From Self-Protection to Relational Protectiveness: The Modification of Defensive Structures

R. Geist
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引用次数: 5

Abstract

Kohut was instrumental in shifting our attention from the removal of individual defenses in the service of making the unconscious conscious to emphasizing the importance of empathically understanding the healthy, self-protective usefulness of defenses, both developmentally and during the therapeutic process. Despite this pivotal change in reactive tone toward defenses, there have been few experiences near attempts to describe how we help patients to modify characterological defenses that interfere with the healing process. In this article, I suggest that one of the most important but unrecognized ways we work through these resistances is by facilitating a shift in the patient from the need for self-protective defensiveness to a felt relational protectiveness. Verbatim clinical examples illustrate a protective attitude and explain how relational protectiveness is actualized when dealing with characterological defenses.
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从自我保护到关系保护:防卫结构的修正
Kohut的作用是将我们的注意力从消除个人的无意识防御转移到强调移情理解防御的重要性,无论是在发展过程中还是在治疗过程中都是健康的,自我保护的有用性。尽管对防御的反应性基调发生了这种关键的变化,但几乎没有尝试描述我们如何帮助患者修改干扰愈合过程的特征防御。在这篇文章中,我建议我们克服这些阻力的最重要但未被认识到的方法之一是促进患者从自我保护防御的需要转变为感受到的关系保护。逐字逐句的临床例子说明了保护态度,并解释了在处理特征防御时关系保护是如何实现的。
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