自我及其在心理治疗中的跨主体同步:一个系统的审查
Lorenzo Lucherini Angeletti1,2, Bianca Ventura2, Ferdinando Galassi3
1Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Clinical psychology & psychotherapy
|July 1, 2025
概括
在心理治疗中,患者和治疗师之间的跨主体同步,包括生理和行为方面的,增强治疗联盟和结果. 治疗师主导的非语言同步对于患者的自我重组特别有益.
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
- 社会神经科学是一种社会神经科学.
背景情况:
- 自我是心理治疗的核心,整合了内部和外部的经验,创造了一个自我重组的跨主体空间.
- 患者-治疗师间的主体同步对于治疗联盟,联系和进步至关重要,但其生物行为方面和与自我联系需要更深入的理解.
- 现有的研究往往将跨主体同步的生物行为机制与自我断开,阻碍了对其在治疗中的作用的全面了解.
研究的目的:
- 系统地审查和综合关于心理治疗中跨主体同步的生物行为方面的研究.
- 探索整外感受,外部感受和大脑间同步在治疗过程和结果中的不同作用.
- 为了调查前会话内主观特征如何影响主观间同步和治疗反应.
主要方法:
- 按照PRISMA指南进行了系统的文献搜索.
- 包括32项测量心理治疗期间主体间同步 (内外感受,外亲感受,脑间) 的研究.
- 分析的重点是不同类型的同步之间的关联,治疗联盟,会议一级的结果,总体结果,以及会议前特征的影响.
主要成果:
- 外向亲感同步,特别是非语言,与治疗结盟有很强的相关性,得到了脑间同步发现的支持.
- 内外感受同步与瞬间的情绪体验有关,并与会话级结果积极相关.
- 会议前的患者和治疗师特征显著调节了主体间同步模式和响应能力,同步水平在患者之间有所不同.
结论:
- 跨主体同步是心理治疗中的多层次现象,需要不同类型的同步平衡才能有效地自我重组.
- 治疗师领导的非语言同步似乎在加强治疗联盟和改善结果方面特别有效.
- 跨主体同步作为精密心理治疗的潜在生物标志物,指导为患者自我重组量身定制的关系动态.
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