Etchegoyen A
Int J Psychoanal. 1993 Feb;74 ( Pt 1):141-9.
In this paper I discuss with clinical examples how the analyst's pregnancy may affect the analysis in unique, subtle and at times unexpected ways to which the analyst must be alert. Like any major psychosocial crisis in the life cycle, pregnancy challenges the analyst's ability to hold on to the psychoanalytic attitude. It also confronts her with specific issues (primitive anxieties about the inside of the body, fears of loss of identity, of damage to the foetus etc.) which have to be acknowledged and which require consistent and at times painful working through. Overall, my experience was that by and large positive emotional growth took place, both in the patients and myself, during the pregnancy. I would suggest that the possible changes were not only due to the pregnancy per se but to the careful analysis of its effects which allowed for the psychoanalytic situation to be maintained.
在本文中，我将通过临床实例探讨分析师的怀孕可能会以独特、微妙且有时出人意料的方式影响分析过程，而分析师必须对此保持警觉。如同生命周期中的任何重大心理社会危机一样，怀孕对分析师坚持精神分析态度的能力构成挑战。它还使她面临特定问题（对身体内部的原始焦虑、对身份丧失的恐惧、对胎儿受损的恐惧等），这些问题必须得到承认，并且需要持续且有时痛苦地进行梳理。总体而言，我的经验是，在怀孕期间，患者和我自身大体上都实现了积极的情感成长。我认为，可能发生的变化不仅归因于怀孕本身，还归因于对其影响的仔细分析，这使得精神分析情境得以维持。
