人格障碍患者治疗中的反转移:一项纵向研究
R B Øvstebø1,2, G Pedersen3,4, T Wilberg1,2
1Section for Treatment and Research, Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
概括
治疗师对人格障碍 (PD) 患者的反转移 (CT) 大多是自信的,并且随着时间的推移而有所改善. 较高的PD严重程度和边缘PD最初预测了更负的CT,随着治疗而减少,特别是改善患者.
科学领域:
- 心理治疗的研究研究.
- 临床心理学 临床心理学
- 心理健康服务 心理健康服务
背景情况:
- 治疗师的情绪反应,称为反转移 (CT),在治疗人格障碍 (PDs) 中至关重要.
- 了解CT如何演变及其预测因素对于有效的PD治疗至关重要.
研究的目的:
- 为了研究PD治疗期间治疗师CT的发展.
- 为了确定预先治疗的患者预测CT的因素.
- 探索患者临床结果和治疗师CT之间的关联.
主要方法:
- 一项对1956名患有个性病理的患者进行的纵向观察性研究.
- 治疗师的情绪反应使用Feeling Word Checklist-Brief Version (FWC-BV) 以"不充分"",自信"和"理想化"分级进行评估.
主要成果:
- "不充分"的CT保持低和稳定; "自信"和"理想化"的CT随着时间的推移而增加.
- 较高的PD严重程度和边缘PD预测了最初的"不充分"CT和下降的"不充分"CT.
- 临床改善与"不充分"CT.降低相关.
结论:
- 治疗师主要经历了"自信"CT与PD患者.
- 虽然严重PD和边缘PD最初预测负CT,但随着时间的推移,它得到了改善.
- "不充分"CT恶化与没有改善的患者有关.
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