当前位置: X-MOL 学术Theory and Society › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
This is a handcraft: valuation, morality, and the social meanings of payments for psychoanalysis
Theory and Society ( IF 3.226 ) Pub Date : 2021-06-23 , DOI: 10.1007/s11186-021-09450-4
Daniel Fridman 1
Affiliation  

This article examines valuation and payment practices of psychoanalysts in Buenos Aires, Argentina. Psychoanalysts do not use explicit sliding scales but rather reach an agreement about fees in conversation with the patient. This negotiation is conducted with some principles of gift-giving, where parties try to give more, rather than through competitive bargaining (an inverted bazaar). Drawing on the sociology of money, morals and markets, and valuation studies literatures, I distinguish four factors to explain this: 1) Some formally produced prices as well as market mechanisms shape benchmarks for fees, but the peculiar service psychologists offer (which makes quality judgments hard), the way patients and therapists are matched, and the lack of public information about prices allow for high flexibility in price-setting; these are structural factors that remain unsaid in the conversation on fees. 2) A professional narrative that highlights a responsibility towards patients that should not be contaminated by economic interest. 3) Psychoanalysts’ elaborations on the meanings of the payment, which should reflect the uniqueness of each patient and the bond analyst-patient and symbolize the patient’s commitment to treatment, involving a cost and a loss beyond the economic. 4) The prevalence of cash, face-to-face payment without intermediaries, which helps desacralize the analyst and disentangle the session from the rest of the economic life of the analyst, but impedes evading moralization of the transaction. Payments in psychoanalysis are delicate arrangements, and analysts often stress about valuation and payments. They have to be careful to ensure this flexibility results in morally acceptable transactions.



中文翻译:

这是一门手艺:价值、道德和精神分析支付的社会意义

本文考察了阿根廷布宜诺斯艾利斯精神分析师的估值和支付实践。精神分析师不使用明确的滑动量表,而是在与患者交谈时就费用达成一致。这种谈判是根据送礼的一些原则进行的,各方试图送出更多,而不是通过竞争性讨价还价(倒置的集市)。借鉴货币社会学、道德和市场以及估值研究文献,我区分了四个因素来解释这一点:1)一些正式制定的价格和市场机制形成了收费基准,但特殊的服务心理学家提供(这使得质量难以判断),患者和治疗师的匹配方式,以及缺乏关于价格的公共信息,使得价格设定具有高度灵活性;这些是结构性因素,在有关费用的对话中仍未提及。2) 强调对患者的责任的专业叙述不应被经济利益所污染。3)精神分析师对支付含义的阐述,应该体现每个患者和分析师-患者的独特性,象征患者对治疗的承诺,涉及超出经济的成本和损失。4) 无中介的现金、面对面支付的盛行,这有助于使分析师去神圣化,并将会议与分析师的其他经济生活分离开来,但阻碍了交易的道德化。精神分析中的支付是微妙的安排,分析师经常强调估值和支付。

更新日期:2021-06-23
down
wechat
bug