The educational and clinical effects of the process of case writing during analytic training have not been extensively studied, even though the case report, as a product, has prompted attempts to make it a more revealing and accurate document. Countertransference experiences during an analysis can constrain both the candidate’s writing and the analytic work, while examining them during the writing process can deepen the candidate’s analytic work. Three overlapping resistances to the writing, and their underlying anxieties, are described. These are publication resistances: concerns about the anticipated reception of the candidate’s work by potentially critical readers; transference resistances: feelings toward the analytic institute that requires the writing; and countertransference or reimmersion resistances: fears of reawakening reactions from the analysis. These can interfere with finding a safe internal space in which to write. Examples are given of writing through of these resistances during case supervision, resulting in more open writing and in a deepening of the analytic work. As the case writing process can have direct and potentially profound effects on the candidate’s current and future analytic work, it is proposed that the process of case writing is a fourth pillar of analytic training, in addition to the candidate’s personal analysis, case supervision, and didactic seminars.

中文翻译：

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案例写作的过程：分析训练的第四个支柱


尽管案例报告作为一种产品，促使人们尝试使其成为更具启发性和准确的文件，但分析培训期间案例写作过程的教育和临床效果尚未得到广泛研究。分析过程中的反移情经历会限制考生的写作和分析工作，而在写作过程中检查它们可以加深考生的分析工作。描述了对写作的三种重叠的阻力，以及它们潜在的焦虑。这些是出版阻力：担心潜在批评读者对候选人作品的预期接受；移情阻抗：对需要写作的分析机构的感受；反移情或重新沉浸阻抗：害怕从分析中重新唤醒反应。这些可能会干扰寻找安全的内部书写空间。举例来说，在案件监督期间写下这些阻力，从而导致更加开放的写作和分析工作的深化。由于案例写作过程可能对考生当前和未来的分析工作产生直接且潜在深远的影响，因此建议将案例写作过程作为分析培训的第四个支柱，除了考生的个人分析、案例监督和分析之外。教学研讨会。