ABSTRACT There is an emerging research and conceptual literature on the impact of the 2016 United States election of Donald Trump on the psychoanalytic psychotherapy process; however, the focus of this growing body of literature has been primarily with adults. Issues related to the election of Donald Trump, and the current political climate, also continue to arise in clinical encounters with children. These moments highlight the complexities of intersectionality, intersubjectivity, power dynamics, and self-disclosure. This article describes several clinical scenarios with American youth – reports from the front lines of a new political reality – drawn from the perspectives of trainees learning psychodynamic therapy, a private practitioner conducting an assessment for a young asylum seeker, and a school psychologist working in a private school for children with learning disabilities. We consider the fears and preoccupations that arise among children and their caregivers and the feelings that are provoked in the clinician, both in response to their clients and to the election itself. Traditional psychoanalytic paradigms of limiting self-disclosure and maintaining the therapeutic frame are challenged by the intensely personal nature of contemporary politics. This paper explores a contemporary phenomenon – the tension between therapeutic attending to internal experience and symbolisation, repression, and integration, while also considering a harsh, political external reality – through the lens of centuries of psychoanalytic work conducted in the face of war, trauma, and oppression. Children and adolescents who present for treatment or other forms of clinical intervention require a flexible therapeutic approach that acknowledges their unique position in history and the ways in which their distress is exacerbated by real and perceived political threats.

中文翻译：

---

特朗普时代与儿童的临床接触

摘要 关于 2016 年美国大选唐纳德·特朗普对精神分析心理治疗过程的影响，出现了新的研究和概念文献；然而，这一不断增长的文学作品的重点主要是成年人。与唐纳德特朗普选举有关的问题以及目前的政治气候，也在与儿童的临床遭遇中产生。这些时刻突出了交叉性、主体间性、权力动态和自我披露的复杂性。本文描述了美国青年的几种临床情景——来自新政治现实前线的报告——从学习心理动力学治疗的学员、一名为年轻寻求庇护者进行评估的私人医生、以及在私立学校为有学习障碍的儿童工作的学校心理学家。我们考虑了儿童及其照顾者中出现的恐惧和担忧，以及临床医生对客户和选举本身的反应。限制自我表露和维持治疗框架的传统精神分析范式受到当代政治强烈个人性质的挑战。本文通过几个世纪以来面对战争、创伤和精神分析工作的镜头，探讨了一种当代现象——治疗关注内在体验与象征化、压抑和整合之间的张力，同时也考虑了严酷的政治外部现实。和压迫。