Because Connection Takes Two: The Analyst’s Psychology in Treating the “Connection-Resistant” Patient

D. Wallin
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Abstract

That “we are the tools of our trade” (Pearlman and Saakvitne, 1995) and thus, need to address the impact of who we are on what we do suggests an omission in Steven Stern’s article—namely, attention to the role in the analysis of the analyst’s psychology. Drawing on attachment research, I theorize that we clinicians are often shaped by the unresolved trauma of parents that leaves us with (at least traces of) disorganized attachment to which we adapt with the “controlling-caregiving” strategy identified by Mary Main. This history (which is mine and perhaps Steve’s as well) welds trauma to shame, may thus have us trying too hard to be “good,” and may be part of what apparently encouraged Steve to valorize acceptance and marginalize his own subjectivity. His evolving stance was clearly healing, but the work might have been deepened had Steve explored—at times in dialogue with his patient—the impact on their relationship of his own attachment history and patterning.
因为连接需要两个:分析者治疗“连接抗拒”病人的心理
“我们是我们行业的工具”(Pearlman和Saakvitne, 1995),因此,需要解决我们是谁对我们所做的事情的影响,这表明史蒂文·斯特恩的文章中有一个遗漏,即关注分析师心理分析中的作用。根据依恋研究,我的理论是,我们临床医生经常受到父母未解决的创伤的影响,这给我们留下了(至少是痕迹)混乱的依恋,我们用玛丽·梅因(Mary Main)提出的“控制-照顾”策略来适应。这段历史(可能是我的,也可能是史蒂夫的)将创伤与羞耻结合在一起,可能因此让我们过于努力地去做“好人”,也可能是明显鼓励史蒂夫重视接受和边缘化自己主观性的部分原因。他不断变化的立场显然是在疗伤,但如果史蒂夫探索一下——有时在与病人的对话中——他自己的依恋历史和模式对他们关系的影响,这项工作可能会更深入。
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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