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정신분석기법과정신적 갈등
작성자  simonshin 작성일  2017.03.27 12:51 조회수 863 추천 0
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 강의안: 전이 (Transference)  
 

과목: 정신분석 기법과 정신적 갈등

주제: 전이 (Transference)

강사: 신현근 박사

내용: 강의안

교재: Brenner, C.(1976). Transference. In Psychoanalytic technique and psychic conflict (pp. 108-132). New York: International Universities Press.

 Transference

 

1.      Unconscious instinctual conflicts of infantile origin determine the nature of every adult relationship.

1.1.   In other words, transference factors are universal and ubiquitous.

1.2.   They are not limited to the analytic situation, not even dynamically more important there than elsewhere.     

2.      It is an analyst’s attitude toward the transference and the use he makes of it that are the hallmarks of analysis.

2.1.   In analysis, the transference is to be analyzed in the usual analytic way – it is to be understood and interpreted.

3.      Transference is equally characteristic of “good” analytic patients and of “bad” ones.

3.1.   There is no such thing as a patient who has “no transference,” or in whom the transference “fails to develop.”

4.      It is from the analysis of the transference reactions of his patients that an analyst gains a full appreciation of the intensity of psychic conflicts in the mind of a man and of their ability to influence, to distort, and even to overturn altogether such basically important ego functions as logical thoughts, perceptions, memory, and reality testing.

5.      Transference resistance stems from the unpleasure associated with the instinctual wishes of a patient concerning his analyst.

6.      The “working” or “therapeutic” alliance is one of the many aspects of the transference.

6.1.    Its vicissitudes in the course of an analysis are best dealt with by analyzing them that in nonanalytic ways.

7.      Actions that are largely motivated by transference appear in every analysis.

7.1.   Those that have been called acting out are the ones that are not readily analyzable, especially if they constitute a serious obstacle (resistance) to the treatment.

7.2.   Whatever their importance as a resistance, transfer-motivated actions are best dealt with by the usual analytic methods of conjecture and interpretation.

8.      Manifestations of transference, whatever their nature, may or may not be analyzable.

8.1.   “Analyzable” and “unanalyzable” transference, mean, respectively, transference manifestations that are or are not understandable and manageable by an analytic means.

9.      The distinction between “reality factors” and “transference factors” in an analytic situation is a specious one.

9.1.   Transference is just as real as are current environmental influences, i.e., what is meant by “external reality,” and both are always present and active in a patient’s mind.

9.2.   The important distinction for technical purposes in analysis is between situations in which transference factors play a sufficiently large role to warrant interpretation and those in which they do not.

10.  Like transference, countertransference is ubiquitous, since derivatives of infantile instinctual conflicts play a significant part in every adult object relationship and in every vocational activity of adult life.

11.  Like transference, countertransference may assist analysis or may hinder it, depending on the circumstances.

12.  The most useful general principle to apply to whatever technical problems may arise either from transference or from countertransference is to maintain an analytic attitude, i.e., to attempt to understand the nature and origins of the psychic conflicts that underlie a patient’s thoughts, feelings, and behavior.


 
 
 
 
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