診療椅上的愛與性

by Susan Baur, 蘇珊•鮑爾

Being prone to understatement, we will call this book controversial. The author, a clinical psychologist, asserts that the primary obligation of a therapist to a patient is to cure him or her; if this means initiating a love/sex liaison, so be it. Dr. Baur contends that an "ethical liaison" in the form of love between doctor and patient is the key to a positive therapeutic outcome.「在心理治療中，兩個人面對而坐，在過程中越來越靠近、親密，怎能不在某個時刻，全然且自然地表達愛意呢？當他們互訴衷曲，又會發生什麼事呢？」當蘇珊．鮑爾開始處理這些難題時，她發現自己面對極強大的禁忌。固然有許多病人，甚至若干治療師私下承認有過醫病戀情，但是他們的故事卻鮮少被提及。基於法律和道德的因素，大家都保持沈默。在這個爆炸性的課題上，鮑爾以極高的理性，第一次讓雙方各自透露這種經驗令人驚訝的光譜，及當愛情溜進治療時刻時，他們有何感受。鮑爾從編年史、對治療師、病人和傳道人的訪談中，列舉數百個醫病互相吸引的例子，這些例子顯示它們鮮少是單純的故事。其中當然有明顯的虐待個案，鮑爾毫不含糊地闡明，性在心理治療中絕對沒有任何地位。事實上，醫病發生性關係，只是少數，大部分的人都發現自己陷入這種感情的灰色地帶。有些人被對方迷得神魂顛倒，有些人則第一次經歷到被體貼地憐愛，有些人感受到對方極具同情心，且認為這段情是互惠的。有時，也有醫生和病人是真心相愛。但是，無論他們這段情被貼上什麼標籤，當事人大多無處尋求忠告或幫助，同時也怕因此鬧出醜聞，或遭專業機構的調查。鮑爾抱持極大的同理心，探討這個兩難的問題，無論當事人是男或女，是病人或治療師。事實上，誠如她所示，愛情的感覺和吸引力並不會因為被禁止而消失。書中描述知名和不知名的醫生和病人的戀情，包括榮格、梅斯莫、蘭克等人，鮑爾提供無可反駁的證據，證明從一開始有精神和心理治療時，親密關係就一直是治療中的一部分，且將持續在治療中佔有一席之地，儘管有法規壓制，也照樣會發生不倫的醫病戀情。藉由常理和敞開心胸的抗辯，鮑爾對如何面對這個複雜的問題，提出強有力的見解，因此每個邁入治療的人，或者已經接受治療的人，就可預備好自己，知道如何處理親密時刻可能產生的危機。

Genres: Psychology

342 pages, Paperback

First published January 8, 1997

About the author

Susan Baur is a retired psychologist who has published several books of clinical tales, including The Dinosaur Man and Confiding. More recently, she has published The Turtle Sisters book series for children. Founder of Old Ladies Against Underwater Garbage, she lives and swims with turtles, and cleans ponds in the US.

Reviews

[Ele-Reet · Rating 5 out of 5]

It is a excellent book. I couldn't put it down when I needed...it's engaging and thought-provoking. At some points it's quite funny and then it is so sad and depressing and then there's a glimpse of hope and it is all real life.

[Alex Giurgea · Rating 5 out of 5]

O carte exceptionala care mi-a provocat gandirea. O analiza bazata pe studii despre natura relatiilor intime in cadrul psihoterapiei intre psihoterapeut si client. Descrie in detaliu beneficiile intimitatii si a unei forme de dragoste care avantajeaza relatia terapeutica dar si consecintele unor treceri la act. De asemenea pune intr-o lumina interesanta reglementarea menita sa protejeze (pe piata din SUA) si care in acelasi timp transforma actul terapeutic intr-o relatie preponderent comerciala lipsita din ce in ce mai mult de caldura specifica. Recomandata pentru psihoterapeuti.

[Irina Bratan · Rating 5 out of 5]

O carte din punctul meu de vedere curajoasă. Discută într-o manieră provocatoare și constructivă poate cel mai mare tabu actual al psihoterapiei - dragostea.