Features of ruthlessness may come into play in the encounter between adolescents who come into the therapeutic space with clear and precise demands to be supported through their gender transition. Winnicott’s concept of ruthlessness, extended from the infant-mother matrix to the emotional situation of the clinic, allows a consideration of the conditions under which the analyst can think about adolescent demands. These conditions involve the desire of both patient and analyst for certitude and the analyst’s urgency to respond, as well as the adolescent’s contradictory desires to both destroy and create gender. The work of Sally Swartz, who brought to Winnicott’s conception a notion of ruthlessness in protest, helps us consider the qualities of ruthlessness in constituting gender. A snippet of work with a nonbinary patient shows how questions of gender cannot be understood apart from the intersubjective transferential field. Tying ruthlessness to the enigma of desire illuminates the emotional situation of the clinical encounter between the nonbinary or trans patient and the analyst, a situation that is also libidinal. An analytic move from the question of gender identity to the realm of an emotional situation allows the analyst to meet adolescent ruthlessness. This meeting is an ethical attempt to understand the other, but also reveals one’s resistance to giving up something in order to understand.

无情的特征可能会在青少年之间的相遇中发挥作用，这些青少年进入治疗领域，明确而准确地要求通过他们的性别转变得到支持。温尼科特的无情概念，从婴儿-母亲矩阵延伸到诊所的情绪状况，允许考虑分析师可以考虑青少年需求的条件。这些条件涉及患者和分析师对确定性的渴望和分析师的反应紧迫性，以及青少年破坏和创造性别的矛盾欲望。萨莉·斯沃茨（Sally Swartz）的作品将温尼科特的概念引入了抗议中无情的概念，帮助我们考虑了构成性别的无情的品质。与非二元患者一起工作的片段显示了性别问题是如何脱离主体间移情领域而无法理解的。将无情与欲望的谜团联系起来，阐明了非二元或跨性别患者与分析师之间临床相遇的情感情况，这种情况也是性欲的。从性别认同问题到情感情境领域的分析转移使分析师能够应对青少年的冷酷无情。这次会面是一种理解他人的道德尝试，但也揭示了一个人为了理解而放弃某些东西的抗拒。将无情与欲望的谜团联系起来，阐明了非二元或跨性别患者与分析师之间临床相遇的情感情况，这种情况也是性欲的。从性别认同问题到情感情境领域的分析转移使分析师能够应对青少年的冷酷无情。这次会面是一种理解他人的道德尝试，但也揭示了一个人为了理解而放弃某些东西的抗拒。将无情与欲望的谜团联系起来，阐明了非二元或跨性别患者与分析师之间临床相遇的情感情况，这种情况也是性欲的。从性别认同问题到情感情境领域的分析转移使分析师能够应对青少年的冷酷无情。这次会面是一种理解他人的道德尝试，但也揭示了一个人为了理解而放弃某些东西的抗拒。