ABSTRACT

The Covid-19 global pandemic has, for the moment, upended the traditional setting for analysing transference and countertransference dynamics, vital components to the work of psychoanalytic child psychotherapy. The physicality of the customary treatment setting provides a basis for the experiences of containment and understanding, along with the corresponding and familiar technical considerations within that setting. The absence of these fixed physical elements when transferring cases to virtual and other non-conventional settings points to a new set of technical challenges. How do we understand projective identification, transference and countertransference with children when the modified setting does not inherently afford a child the physical means to make contact with the consulting room as a container? What resources do we have as clinicians for persevering through the psychoanalytic process, in the face of the current global uncertainties? In this paper, I outline some of the theoretical underpinnings in psychoanalytic child psychotherapy that elucidate the challenges to the work I have encountered with my child patients during the pandemic, and explore the clinical implications stemming from those challenges.

摘要

目前，Covid-19全球大流行已经颠覆了传统的分析迁移和反迁移动态的环境，这是心理分析儿童心理治疗工作的重要组成部分。常规治疗环境的物理性为遏制和理解的经验提供了基础，并为该环境提供了相应且熟悉的技术考虑。将案件转移到虚拟和其他非常规设置时，由于缺少这些固定的物理元素，因此面临一系列新的技术挑战。我们如何理解投射识别，如果修改后的设置并未固有地使儿童获得与诊室进行容器接触的物理手段，那么儿童的移居和逆向移居？面对当前的全球不确定性，作为临床医生，我们拥有哪些资源来坚持不懈地进行精神分析过程？在本文中，我概述了心理分析儿童心理治疗的一些理论基础，阐明了我在大流行期间与儿童患者一起工作所面临的挑战，并探讨了这些挑战带来的临床意义。