신현근 박사: 경계선 환자의 치료를 위한 전이와 역전이의 이해
Understanding of treanference and countertransferrence for the treatment of a patient with borderline personality organization 경계선 환자의 치료를 위한 전이와 역전이의 이해 Because the acting out of the transference within the therapeutic relationship itself appears to be such a meaningful reproduction of past conflicts, fantasies, defensive operations, and internalized object relationships of the patients, one is tempted to interpret the repetitive acting out as evidence for a working through of these conflicts The repetition compulsion expressed through transference acting out cannot be considered working through as long as the transference relationship provides these patients with instinctual gratification of their pathological, especially their aggressive needs Some of these patients obtain much more gratification of their pathological instinctual needs in the transference than would ever be possible in extratherapeutic interactions The patient's acting out at the regressed level overruns the therapist's effort to maintain a climate of "abstinence " At the other extreme, to maintain such a rigid and controlled treatment structure that the transference development is blocked altogether, and especially the negative transference remains hidden, appears also to induce a stalemate of the therapeutic process, which is as negative in its effect as unchecked transference acting out A 'purely supportive" relationship, understood as a careful avoidance of focusing on the transference, often brings about a chronic shallowness of the therapeutic relationship, acting out outside the treatment hours which is rigidly split off from the transference itself, pseudosubmission to the therapist, and a lack of change despite years of treatment (Kernberg 1975, pp 89-90) ▶ This lecture provided in one of the classes of Innovative Coaching Center (ICC) in Korean (한국어) is publicly shared to help Korean-speaking communities and their members located in various continents, countries, and regions of the world have an easy and free access to the life-coaching, psychoanalytic, and spiritual insights and wisdom ▶영어 주교재 Kernberg (1975) Borderline conditions and pathological narcissism New York; Jason Aronson Inc ▶한글 주교재 Kernberg, O 지음 윤순임 외 옮김 (2008) 경계선 장애와 병리적 나르시시즘 서울: 학지사
