Baker R
Int J Psychoanal. 1993 Oct;74 ( Pt 5):951-60.
This article proposes that for humour to be effective as a therapeutic intervention in psychoanalytic treatment, it must approximate an affect releasing and growth promoting interpretation. The presence and psychological significance of surprise, which is common to both wit and 'good' interpretations, is taken as the point of departure and the importance of the psychoanalyst's spontaneity is discussed in relation to this. The author explains his opposition to the use of humour as a contrived communication: as a parameter aimed at reviving a dying analysis or as an attempt to resolve an impasse. In particular the dangers of countertransference acting out the provision of transference gratifications are explored. Equal emphasis is placed on recommending that the analysis of a patient's humorous responses should not be neglected and how an analyst without humour may negatively affect the treatment process. The paper includes clinical vignettes which illustrate the constructive and creative use of humour in the analytic situation.
本文提出,要使幽默在精神分析治疗中作为一种治疗干预手段发挥有效作用,它必须近似于一种释放情感和促进成长的解释。机智和“好的”解释都具有的惊奇感的存在及其心理意义被作为出发点,并据此讨论了精神分析师自发性的重要性。作者解释了他反对将幽默用作刻意的交流方式:比如作为旨在挽救濒死分析的一个参数,或者作为试图解决僵局的一种尝试。尤其探讨了反移情表现为提供移情满足的危险。同样强调了建议不应忽视对患者幽默反应的分析,以及缺乏幽默感的分析师可能如何对治疗过程产生负面影响。本文包含临床案例,用以说明在分析情境中幽默的建设性和创造性运用。