临床分离时刻的共情和真实性之间的相互作用

Janna Sandmeyer
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引用次数: 0

摘要

应对处于强烈分裂和即将到来的羞耻状态中的患者是具有挑战性的,值得奋斗。当我们面对关于关系和情感意义的截然不同的观点时,我们理解病人的愿望似乎与我们表达自己主观性的愿望不一致。我们努力做到感同身受和真实。在精神分析文献中,共情和真实性的概念已经被很好地涵盖,以至于在理论上它们不再被认为是二分的。然而,在咨询室里,人们常常感觉这两种反应之间仍然存在紧张关系。在文献中没有充分解决的问题,以及仍然是必不可少的和无处不在的临床斗争,是如何在临床脱节的背景下理解这些概念。本文探讨了当看似简单的理论受到临床实践的紧迫性和即时性的挑战时出现的情况。这是通过提供对分离的深入探索来解决的,在这种分离中,治疗师被惊讶所抓住,几乎没有时间进行反思,并且指出并希望得到共情和真实的反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Interplay Between Empathy and Authenticity in Moments of Clinical Disjunction
Responding to patients in the midst of intense disjunctions and impending shame states is challenging and worthy of struggle. When we are confronted with dramatically discrepant perspectives about relatedness and emotional meaning, our desire to understand our patients can seem at odds with our desire to express our own subjectivity. We strive to be empathic and authentic. The concepts of empathy and authenticity have been well-covered in the psychoanalytic literature, to the extent that theoretically they are no longer considered dichotomous. And yet, in the consulting room, it often feels that there remains a tension between these two responses. What has not been addressed sufficiently in the literature, and what remains an essential and ubiquitous clinical struggle, is how to understand these concepts in the context of clinical disjunction. This article examines what emerges when seemingly facile theory is challenged by the exigencies and immediacy of clinical practice. This is addressed by providing an in-depth exploration of a disjunction in which the therapist is caught by surprise, there is little time for reflection, and both an empathic and authentic response is indicated and hoped for.
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