邻家心理医生第一季

    对心理学感兴趣或者对人性感兴趣的人都不妨看看。
    这是很有趣的观影（剧）体验。我有过心理咨询的经验，作为咨客同咨询师交流的经验。但是观看这个美剧，是旁观者，旁观自己曾经历的时刻。旁观到自己也旁观到咨询师。或许我还是习惯用123来组织我的语言。还是用123来分述我的感受。
    一、咨询师不容易。
    一方面，跟剧中的来访者一样，我也常常希望咨询师直接给意见。剧中保罗的确是功底深厚的咨询师，他有智慧和能力让自己旁观，以问题回答问题。不干涉你的生活不自以为是的帮来访者做决定。是的，咨询师是要帮助来访者了解自己面对自己的问题，帮助来访者建立自己面对问题和解决问题的能力。“你认为呢？”“这是你要的么？”“你的感受如何？”诸如此类，他们有能力用智慧的语言让你绕不过问题，让你面对问题。
    另一方面的不容易，在于，来访者常常想要探求咨询师在咨询室之外对自己的关注和在意，想要了解咨询师的个人生活。Alex的死，令到保罗陷入法律纠纷，Alex的父亲起诉保罗，认为Alex的死是保罗造成的。我无意去分析究竟是谁的责任。我更想表达的是，咨询师坦露自己的确有风险，有行业规定咨询师有责任和义务为来访者保密，但是却没有东西约束来访者要给咨询师保密。剧中保罗，在为Alex提供陪伴、支持、接纳的同时，还要是自己的个人生活受到严重的影响。这真令我为保罗不平。Alex的父亲的起诉，保罗却不能够在法庭透露当时咨询的内容。好憋屈啊。胜算似乎很微小，保罗有可能因此丢掉工作，经济破产。难道这就是他要面对和承受的？
     二、编剧和演员都好棒。
     有过咨询经历的人会明白，在咨询室里的聊天，常常天马行空，常常情绪突然就来了，不像是日常的那些生活工作场景。该剧的台词从不会令我有出戏的感受，每个细节都衔接的很好，就是那样，对，就是那样。据说该剧是由多个编剧共同完成，并且有请教专家团队。这真的很敬业。顺便说一句，美剧的编剧都很专业吧，这就是美剧吸引人的原因？引人入胜，让观众有挑战。
      演员也很棒，情绪的表达很到位，不会觉得装或者不够。就好像剧中的故事真的就是发生在他们身上那样。好像他们不是在演绎别人，就是在呈现自己的真实。
      嗯，我看到第二季了，以上就是关于这部剧，我目前很想表达的东西。

    看in treatment你需要很安静，但决非是那种端一杯咖啡点上蜡烛营造点小资氛围的静。可能你不需要有多么深刻，但是在你发觉许多看似毫不相干的事情突然在你身上有所显示的时候，你就会觉得，它确实有些神奇。可能最神奇的事情就是突然在一个陌生的环境中发现了自己，或者说有许多不能明白的事情豁然开朗起来。的确，片子里过多的心理学技巧在不断堆砌，情节似乎相当散乱。可是，这种状态却给每个人的内心一种推动，或者说是一个冲击。当你完全没有头绪的时候就会停止猜测和估计，而仅仅是任凭片子里的每一句话引导。你不会觉得那个病人就是你，因为你们完全不一样，发生的事情当然是不一样的。他们是病人，而且很严重。或者说，剧情要求他们表现的夸张。但其实，只有从那些夸大的细节中才能发现其实所有的细节，微小的细节都被还原了。其实，所有的病态和不解，都缘自你自己，很真实的自己。
     或许很无聊，很冗长。大段的对话和没有表情的交流，一个极端状态下的冷漠却催生出另一个发人深省。
     难道他们在讲着自己的故事。

第一集我是完全没有从Laura有点混乱的叙述中听出她喜欢医生。以后再重看，看看能不能分析出来。
第二集他一开始提到Dan是gay我就有点怀疑他也是gay了。医生提到他妈死亡的时候我感觉这个人肯定是对死亡的痛苦和恐惧太深，又不会疏导，所以把这种感情深深压抑下去，不敢面对。他的典型的完美主义者啊，用完美主义的表象掩盖自己的弱点。他不敢承认自己是不完美的这一事实。他害怕做决定，害怕承担责任，我也一样啊。我是如此害怕做决定，如此害怕承担后果。我其实像一个5岁的小女孩啊。
哎呀，第三集的小姑娘和我很像啊，谈论悲伤的事情时会笑，很有自杀倾向，不爱谈论自己，独生女。When she was angry, she wanted her mother to call just so she could get angry with her.
google 了erotic transference，找到这一篇

A Remedy for Family Failure

Now, one very common lack in contemporary families is the failure to treat children with unconditional nurturing guidance and protection. So instead of learning true love in their families, children—through all sorts of family manipulation and game-playing, if not outright abuse—are essentially taught to fear love. And the pain of all this loneliness, guilt, and fear will live on in the unconscious, in a sort of timeless emotional imprisonment, even as the child grows through childhood and adolescence to adulthood.

