Martens F
Service de Psychiatrie de l'Université de Louvain, Belgique.
Psychiatr Enfant. 1993;36(2):555-67.
The author describes the evolution of the psychotherapy of an 11 year old child: starting with an anonymous depression related to diffuse somatic complaints, it evolved into a playful assertion of a self which seems to depart from the family destiny. The author describes his counter-transferential feelings of tiredness and boredom which were compensated by a constant complicity with his young client. The author suggests that it is this very act of supporting the assertion and formulation of the subject, and disregarding unconditionally the boredom of what is said, which has brought about such a striking and sudden change.
作者描述了一名11岁儿童心理治疗的演变过程:起初是与弥漫性躯体不适相关的无名抑郁,后来演变成对自我的一种嬉戏式坚持,而这个自我似乎背离了家庭命运。作者描述了自己的反移情感受,即疲惫和厌烦,而与年轻客户的持续默契弥补了这些感受。作者认为,正是这种支持主体的坚持和表达、无条件无视所说内容的厌烦情绪的行为,带来了如此显著而突然的变化。