文化变革叙事作为治疗变革的核心组成部分
Astrid Hermann Tobiassen1, Thea Sundal2, Erik Stänicke3
1Akershus University Hospital, Lørenskog, Norway.
Frontiers in psychiatry
|October 23, 2023
概括
对边缘性人格障碍 (BPD) 的辩证行为疗法 (DBT) 和基于心态化的治疗 (MBT) 导致了不同的变化叙述. DBT叙述侧重于明确的技能获取,而MBT叙述强调探索性,长期的程序学习.
科学领域:
- 心理学 心理学 心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 边界性人格障碍 (BPD) 的治疗方法,如DBT和MBT,表现出类似的疗效.
- 有限的研究存在于这些BPD治疗中的变化叙述.
研究的目的:
- 调查BPD的MBT和DBT之间的变化叙述的相似之处和差异.
- 了解这些叙述如何反映治疗的逻辑,解释和程序.
主要方法:
- 对7次与BPD患者的采访进行了定性分析.
- 解释性现象学分析 (IPA) 应用于改变叙事.
- 三名参与者接受了MBT,四人接受了DBT.
主要成果:
- 变化叙述直接反映了接受的治疗类型.
- DBT参与者报告说,他们与可预测的治疗师一起学习了明确的工具和技术.
- 参与者描述了由治疗师指导的长期探索过程和程序学习.
结论:
- 患者变化叙述在BPD的MBT和DBT之间存在显著差异.
- 叙述说明了如何独特地传达治疗的逻辑,解释和程序.
- 了解这些叙事差异可以提高对治疗过程的洞察力.
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