So, suffering from psychological pain, you will seek out psychotherapy. Through healthy and honest interactions with a psychotherapist, you can learn to think and act in new, emotionally honest ways, different from the psychological defenses created in childhood, and current problems and symptoms can be remedied.

In this profound interaction with the psychotherapist, however, a new problem can emerge.

 
Feeling Special

As you begin to encounter genuine concern for your well-being, the whole experience of psychotherapy can feel overwhelming and intoxicating. Once having felt ignored and misunderstood, and now feeling noticed and understood—and not rejected—you can start to feel special. Moreover, you can begin to believe that the psychotherapist is special as well.

When this happens, everything can take on a feeling of erotic “love.”

You see quote marks around the word love in the last sentence because erotic feelings are really feelings of desire, not love. I want to know more about the psychotherapist’s personal life. I want to know what he or she likes. I want to be with him or her outside the psychotherapy sessions. I want to believe that he or she feels an attraction to me. And so on. That’s desire. It’s desire because it is based in what “I want,” not in what you or someone else needs.

  
        

Think for a moment about the whole purpose of family life and wonder what any infant needs. Well, an infant, born into the world completely helpless, needs protection and guidance in order to grow and develop its own abilities, so that, in maturity, he or she can go out into the world to do good for others. That protection and guidance—which is an aspect of true love—isn’t meant to make you feel “happy”; it’s meant to help you develop your unique talents and grow into a productive member of the whole human family.
        

  

Now, true love does have a function in psychotherapy. Love can be defined as “willing the good of another,” and this is precisely what the psychotherapist is ethically bound to do for all clients. The psychotherapist wills the good of all clients by ensuring that all actions within the psychotherapy serve the client’s need to overcome the symptoms that prevent the client from living a useful and meaningful life.

 
Flirting with Emotional Disaster

As unpleasant as it may be to admit it, erotic “love” is based on infantile needs to be received, accepted, and satisfied. When someone feels intensely received, accepted, and satisfied, then he or she is “in love.” But sooner or later that intensity will be broken. The break doesn’t even have to be the result of malicious neglect; it can simply be the result of a need to attend to other obligations in the world, and, in the person feeling neglected, intense jealousy can flare up.

This explains why “lovers,” friends, and blog readers, with all their personal needs and desires, cannot function psychotherapeutically. And it explains philosophically—above and beyond any laws or professional ethics—why psychotherapists cannot be friends or “lovers” to their clients. If they try, it will lead to psychological disaster, for without the “third person” of the unconscious in the consulting room the psychotherapy will degenerate into emotional chaos.

 
Understanding the Erotic Transference

Erotic “love” within the psychotherapy—technically called an erotic transference—is not necessarily a bad thing, though. That is, it’s not a bad thing if it can be understood as one essential step toward learning true love.

Just as any child who receives gifts from others must first go through a phase of development characterized by a “hoarding” or “clinging” mentality—Mine! Mine!—before learning to share with others, so you, in feeling the enthralling acceptance of your psychotherapist, will at first want to hoard that feeling and claim it as your own personal possession. But that feeling can’t stop there, and your psychotherapist’s job is to make sure it doesn’t stop there.

  
        

Sadly, many psychotherapists are not very competent in dealing with subtle psychodynamic issues. In fact, many psychotherapists feel uncomfortable with a client’s erotic transference. Why? Because many psychotherapists are unconsciously caught up in their own erotic transference with the world around them. And so these incompetent psychotherapists can make a mess of the whole process. Instead of just admitting, “Sure, you’re an interesting and attractive person. But that’s not what this work is all about. So let’s get on with the real work,” they try to hide behind a forced façade of neutrality that only leaves the client exasperated and confused. And if the client tries to speak about his or her feelings, an incompetent psychotherapist will shy away from really exploring the depth and vast unconscious extent of those feelings. Or an incompetent psychotherapist will, for his or her personal satisfaction, “fan the flames” of the client’s desire. Yet none of this is psychotherapy—it’s just more of the same manipulation and game-playing that has brought the client into treatment in the first place.
        

  

So remember why someone goes into psychotherapy: to experience a sense of genuine recognition so as to overcome the lack that disturbs current social functioning. Once all the manipulation, game-playing, and dishonesty that characterize your interpersonal relationships are dissolved through the integrity and honesty of the therapeutic relationship, then you can enter into an honest life of true love for others.

Is a psychotherapist just a “paid friend”
or an “emotional prostitute”?

 
The Real Task of Psychotherapy

Your task in psychotherapy, then, after you experience that intoxicating feeling of unconditional recognition, is to recognize in the transference itself your desire to hoard that feeling. At this point it will be important to talk openly within the psychotherapy about those desires and explore their deepest unconscious significance. Talk about how good it feels to experience recognition and understanding. And talk about how painful it felt to have been unrecognized and criticized as a child.

