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[治疗联盟的变迁或心理治疗过程中从童年到青春期的转变]

[The vicissitudes of the therapeutic alliance or going from childhood to adolescence during psychotherapy].

作者信息

Zaugg J P

机构信息

Service médico-pédagogique de Genève.

出版信息

Psychiatr Enfant. 1993;36(2):601-40.

PMID:8302972
Abstract

By tracking the modifications of the therapeutic alliance between a pre-adolescent boy and his therapist, the author attempts 1/to describe the differences in terms of techniques and goals between low frequency session therapies and intensive therapies, and 2/to outline some of the characteristics of the psychic functioning of this age. In this particular case going form the first demand to the desire to end therapy, from sessions given on demand to more regular sessions, the transference evolved from a narcissic type to an oedipal type, heterosexual and homosexual. Some typical conflict of the age has emerged: mourning of childhood and anticipation of adolescence in its physical, relational and psychic implications. In elaborating this temporal dimension, the child develops, with the decline of the Oedipus complex, a cathexis of a personal historical space. This cathexis is a crucial process and facilitates the going through adolescence.

摘要

通过追踪一名青春期前男孩与其治疗师之间治疗联盟的变化,作者试图:1. 描述低频治疗和强化治疗在技术和目标方面的差异;2. 概述这个年龄段心理功能的一些特征。在这个特殊案例中,从最初要求治疗到希望结束治疗,从按需安排治疗到更规律的治疗,移情从自恋型演变为俄狄浦斯型,包括异性恋和同性恋。这个年龄段的一些典型冲突出现了:对童年的哀悼以及对青春期在身体、人际关系和心理方面影响的预期。在阐述这个时间维度时,随着俄狄浦斯情结的减弱,孩子发展出对个人历史空间的贯注。这种贯注是一个关键过程,有助于度过青春期。

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