Rosenblatt A D
San Diego Psychoanalytic Society and Institute, USA.
J Am Psychoanal Assoc. 1997;45(2):395-406. doi: 10.1177/00030651970450021701.
Attention is called to ways in which the analyst's subjective experience and judgment of reality, aspects of his or her psychic reality, not only are necessary to the effective conduct of any psychoanalysis but play a positive and useful role. The theoretical framework of ego psychology risks overemphasizing the primacy of the analyst's reality, while self psychology risks discarding it in favor of the patient's psychic reality. Each view has its dangers, and an integration of both should be sought without losing the advantages of either. Although the analyst's view of reality may in some instances be relatively privileged, most often it is valuable as a heuristic device focusing the analyst's attention when a discrepancy appears between the patient's version of reality and that of the analyst. When used in such a manner, it enhances rather than detracts from the analytic, empathic investigation of the patient's reality.
需要注意的是，分析师对现实的主观体验和判断，即其心理现实的各个方面，不仅对任何精神分析的有效开展是必要的，而且还发挥着积极且有益的作用。自我心理学的理论框架有过度强调分析师现实的首要性的风险，而自体心理学则有抛弃它而偏向患者心理现实的风险。每种观点都有其危险性，应该寻求两者的整合，而不丧失任何一方的优势。尽管分析师对现实的看法在某些情况下可能具有相对特权，但在患者对现实的描述与分析师的描述出现差异时，它作为一种启发式工具来聚焦分析师的注意力，大多时候是很有价值的。以这种方式使用时，它会增强而非削弱对患者现实的分析性、共情性探究。