Assuming you have a competent psychotherapist, resist the temptation to terminate the treatment so as to run from the embarrassment of honest communication. Work through the awkwardness of it all until your desires for the psychotherapist are seen for what they are: an intoxicating attempt to hoard feelings of recognition and understanding.

Then, having understood the profound difference between desire and love, and having worked through the unconscious illusions (i.e., psychological defenses) behind your intense desire for one person, you can proceed to offer genuine love to everyone.

 
Summary

When you are working to overcome the transference, keep in mind this important fact:

  
        

You are not “in love” with your psychotherapist; you are obsessed with the idea that another person can give you what has been missing in your life because of what your parents—especially your father—took away from you in your childhood.

这部剧集的场景几乎都是在Paul的心理诊所里，几乎所有的场面都是对话。看惯了充斥着飙车、枪战，政府黑幕、惊天阴谋场面美剧的估计会不太适应甚至看不下去。个人觉得这部剧相当之好看，貌似冗长的大段大段的对话耐人寻味，正是因为场景很单一，演员每个细微的动作表情都显得意味深长。不过也可能是我个人对心理学有很浓厚的兴趣才会有这样的看法，或许其他人看了觉得甚是无聊也说不定。
 
心理问诊究竟有没有用？从In Treatment这部剧里来看，绝大多数人跟我一样持怀疑态度，还有一部分人甚至彻底否定。连前来问诊的病人都很难对医生Paul建立起信任——换句话说，很多人知道自己需要心理治疗，却并不相信它有用，即便他们去问诊了，建立信任也需要相当长的时间。伍迪•艾伦的电影里总是有个神经兮兮的家伙，看了十几年心理医生没见好转却一直付钱，借此嘲弄心理治疗的无用和滑稽。我一直认为，一个好的心理医生除了应当有在科班中可以学到的理论体系、精神分析、逻辑、理性之外，还应该具有天生的直觉，而在这两者背后还得有对病人的爱作为支撑和把持大局。否则了解那么多人性中或阴暗或悲惨的东西，一定容易变态。这部剧集里理论体系、弗洛伊德式的精神分析倒是表现得不甚突出，Paul作为一个很有天赋的心理医生，那种“无意识的直觉”、对病人的关爱却表现得淋漓精致。所以这部剧才觉好看不枯燥。导演兼编剧是大名鼎鼎加西亚．马尔克斯的儿子啊！
 
从心理医生的问题回到心理问诊本身上来。几乎所有的病人都心急火燎地想立即解决自己的问题，然后万事大吉。所以几乎所有病人都会对Paul说：你就告诉我应不应该去做这件事吧！or 你就直接说我应该怎么做吧！or 换了你是我你会怎么做？！每次Paul都无比冷静地回答：“我不能站在你的立场上来决定我可不可以做某事”“这事的决定权在你自己”。病人这时候总是很抓狂——既然如此，那我付钱来找你有什么用呢？！Alex的父亲甚至把Alex的死归因于心理问诊，起诉了Paul。但不可否认的是，Paul治好了有自毁倾向、“情欲移情”（Erotic Transference）问题的Laure，聪敏、尖刻、混乱的Sophie，这都经历了较长的时间且相当艰难的过程。只有Paul才可能做到在这抽丝剥茧的过程中，在病人的逃避甚至恶意对抗下还做出了最大的努力甚至是自我牺牲。作为观众，看得很有快意。
 
In Treatment有趣的一个细节，片头是一汪流动、交错的水，Paul的心理诊所里也有一个这样的水流摆饰，在左右平衡之中不断流动、分离、交汇的水流。水往往是人心理情感（情绪、感情）的一种象征，有些人的情感像欢快的小溪、有些是深沉的大海、有些是宽广的河流、有些是深不可测的古井、有些甚至是死水一潭。中国的古典文化中尤其喜欢借水的阻隔与沟通这一相互矛盾的意义来表达人的阻隔和沟通。比如大众熟悉的“我住长江头，君住长江尾。日日思君不见君。共饮长江水。 此水几时休，此恨何时已。”“ 问君能有几多愁？恰似一江春水向东流”“抽刀断水水更流，举杯销愁愁更愁”“盈盈一水间，脉脉不得语”。心理学的东西有时候很玄妙，按理说每个人或多或少都有点心理不甚健康之处，心理有较严重问题的也常在于自身心态的是否平衡上。比如A是一件既有的事实，B是人的观念、思维、想法，C是人的负面情绪，当C出现的时候人会痛苦而固执地去追究原因A，还有与A有关的人和事，不知A是根本无法改变的既定事实，人只有接受；人能改变的只有B。不想去改变B或者无法做到改变B的话，人往往会陷入心理的严重失衡，导致C的不断加重——水只流向了一侧，怎么也流不回来。
 
追到第二季，我现在唯一的结论就是，无论对于哪种人格、哪种情感、哪种价值观类别的人，当尽量避免道德审判或者说用自身可能很陈腐很疏漏的东西去度量他人，这些完全没有意义，重要的打破一些沟通的阻隔（完全打破似乎不可能），使情感之水流动起来，情绪得到平衡。