Grand S
Institute for Psychoanalytic Training and Research, New York, USA.
J Am Psychoanal Assoc. 1995;43(3):741-64. doi: 10.1177/000306519504300304.
Leo Stone's "The Widening Scope of Indications for Psychoanalysis" has had a major influence on the way almost two generations of American psychoanalysts have been taught to think about and practice psychoanalysis. Contemporary elaborations and extensions of the ideas contained in Stone's paper have, however, been used to move us steadily toward a shift in the treatment paradigm that underlies the way psychoanalysis is currently being conducted. This contemporary tendency to enlarge the scope of the mode of action of psychoanalysis, in order to accommodate the wider range of patients being treated today, blurs those aspects of psychoanalytic technique that distinguish the unique psychoanalytic perspective from the more general psychotherapeutic perspective. Several ideas contained in Stone's paper are considered as a basis for clarifying this distinction and the technical implications deriving from it. Two clinical vignettes are presented to illustrate these issues.
利奥·斯通的《精神分析适应症范围的不断扩大》对近两代美国精神分析师思考和实践精神分析的方式产生了重大影响。然而，斯通论文中观点的当代阐述和扩展，却促使我们稳步迈向治疗范式的转变，而这种转变正是当前精神分析实施方式的基础。为了适应如今接受治疗的更广泛患者群体，当代扩大精神分析作用模式范围的趋势，模糊了精神分析技术中那些将独特的精神分析视角与更一般的心理治疗视角区分开来的方面。斯通论文中的几个观点被视为澄清这种区别及其衍生技术含义的基础。文中呈现了两个临床案例来说明这些问题。
