通过测试和使用自己的态度来帮助患者克服他们的病原性内和羞耻感
Francesco Gazzillo1, David Kealy2, Eleonora Fiorenza1
1Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Roma, Italy.
Journal of clinical psychology
|August 27, 2024
概括
病原性信念可能会导致长期的内和羞耻感,导致心理痛苦. 控制-掌握理论和一个临床案例展示了治疗师如何帮助患者克服这些有害的信念.
科学领域:
- 心理学 心理学 心理学
- 心理治疗 心理治疗
- 临床心理学 临床心理学
背景情况:
- 愧和羞愧是适应性的情绪,但病原性信念可以维持它们,导致精神病理的痛苦.
- 创伤经历可以在一个人的一生中塑造这些不适应的信念.
研究的目的:
- 探索控制-掌握理论 (CMT) 如何概念化导致慢性内和羞耻的病原性信念.
- 介绍一个临床案例,说明CMT在治疗负担和不忠心罪恶感的患者中的应用.
主要方法:
- 审查控制-掌握理论对致病信念和内/羞耻感的观点.
- 详细的案例研究利维亚,一个28岁的女人,专注于她的创伤经历,致病信念,和治疗过程.
- 分析治疗师在测试和反驳患者病原性信念方面的作用.
主要成果:
- 利维亚的不良经历导致了对负担和不忠诚感的病原性信念.
- 利维亚测试了她的治疗师,看看他是否会反驳她不适应的信念.
- 治疗师成功通过了利维亚的测试,提供了纠正的情感体验,并帮助她挑战致病信念.
结论:
- 治疗师必须准确地确定患者的目标,病原性信念 (包括内和羞耻类型) 以及潜在的创伤.
- 成功导航患者测试和采取适当的治疗态度对于帮助患者克服病原性信念和相关的内/羞耻至关重要.
- 这一案例凸显了CMT在处理根植于创伤的复杂内和羞耻感方面的有效性.
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