沉默的声音:吸引安静的青少年
1Assistant Clinical Professor of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons.
Psychodynamic psychiatry
|June 1, 2023
概括
让沉默的青少年参与心理治疗是一个挑战. 这篇文章提供了三种治疗方法,从支持到转移为青少年的心理治疗 (TFP-A),以帮助他们从沉默转向分享.
科学领域:
- 心理治疗 心理治疗
- 青少年心理学 青少年心理学
- 临床心理学 临床心理学
背景情况:
- 让沉默的青少年参与心理治疗是一个重大的临床挑战.
- 了解沉默的根本原因对于有效治疗至关重要.
- 评估个性组织和心理动态治疗的准备是关键.
研究的目的:
- 提出一个全面的方法,让沉默的青少年参与心理治疗.
- 探索针对沉默的青少年患者量身定制的三个不同的治疗策略.
- 用临床示例来说明这些方法.
主要方法:
- 人格组织和心理治疗能力的诊断评估.
- 主要支持性方法的应用,专注于行为制.
- 实施心理动力学方法与支持性元素,包括幽默,游戏,和自我披露.
- 青少年转移为重点的心理治疗 (TFP-A) 的利用,以实现深层次的改变.
主要成果:
- 支持性方法有助于控制不适应性行为.
- 混合精神动力学方法促进了安全性,并探索了关系模式.
- TFP-A促进了自我认知,人际关系和冲突管理的持久变化.
- 患者逐渐从保护性沉默转变为开放的分享.
结论:
- 一个分层的治疗策略,从支持到密集的精神动力学工作,可以有效地吸引沉默的青少年.
- 青少年转移型心理治疗 (TFP-A) 提供了一条通往深刻而持久的治疗变革的途径.
- 通过量身定制的心理治疗干预措施,可以促进从沉默过渡到脆弱的分享.
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