青少年基于心态化的小组治疗中的叙事身份:可行性研究
Majse Lind1, Lennart Kiel2, Sune Bo Hansen3
1Department of Communication and Psychology, Aalborg University, Nordkraft, Teglgårds Plads 1, 9000 Aalborg, Denmark.
Children (Basel, Switzerland)
|May 27, 2023
概括
这项研究探讨了边界性人格障碍 (BPD) 的青少年在小组治疗期间的叙述性身份变化. 结果显示,在基于心态化的群体治疗 (MBT-G) 后,行动能力增加和功能改善.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 边界性人格障碍 (BPD) 在青少年时期对自我和人际关系的理解提出了重大挑战.
- 青少年BPD是可检测和可治疗的,强调需要有效的治疗干预措施.
- 叙事身份,自我的内化和不断发展的故事,对于心理发展和福祉至关重要.
研究的目的:
- 调查BPD青少年群体治疗期间叙事身份的变化,特别是代理和共融的主题.
- 检查叙事内容与整个治疗过程中的个性功能之间的关系.
- 评估基于心态化的群体治疗 (MBT-G) 对自我报告功能的可行性和影响.
主要方法:
- 一项可行性研究涉及6名被诊断患有BPD的女性青少年患者.
- 在小组会议中分析叙述的事件,根据代理和共融主题编码.
- 对人格功能和自我报告措施的管理进行叙述反应的编码.治疗前和后.
主要成果:
- 最初的叙事身份主题的特点是减少代理和共融的主导地位.
- 从早期到晚期的治疗阶段,观察到代理主题的显著增加和共融主题的减少.
- 叙述的反应主要反映了自我功能和身份问题的挫败,有时提到亲密关系.
- 患者报告说,治疗后整体功能,内化和外化行为有所改善.
结论:
- 基于心态化的群体治疗 (MBT-G) 似乎促进了叙事身份的积极转变,特别是在患有BPD的青少年中增强了代理权.
- 这些发现强调了叙事探索和重建在群体环境中的治疗价值.
- 作为改善青少年BPD自我感知和行为结果的干预措施,MBT-G显示出希望.
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