An individual with schizophrenia, and her therapist of 30 years, came to feel strongly that it is important for professionals to hear a patient’s view of the therapy experience and for them to have the opportunity to question both patient and therapist. This article is based on their panel at the American Psychological Association Division of Psychoanalysis meeting in New York, April 25, 2014, which included a discussion facilitated by Diana Diamond, which follows this article. The patient described how her relationship with her therapist and her own understanding of transference have grown and how these have affected her life, including the development of more complex images of herself and others and her relationships with internal and external figures and a stronger sense of self. The therapist describes and discusses her approach to the therapy, and Dr. Diamond comments on changes in object representations over time and on the process of change in psychotherapy.

中文翻译：

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幻想与现实之间的冲突：患者和治疗师谈论心理治疗和精神分裂症。

一位精神分裂症患者和她 30 年的治疗师开始强烈地感觉到，专业人士听取患者对治疗体验的看法并让他们有机会向患者和治疗师提问是很重要的。本文基于他们于 2014 年 4 月 25 日在纽约举行的美国心理学会精神分析分部会议上的小组讨论，其中包括由戴安娜·戴蒙德 (Diana Diamond) 主持的讨论，紧随本文之后。患者描述了她与治疗师的关系和她自己对移情的理解是如何发展的，以及这些如何影响她的生活，包括她自己和他人的更复杂形象的发展以及她与内部和外部人物的关系以及更强烈的自我意识. 治疗师描述并讨论了她的治疗方法，