Holder A
Département de psychothérapie psychanalytique pour enfants et adolescents, Michael-Balint-Institut, Hambourg, Allemagne.
Psychiatr Enfant. 1995;38(2):603-23.
It is suggested that there is a special correlation between the frequency of sessions in psychoanalytical treatment and the nature of the transferences which evolve and, at the same time, of the countertransference responses elicited in the therapist. This in turn has a crucial bearing on the characteristics of the psychoanalytical process which develops in the course of treatment. These interrelationships are explored with special reference to the treatment of children and adolescents. The author draws upon his experiences with high and low frequency treatments to make comparative assessments. On the basis of clinical examples from both analyses and psychotherapies, the effects of these various settings on the development and intensification of the transference are explored. Similarly, the repercussions on the countertransference are discussed. It is suggested that the density, i.e. the temporal proximity of sessions, provides the optimal conditions for the unfolding of the analytical material, the proliferation of fantasies and the emergence of transference derivatives. As for the therapist this setting provides the space that is necessary to gain the most thorough understanding of the patient's inner world, in particular his or her unconscious. Finally, the nature of the psychoanalytical process is discussed as well as the effects which different settings have on the development and quality of this process. It is suggested that different processes evolve in high frequency as against low frequency settings.
有人认为,精神分析治疗中 sessions 的频率与所发展出的移情的性质之间,以及与治疗师所引发的反移情反应的性质之间,存在着一种特殊的关联。这反过来又对治疗过程中所发展出的精神分析过程的特征有着至关重要的影响。这些相互关系将特别参照儿童和青少年的治疗进行探讨。作者借鉴其在高频和低频治疗中的经验进行比较评估。基于分析和心理治疗中的临床实例,探讨这些不同设置对移情发展和强化的影响。同样,也讨论了对反移情的影响。有人认为,密度,即 sessions 的时间接近度,为分析材料的展开、幻想的增殖以及移情衍生物的出现提供了最佳条件。对于治疗师而言,这种设置提供了最深入理解患者内心世界,尤其是其无意识所需的空间。最后,讨论了精神分析过程的性质以及不同设置对该过程发展和质量的影响。有人认为,高频与低频设置会产生不同的过程。 (注:原文中“sessions”可能结合上下文有更准确含义,这里直接保留英文未翻译,具体可根据实际医学背景确定其准确意思)