Råbu M, Hytten K
Psykiatrisk poliklinikk, Sinsen distriktspsykiatriske senter, Oslo.
Tidsskr Nor Laegeforen. 1998 Dec 10;118(30):4746-50.
Since Sigmund Freud (1856-1939) formulated his first psychoanalytic theories about 100 years ago, there has been a rapid development in psychoanalytic theory and therapy. In this paper, central concepts in the four psychoanalytic "psychologies"--drive/ego psychology, object relations theory, self psychology and interpersonal psychoanalysis--are presented. Basic concepts in psychoanalysis have been under a continuous critical review, and psychoanalytic theories remain versatile. The unconscious and the exploration of subjective experience are central common themes. The role of the psychoanalyst has changed from expert to explorer, working together with the patient. At the same time, the analyst has become more active in the therapy room. The analyst's contribution to what is happening between the analyst and the patient has been increasingly emphasized. The development in psychoanalysis has parallelled both developments in the theory of knowledge as well as the change in cultural trends. Creating meaning is central to the psychoanalytic process, but there are divergent views as to how this happens: by articulating meaning, by uncovering meaning, by constructing or deconstructing meaning. The narrative tradition in which the central point is to tell stories about oneself, is discussed more thoroughly in the paper. The authors challenge the view that psychoanalysis is the work of Freud only.
自西格蒙德·弗洛伊德(1856 - 1939)大约100年前提出其首批精神分析理论以来,精神分析理论与疗法发展迅速。本文介绍了四种精神分析“心理学”——驱力/自我心理学、客体关系理论、自体心理学和人际精神分析——中的核心概念。精神分析的基本概念一直处于持续的批判性审视之下,且精神分析理论仍然具有多样性。无意识以及对主观体验的探索是核心共同主题。精神分析师的角色已从专家转变为探索者,与患者共同协作。与此同时,分析师在治疗室中变得更加积极主动。分析师对分析师与患者之间所发生之事的贡献得到了越来越多的强调。精神分析的发展与知识理论的发展以及文化趋势的变化并行。创造意义是精神分析过程的核心,但对于意义如何产生存在不同观点:通过阐明意义、揭示意义、构建或解构意义。本文更深入地探讨了以讲述关于自己的故事为核心要点的叙事传统。作者们对精神分析只是弗洛伊德的工作这一观点提出了质疑。