The Operators Model of Psychoanalytic Clinical Reasoning.

IF 1.4 3区 心理学 Q3 PSYCHIATRY
Niccolò Fiorentino Polipo, Jochem Willemsen, Delphine Kallai
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Abstract

In this paper, the authors develop a model of psychoanalytic clinical reasoning as the inferential process by which analytic therapists are able to arrive at an understanding of the clinical material. Starting from Bion's theory of functions, the authors propose that a "function" can be thought of as a condition-action sequence that analytic therapists implicitly use to respond to certain configurations of elements in the material by executing conceptual or reflective operations. To investigate the main families of functions that are used by analytic therapists in everyday practice, the authors used an interpersonal process recall procedure based on supervision sessions from a theoretically heterogeneous group of participants. A consensual procedure was developed to identify operations, spell out the underlying functions, and group functions into families. Twelve families of functions were identified that appear to be used by analytic therapists regardless of their schools of thought. The authors call them the "operators" of psychoanalytic clinical reasoning. According to the operators model, the process of psychoanalytic clinical reasoning consists in the chaining together of operations using functions from different families. A specific collection of "clinical reasoning styles" seems to be interwoven in this process. Different avenues open up for research, clinical practice, and training.

精神分析临床推理的操作者模型。
在本文中,作者建立了一个精神分析临床推理模型,将其视为分析治疗师能够理解临床材料的推理过程。从比昂的功能理论出发,作者提出,"功能 "可以被视为一种条件--动作序列,分析治疗师通过执行概念性或反思性操作,对材料中某些元素的配置做出隐含的反应。为了研究分析治疗师在日常实践中使用的主要功能系列,作者使用了一种人际过程回忆程序,该程序基于一组理论上异质的参与者的督导课程。他们制定了一个一致同意的程序来识别操作,阐明基本功能,并将功能归类为功能族。最终确定了十二个功能系列,这些功能似乎是分析治疗师们所使用的,与他们的思想流派无关。作者称它们为精神分析临床推理的 "运算符"。根据运算符模型,精神分析临床推理过程包括使用不同系列的运算符进行连锁操作。在这一过程中,似乎交织着一系列特定的 "临床推理风格"。这为研究、临床实践和培训开辟了不同的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
16.70%
发文量
88
期刊介绍: The Journal of the American Psychoanalytic Association (JAPA) is the preeminent North American psychoanalytic scholarly journal in terms of number of subscriptions, frequency of citation in other scholarly works and the preeminence of its authors. Published bimonthly, this peer-reviewed publication is an invaluable resouce for psychoanalysts, psychologists, psychiatrists, and other mental health professionals. APsaA member Steven T. Levy, M.D. serves as editor of JAPA. JAPA publishes original articles, research, plenary presentations, panel reports, abstracts, commentaries, editorials and correspondence. In addition, the JAPA Review of Books provides in-depth reviews of recent literature.
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