And We Shall Be Changed: To Hold Theory Lightly Is to Surrender Assumptions: Discussion of Clinical Narrative by Steven Stern

D. Orange
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引用次数: 5

Abstract

This discussion asks why we clinicians find holding theory lightly so difficult. Commenting on Steven Stern’s clearly successful, but also conflictual, narrative, it guesses that we hold to our central, organizing, psychoanalytic beliefs because they possess selfobject, stabilizing functions for us in the face of work that threatens to disorganize us or otherwise exhaust us. When we meet a patient, as in this instance, who challenges these foundational ideas, we may hold them ever more tightly, and thus, generate struggles and impasses like the one recounted here. Only, as Stern so well explains, when we finally surrender to the rightness of the patient, embracing our own vulnerability and unknowing, allowing ourselves to be changed by the patient, has the patient an opportunity to find a way forward. This is the difficult path of clinical humility.
我们将被改变:轻视理论就是放弃假设:史蒂文·斯特恩对临床叙事的讨论
这个讨论问为什么我们临床医生发现持有理论如此困难。在评论史蒂文·斯特恩(Steven Stern)明显成功但也充满冲突的叙述时,它猜测,我们之所以坚持核心的、有组织的、精神分析的信念,是因为它们具有自我客体(self - object),在面对有可能使我们混乱或筋疲力尽的工作时,为我们提供稳定的功能。当我们遇到一个病人,就像在这个例子中,他挑战这些基本观念时,我们可能会把它们抓得更紧,从而产生像这里所述的那样的斗争和僵局。正如斯特恩所解释的那样,只有当我们最终屈服于病人的正确,拥抱自己的脆弱和无知,允许自己被病人改变时,病人才有机会找到前进的道路。这是临床谦卑的艰难之路。
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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