De Blécourt A
Int J Psychoanal. 1993 Aug;74 ( Pt 4):757-74.
The development of the transference concept is described and studied from structural, genetic, dynamic and adaptive points of view. A sketch is given of the development of a transference neurosis during treatment, and of the difference between transference phenomena and transference neurosis. A number of examples from practice are given, also in connection with the occurring repetition compulsion. In the discussion of the countertransference concept a distinction is made between the so-called classic approach and the totalistic approach to this concept. The author studies the possible interference of the countertransference during treatment. If the analyst can withdraw from his trial identification with his patient no interference will occur. Sudden countertransference phenomena may be eliminated by self-analysis. Chronic countertransference phenomena can only be solved by re-analysis. Examples from practice are given and the fact is demonstrated that analyst and patient are not only transference-countertransference objects for each other, but also real objects. Attention is paid to the old and the new concept of acting out. Examples from practice are given of acting out during and outside the analytic sessions.
本文从结构、发生、动力和适应的角度描述并研究了移情概念的发展。勾勒了治疗过程中移情神经症的发展情况，以及移情现象与移情神经症之间的差异。还给出了一些实践中的例子，这些例子也与出现的强迫性重复有关。在讨论反移情概念时，区分了对这一概念的所谓经典方法和整体方法。作者研究了治疗过程中反移情可能产生的干扰。如果分析师能够从与患者的尝试性认同中抽离出来，就不会产生干扰。突然出现的反移情现象可以通过自我分析消除。慢性反移情现象只能通过重新分析来解决。文中给出了实践中的例子，并证明了分析师和患者不仅彼此是移情-反移情对象，也是真实的对象。文中关注了付诸行动的新旧概念。给出了分析过程中和分析过程外付诸行动的实践例子。
