首先不要伤害:客户和工作人员对辩证行为治疗的负面影响的经验
Zazie Lawson1, Lorna Farquharson1
1Department of Psychology and Human Development, University of East London, London, UK.
Psychology and psychotherapy
|February 15, 2025
概括
辩证行为疗法 (DBT) 可能会产生负面影响,客户和工作人员因原因而异. 客户专注于治疗关系,而工作人员则提到组织问题,建议需要改变实践.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 治疗干预 治疗干预
背景情况:
- 辩证行为疗法 (DBT) 被认为可以减少自我伤害和自杀念头.
- 有证据表明,DBT可能会产生负面影响,客户和工作人员报告之间存在差异.
- 有限的研究已经探索了客户和员工对这些负面影响的比较理解.
研究的目的:
- 调查客户和工作人员对DBT相关负面影响的经验.
- 为了比较客户和员工对这些负面影响的理解.
- 检查员工如何处理DBT带来的负面影响.
主要方法:
- 与八名客户参与者和七名员工参与者进行了半结构化访谈.
- 参与者经历或目睹了DBT的负面结果.
- 使用反射主题分析来分析采访成绩单.
主要成果:
- 客户的主题包括"我是问题"",DBT不能做错事"",不了解创伤"和"不健康的关系蓝图".
- 工作人员的主题包括"不是我,而是客户"",DBT或什么都不是"",我们在DBT中不做"为什么"",我们确实做了一些改变"和"组织"限制".
- 两组都将病理化和再创伤视为负面影响.
结论:
- 客户将负面影响与治疗关系联系起来,而工作人员则强调组织限制.
- 调查结果表明,需要提高对DBT潜在负面影响的认识.
- 建议包括实施有意义的知情同意程序,并调整做法以减轻不良结果.
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