Wallerstein R S
Int J Psychoanal. 1998 Jun;79 ( Pt 3):553-64.
Ever since 1938 the American Psychoanalytic Association has had a special autonomous relationship within the IPA accorded to no other component organisation. This Regional Association status has had two main features: (1) total internal control over training standards and membership criteria, with no accountability to the IPA; and (2) an 'exclusive franchise', so that the IPA was barred from recognising any other component within the United States. This unique Regional Association status reflected the resolution at the time (1938) of the long-standing controversy between the IPA and the American over the issue of 'lay analysis', and remained unaltered for half a century until, with the resolution of the 3 1/2-year long law-suit against the American (and secondarily against the IPA) in 1988, the Regional Association agreement was modified (but not totally abrogated) by the American's giving up the 'exclusive franchise' aspect (thus permitting IPA recognition of psychoanalytic groups in the US organised outside the American), but still retaining its internal full control over training and membership. The meanings and consequences for psychoanalysis of this special status of the American are explored.
自1938年以来，美国精神分析协会在国际精神分析协会（IPA）内部拥有一种特殊的自治关系，其他任何组成组织都没有这种关系。这种地区协会地位有两个主要特点：（1）对培训标准和会员标准拥有完全的内部控制权，无需对IPA负责；（2）拥有“独家特许经营权”，因此IPA被禁止认可美国境内的任何其他组成部分。这种独特的地区协会地位反映了当时（1938年）IPA与美国人之间关于“非专业分析”问题的长期争议的解决方案，并且在半个世纪里一直保持不变，直到1988年针对美国人（其次是针对IPA）长达3年半的法律诉讼得到解决，地区协会协议才被修改（但并未完全废除），美国人放弃了“独家特许经营权”这一方面（从而允许IPA认可在美国境外组织的美国精神分析团体），但仍保留其对培训和会员资格的内部完全控制权。本文探讨了美国人这种特殊地位对精神分析的意义和影响。
