ABSTRACT This written description of an analysis conducted while the analyst was in analytic training demonstrates the complexities of treating patients with attention deficit hyperactivity disorder (ADHD). This discussion focuses on that treatment and the treatment of similar patients in whom cognitive deficits have influenced development and led to difficulties with affect regulation and behavioral inhibition. These patients often fear a loss of control during an analytic regression that might expose the deficits that they have felt to be shameful. They might require a longer preparatory therapy before a transition to analysis, to gain a sense of trust and safety in the therapeutic process and to decrease their shame sensitivity. The analyst’s confusion in the countertransference often mirrors the patient’s lifelong confusion because of his deficits, and is a hallmark in such treatments. This analyst demonstrated significant analytic perspective as she reexamined her experience during the writing about it.

中文翻译：

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ADHD患者从治疗到分析的过渡中的问题：Whiteside博士的病例报告评论

摘要在分析人员接受分析培训时进行的分析的书面说明表明，治疗患有注意力缺陷多动障碍（ADHD）的患者非常复杂。讨论的重点是认知障碍影响发展并导致影响调节和行为抑制的困难的类似患者的治疗。这些患者通常担心在分析回归过程中失去控制，这可能会暴露出他们认为可耻的缺陷。他们可能需要更长的准备治疗才能过渡到分析，以在治疗过程中获得信任和安全感并降低其羞耻感。分析师对反向转移的困惑通常反映了患者由于缺陷而终生的困惑，这是此类治疗的标志。这位分析师在撰写有关其经验的文章时，重新审视了她的经验，展示了重要的分析观点。