences' or a rationalisation for acting out one's countertransferences. Rather, it is my hope that if we can better appreciate and describe these important dimensions of the analytic encounter, we can be better prepared to recognise, understand and interpret the continual streams of actualisation and enactment that are embedded in the analytic process. A deeper appreciation of the nature of the analyst's participation in the analytic process and the dimensions of the analytic process to which that participation gives rise may offer us a limited, although important, safeguard against analytic impasse.

摘要

分析师在分析过程中每时每刻的参与不可避免地同时受到至少三组因素的决定。这些因素是:(1)适当分析技术的应用;(2)分析师出于个人动机对患者和/或分析的反应;(3)分析师通过幻想、感觉或行动利用自身来实现患者冲突、幻想或内部客体关系的某些方面。这种表述与我们对分析过程中的实现和付诸行动的看法相关,也与我们对一系列相关问题的理解相关,这些问题是我们技术理论的基础。这些问题包括洞察与行动、解释与暗示、共情与反移情以及节制与满足之间存在的辩证关系。在提出这些问题时,我并非试图鼓励或认可随意分析、试图为患者提供“矫正性情感体验”或为付诸反移情行为进行合理化解释。相反,我希望如果我们能够更好地理解和描述分析情境的这些重要方面,我们就能更好地准备去识别、理解和解释嵌入在分析过程中的持续不断的实现和付诸行动的流。对分析师参与分析过程的性质以及该参与所引发的分析过程的各个方面有更深入的理解,可能会为我们提供一种有限但重要的防范分析僵局的保障。

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