Research index
精神分析の技法 -導入の問題-
奥村, Okumura, オクムラ and 3 others
Kobe University Repository Kernel (Kobe University)1 Jan 1992Open access
精神分析の技法 -導入の問題-
奥村, Okumura, オクムラ and 3 others · Kobe University Repository Kernel (Kobe University) · 1992
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Abstract
The first requirement of psychoanalytic therapy is to explain its method to the patient and make him or her fully understand and accept it. This introductory period is the most important one. The present case was one in which the psychiatrist found diffi¬culty in introducing the patient into psychoanalytic therapy and the treatment was interrupt¬ed. The causes of the failure in introducing the patient into the therapy may be summarized into the following four points : (1) The patient took an aggressive attitude whenever she took an action. When she received psychoanalysis, the therapist was rather overcome by the patient in the actual practice of therapy. (2) The therapist had the same sex with that of the patient, and the character trait, life - history, and family - history were all similar to those of the patient. Therefore, it was difficult for the therapist to keep an appropriate distance from the patient and make objective analysis. (3) Because of the afore-mentioned causes (1) and (2), the therapist failed to explain the analytical therapy in relation to resist¬ance analysis. Moreover, the therapist failed to identify and interpret characteristics and problems one by one and make the patient have the self - insight. (4) In the course of treat¬ment there appeared a man in the life of the patient. He had such features like an analyst that he "was capable of understanding the patient, expressing his understanding in words, and mentally supporting the patient. " In conclusion, this case may suggest that when the therapist gains self - understanding and self - insight concerning the above - mentioned prob¬lems, she will be able to gradually acquire capability of analyzing this type.