Abstract：
In this paper, the authors develop a model of psychoanalytic clinical reasoning as the inferential process by which analytic therapists are able to arrive at an understanding of the clinical material. Starting from Bion\'s theory of functions, the authors propose that a \"function\" can be thought of as a condition-action sequence that analytic therapists implicitly use to respond to certain configurations of elements in the material by executing conceptual or reflective operations. To investigate the main families of functions that are used by analytic therapists in everyday practice, the authors used an interpersonal process recall procedure based on supervision sessions from a theoretically heterogeneous group of participants. A consensual procedure was developed to identify operations, spell out the underlying functions, and group functions into families. Twelve families of functions were identified that appear to be used by analytic therapists regardless of their schools of thought. The authors call them the \"operators\" of psychoanalytic clinical reasoning. According to the operators model, the process of psychoanalytic clinical reasoning consists in the chaining together of operations using functions from different families. A specific collection of \"clinical reasoning styles\" seems to be interwoven in this process. Different avenues open up for research, clinical practice, and training.
摘要：
在本文中,作者开发了一种精神分析临床推理模型，作为推理过程，通过该过程，分析治疗师能够理解临床材料。从Bion的函数理论开始，作者认为，“功能”可以被认为是一个条件-动作序列，分析治疗师通过执行概念或反思操作，隐含地使用该序列来响应材料中某些元素的配置。调查分析治疗师在日常实践中使用的主要功能家族，作者使用了基于理论上异质参与者的监督会话的人际过程回忆程序。制定了共识程序来识别操作，阐明底层功能，并将功能分组到家庭中。确定了十二个功能家族，这些功能家族似乎被分析治疗师所使用，无论他们的思想流派如何。作者称他们为精神分析临床推理的“操作员”。根据运营商模型，精神分析临床推理的过程包括使用来自不同家庭的功能将操作链接在一起。在这个过程中，“临床推理风格”的特定集合似乎交织在一起。为研究开辟了不同的途径，临床实践，和训练。
