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작성자  simonshin 작성일  2018.08.05 22:03 조회수 382 추천 0
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 신현근 박사 강의안: 정신분석 이론과 분석가의 중립성   
 

과목대인관계 정신분석

주제정신분석 이론과 분석가의 중립성

내용신현근 박사 강의안

교재:

Greenberg, J. R. (1986). Theoretical models and the analysts’ neutralityIn D. B. Stern, & I. Hirsh (eds.) (2018). Further Developments in interpersonal psychoanalysis, 1980s-2010s: Evolving interest in the analyst’s subjectivity. London and New York; Routledge.

 

 

Theoretical models and the analyst’s neutrality

1.      Editor’s prologue

1.1.   Along with Stephen A. Mitchell, Jay R. Greenberg set in motion the relational turn in 1983 in the widely read Object Relations in Psychoanalytic Theory.

1.2.   After describing the distinction between drive/structure and relational/structure theories, Greenberg makes the case that the concept of neutrality should not simply be judged to be right or wrong.

1.3.   Greenberg says that we should preserve what is useful about the idea while allowing ourselves revise to reflect changes in the theory in which it is embedded.

1.4.   Greenberg proposes that in relational theories neutrality should be redefined: “Neutrality embodies the goal of establishing an optimal tension between the patient’s tendency to see the analyst as an old object and his capacity to experience him as a new one.”

1.5.   Although he maintains a commitment to his interpersonal psychoanalytic roots, and has an equally deep interest in Freudian psychoanalysis, each one of his papers tends to be formulated in a way that is not limited by typical theoretical boundaries, and is instead an examination of a problem that cannot easily be contained within any single set of theoretical parameters.

1.6.   Greenberg’s work tends to be exploratory, not rhetorical.

2.      Relationship between theory and technique

2.1.   Theorizing is done publicly.

2.2.   Technique is private

3.      It is a commonplace that no beneficial analysis can be accomplished “by the book.”

3.1.   However, to deprive the technique of the influence of the theory altogether is equally harmful.

3.2.   Every analyst holds a theory in mind.

4.      I (Jay R. Greenberg) will address the implications that models have for the analyst’s stance within the psychoanalytic situation.

4.1.   I will be particularly concerned with the much-maligned but still useful concept of analytic neutrality.

5.      The drive/structure model is an individual psychology, while the relational/structure model is a field theory.

6.      The drive model understands structure as the transformation of original drive energies, while the relational model see structure as the developmental sequelae of early interpersonal exchanges.

7.      The philosophical and psychological premises of the drive model converge in the technical principle of neutrality.

8.       “He directs his attention equally and objectively to the unconscious elements in all three institutions. To put it in another way, when he sets about the work of enlightenment, he takes his stands at a point equidistance from the id, the ego and the superego.” (Anna Freud, 1936)

9.      Many clinicians feel that a term “neutrality” is too cold and aloof, that it doesn’t convey the kind of affirmation that patients not only need but typically get in a well-conducted treatment.

10.   Clearly, “neutrality” is a burdened term.

11.   When Freud first introduce the term, neutrality, he was taking about the need for the analyst to resist countertransferential pressures.

11.1.                 He was not talking about equidistance from psychological structures.

11.2.                 The analyst in the topographical model was explicitly allied with the UCS.

12.   We are in a position to define neutrality from the perspective of the relational model: neutrality embodies the goal of establishing an optimal tension the patient’s tendency to see the analyst as an old object and his capacity to experience him as a new one.

13.    Neutrality is not to be measured by the analyst’s behaviors at any moment, but by the particular patient’s ability to become aware of and to tolerate the transference.

14.   Defining neutrality as optimal tension between the patient’s experience as old or new objects gives a clear reference point in the patient’s experience for evaluating our interventions, and so monitoring our technique throughout the course of an analysis.

14.1.                 By relying on this standard, we have a good chance of maintaining the neutral posture, which I continue to believe best serves the goals of psychoanalytic treatment.

 
 
 
 
 
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