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Rescuing Freud's 'clever girl' from her saviors: The impact of assumptions on the understanding of a treatment.

机译：从救世主那里救出弗洛伊德的“聪明的女孩”：假设对治疗理解的影响。

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摘要

The aim of this qualitative study was to examine the reason for the treatment failure in Freud's (1920) case "The Psychogenesis of Homosexuality in a Woman" using a two-person psychological perspective. This study sought to uncover the actual experience of a previously silent patient and thereby address an entire body of literature that had been written trying to explain what transpired in the failed treatment. Through a thematic content analysis of the patient's own words rendered from a Spanish translation of the recently published German biography, patterns of experience emerged whereby it was possible to understand the patient's thoughts, feelings, and behaviors in regard to her parents, the baroness, herself, her womanhood, Freud, and her analysis. It was then possible to take the patient's experience and reanalyze the case from a two-person psychological perspective.;The results indicated a major disparity between who the authors of the numerous published critiques have imagined the patient to be and who she really was. The divergence created between the actual and assumed patient led to an equally divergent analysis of the case. The results of the thematic content analysis were inconsistent with two of the most common assumptions on which previous critiques have been based: the assumption that the patient was weak or passive and that Freud was a powerful oppressive force in the treatment. This research showed the necessity of including the patient's experience in a two-person psychological analysis of a case. Through the analysis of the data in this study, it was clear that the patient was attempting to use Freud and analysis for her own purposes. The research shows that most probably the treatment failed due to the different treatment goals of the analyst and the analysand within the context of a mandated treatment.
机译：这项定性研究的目的是从两人的心理角度研究弗洛伊德（1920）案“女性同性恋的心理发生”中治疗失败的原因。这项研究试图揭示以前沉默的患者的实际经验，从而解决试图解释失败治疗中发生的情况的全部文献。通过对患者自己的单词的主题内容分析，这些患者单词来自最近出版的德国传记的西班牙语翻译，从而形成了一种经验模式，从而可以了解患者对父母，男爵夫人，她自己的想法，感受和行为，她的女人味，弗洛伊德和她的分析。这样就可以从两个人的心理角度借鉴患者的经验并重新分析该病例。结果表明，在众多发表的评论中，作者想象的患者与真实的患者之间存在着巨大的差异。实际患者与假定患者之间产生的分歧导致对该案的分析也同样分歧。主题内容分析的结果与先前的批判所依据的两个最常见的假设不一致：一个假设是患者虚弱或被动，而弗洛伊德是治疗中强大的压迫者。这项研究表明有必要将患者的经历纳入对病例的两人心理分析中。通过对这项研究中数据的分析，很明显该患者正试图将弗洛伊德和分析用于自己的目的。研究表明，在强制性治疗的背景下，由于分析人员和被分析者的治疗目标不同，治疗很可能失败。

著录项

  • 作者

    Menendez, Manuela Maria.;

  • 作者单位

    The Wright Institute.;

  • 授予单位 The Wright Institute.;
  • 学科 Psychology Clinical.
  • 学位 Psy.D.
  • 年度 2009
  • 页码 98 p.
  • 总页数 98
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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