The four original papers in this issue, each from a different country, illustrate how psychoanalytic theory and practice continues to be applied internationally in the public sector – the very specific remit of this journal – within the full range of our work as mental health professionals: in the clinical assessment and treatment of patients, in teaching and training, in our own development through personal psychotherapy, in working with the wider institution and society, and of course in research, demonstrated by the different methodologies whereby the topics of each of these papers is investigated and explored. The first paper, a qualitative study from Dublin, Ireland, ‘Something torn or burst or unbearable: a psychoanalytically-informed exploration of the experience of somatic symptoms’ by Alison Byrne, John O’Connor, Jennifer O’Raghallaigh and Siobhan McHale, makes an important contribution to the growing psychoanalytic literature in the field of psychosomatics, a topic of renewed interest within psychiatry as indicated by the creation of the new diagnostic category of somatic symptom disorder (SSD) in DSM 5. Psychoanalysis, of course, was founded upon Freud’s study and treatment of hysteria, but patients with somatic symptomatology have subsequently often been considered as resistant to exploratory psychotherapy, finding it difficult to relocate their distress from the body to the mind. Byrne and her colleagues expose the lived experience of individuals suffering from somatic symptoms, and the dilemmas of working with them, through the personal accounts of six patients who were seen in a liaison psychiatry service. Themes from these interviews emerged via the application of thematic analysis, with particular attention to conscious and unconscious material and intrapsychic processes including feeling states and other non-verbal aspects of interviews in both interviewer and interviewee, and were interpreted by the authors within a predominantly Kleinian framework centring on Bion’s idea of containercontained. These patients’ suffering, depicted powerfully by their descriptions of feeling controlled by a foreign body, and the authors’ exploration of this, provide us with new understandings of how the links between mind and body can be brutally ruptured. The next paper, entitled ‘Trainee psychotherapy effectiveness at a psychodynamic training clinic: a practice-based study’ by David Paine, Chance Bell, Steven Sandage, David Rupert, Miriam Bronstein, Christopher O’Rourke, George Stavros, Sarah Moon and Lauren Kehoe, from the US, addresses the question as to whether the outcomes of patients in therapy with trainees are less good than those of patients being treated by qualified and Psychoanalytic Psychotherapy, 2019 Vol. 33, No. 1, 1–4, https://doi.org/10.1080/02668734.2019.1599529

中文翻译：

---

社论

本期的四篇原始论文（分别来自不同的国家）说明了在我们作为精神卫生专业人员的全部工作中，精神分析理论和实践如何继续在公共领域（本期刊的非常具体的内容）上在国际上得到国际应用：在患者的临床评估和治疗中，在教学和培训中，在通过个人心理疗法发展的过程中，在与更广泛的机构和社会合作中以及在研究中当然都通过不同的方法论来证明，每篇论文的主题被调查和探索。第一篇论文，来自爱尔兰都柏林的定性研究，“ Alison Byrne，John O'Connor的论文《撕裂，破裂或难以忍受的东西：对躯体症状经验进行心理分析的探索》，Jennifer O'Raghallaigh和Siobhan McHale为精神病学领域不断增长的精神分析文献做出了重要贡献，这是精神病学领域重新引起关注的话题，正如在DSM 5中建立的新的躯体症状障碍（SSD）诊断类别所表明心理分析当然是建立在弗洛伊德对歇斯底里的研究和治疗的基础上的，但随后，躯体症状患者通常被认为对探索性心理治疗有抵抗力，发现很难将痛苦从身体转移到心理上。伯恩（Byrne）和她的同事们通过联络精神病学服务中的6名患者的个人陈述，揭示了患有躯体症状的个人的生活经历以及与他们合作的困境。这些访谈的主题是通过主题分析的应用而出现的，特别关注有意识者和无意识的物质和心理过程，包括在访谈者和受访者中的感觉状态和访谈的其他非语言方面，并由作者主要在克莱因语中进行解释。以Bion的containercontained概念为中心的框架。这些患者的痛苦，通过他们对异物控制的感觉的描述而有力地描述，以及作者对此的探索，使我们对如何残酷地断开身心之间的联系有了新的认识。下一篇论文的作者为David Paine，Chance Bell，Steven Sandage，David Rupert，Miriam Bronstein，题为“心理动力培训诊所的受训者心理治疗有效性：基于实践的研究”，来自美国的克里斯托弗·奥罗克（Christopher O'Rourke），乔治·斯塔夫罗斯（George Stavros），莎拉·穆恩（Sarah Moon）和劳伦·基欧（Lauren Kehoe）提出了一个问题，即接受受训人员治疗的患者的治疗效果是否低于接受合格和心理分析心理治疗的患者的治疗效果，2019年 33，第1号，第1–4号，https：//doi.org/10.1080/02668734.2019.1599529