Levy S T
Int J Psychoanal Psychother. 1977;6:15-30.
Emphasis is placed on largely unconscious aspects of the therapeutic relationship which determine the inappropriate or untimely use of psychotropic drugs, particularly on the therapist's response to the regressive modes of relating and sharing emotional experience which characterize therapeutic work with schizophrenic patients. Case examples illustrate the use of drugs to establish interpersonal boundaries, to disavow frightening feelings within the self, and to renounce forbidden regressive pleasures-thus defending against the regressive pull of the developing symbiotic relationship. The effect of postpsychotic depression on the therapeutic relationship is explored with regard to the dynamics of psychotropic drug usage in treatment.
重点在于治疗关系中很大程度上无意识的方面，这些方面决定了精神药物的不适当或不及时使用，特别是治疗师对退行性的关系模式和分享情感体验的反应，这些反应是与精神分裂症患者进行治疗工作的特征。案例说明药物被用于建立人际界限、否认自身内心令人恐惧的感受以及放弃被禁止的退行性愉悦——从而抵御发展中的共生关系的退行性拉力。文章探讨了精神病后抑郁对治疗关系的影响以及治疗中精神药物使用的动力学。
