König H
Eberhard-Karls-Universität, Abt. für Psychoanalyse, Psychotherapie und Psychosomatik, Tübingen.
Psyche (Stuttg). 1996 Apr;50(4):337-75.
The perception process taking place in the mind of the analyst in the psycho-analytic situation is a constant oscillation between the temptation to be guided too much by theory and the dangers of trusting to feelings and intuition alone. In order to avoid the pitfalls of this Scylla and Charybdis situation and with a view to reconciling empathy and knowledge in such a way as to provide optimal access to the patient's unconscious, the author draws upon a model devised by W.R. Bion. The author claims that Bion's model, an intermedium between affect and cognition, achieves the integration of evenly suspended attention and theory-guided perception by taking account of patient's experiential objects while at the same time allowing scope for cognitive activity, a process which Bion calls "intervening phase" König then briefly recounts a case study illustrating the possibility of achieving interpretations that combine both empathy and knowledge.
在精神分析情境中,分析师头脑中发生的感知过程是一种持续的振荡,一方面是过度受理论指导的诱惑,另一方面是仅依赖情感和直觉的危险。为了避免这种两难境地的陷阱,并以一种能最佳地触及患者无意识的方式协调共情与知识,作者借鉴了W.R. 比昂设计的一个模型。作者声称,比昂的模型作为情感与认知之间的媒介,通过考虑患者的经验对象,同时为认知活动留出空间,实现了均匀悬浮注意与理论导向感知的整合,比昂将这个过程称为“干预阶段”。柯尼希随后简要讲述了一个案例研究,说明了实现结合共情与知识的解释的可能性。