自体心理学中的阻抗.pptVIP

The concept of resistance in self psychologyRowe. Crayton American Journal of Psychotherapy 50.1 (Winter 1996): 66-74. Development of theory 选题依据及写作目的 resistance（阻抗）是患者在心理治疗过程中的必然反应。传统精神分析观点将阻抗视为对治疗行为的抗拒。这种观点直接影响了分析师对到阻抗的策略。甚至是治疗的效果。柯胡特曾经因为无法应对痛患者沟通的僵局而中止治疗，这迫使他对传统精神分析中的做多理论进行反思。“阻抗”的再定义对自体心理学的发展有重要意义。也在客观上推动的临床心理治疗技术革新和发展。 本文旨在通过论述阻抗概念不同时期的发展，结合具体临床案例探讨心理问题治疗新模式。 （1）UNICAT 摘要 （2）TRADITIONAL VIEW OF RESISTANCE--DEFENSE AGAINST AWARENESS AND RESOLUTION OF CONFLICT （3）SELF PSYCHOLOGYS VIEW OF RESISTANCE--PROTECTING THE SELF （4）KOHUTS CONTRIBUTIONS OF SELFOBJECT AND SELFOBJECT TRANSFERENCES （5）EXAMPLES OF RESISTANCES （6）SUMMARY Traditional view of resistances as treatment interferences that must be overcome as they defend against awareness of impulses and allow for unconscious instinctual gratification. 传统观点中的阻抗——对理性意识和冲突解决反防御 在传统观点中阻抗表现为反抗冲动意识的防御和无意识自我满足式放任，因为阻抗被看成是对治疗的一种干扰行为，理所当然的被认为应该克服。 Clinical concept of resistance In the course of this difficult work I began to attach a deeper significance to the resistance offered by the patient in the reproduction of her memories and to make a careful collection of the occasions on which it was particularly marked .. 在困难的工作过程中我试图去找寻阻抗的更深层意义，这涉及到病人如何重建她的记忆，如何收集那些被特意标记过场景信息。佛洛依德对于阻抗的理解促使他对防御进行概念化定义，与此同时对自由联想进行谨慎的启发也是他在技术层面的一次改变。 Handling resistance of traditional view In a general sense, the handling of resistances (both tactical and strategic) involves the establishment and maintenance of a therapeutic situation in which the patient increasingly accepts and uses the analysts vantage point in regard to change and psychic maturation, and increasingly recognizes his own resistances as internal psychic operations activated in opposition to the avowed purpose of the analysis 在一般意义上，处理阻抗（无论是战略性还是战术性阻抗）涉及到治疗情境的建立和维持，在该情境中病人逐渐接受和运用分析者的客观位置来实现改变和寻求心理成熟，并且慢慢了解到他自己的阻抗是自己内部被激活的心理作用，这种作用对分析师所倡导的治疗目的有反作用。 SELF PSYCHOLOGYS VIEW OF RESISTANCE--PROTECTING THE SELF