评估转移,人际功能和信任过程在边界性人格障碍治疗中的变化:使用生态瞬间评估的单个案例研究
Kevin B Meehan1,2, Nicole M Cain3, Michael J Roche4
1Long Island University - Brooklyn, NY.
Journal of personality disorders
|October 30, 2023
概括
边缘性人格障碍 (BPD) 的转移型心理治疗 (TFP) 可能通过首先改变患者对治疗师的看法来改善关系. 与治疗师的积极经验先于其他日常关系的改善.
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
- 临床心理学 临床心理学
背景情况:
- 以转移为重点的心理治疗 (TFP) 是一种基于证据的治疗边缘性人格障碍 (BPD) 的方法.
- 在TFP的理论中,改善是通过改变自我影响的关系模式来实现的,特别是在治疗转移过程中.
- 转移表示的变化被假设在外部关系的变化之前.
研究的目的:
- 调查转移感知的变化是否发生在BPD的TFP期间日常关系感知的变化之前.
- 在接受TFP治疗的BPD患者中检查治疗联盟和人际功能之间的时间关系.
主要方法:
- 生态瞬间评估 (EMA) 用于跟踪一个患有BPD的患者在TFP的18个月内日常的人际经历.
- 患者评价了人际事件,包括在特定时间点 (9个月和18个月) 与治疗师的互动.
- 分析了EMA衍生关系感知与临床结果之间的相关性.
主要成果:
- 对治疗师的积极看法出现,并且先于患者对其他关系的看法得到改善.
- 在EMA测量的感知转变与BPD症状的改善相对应.
- 基于采访的人格功能和治疗师评级的评估中也注意到了改善.
结论:
- 这些发现支持了理论,即TFP中的积极转移体验可以先于BPD中更广泛的人际改善.
- 同化一种信任治疗关系可能是TFP变化的关键机制.
- 在心理治疗期间,EMA是捕捉动态关系转变的宝贵工具.
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