在当代临床实践中重新审视防御机制:证据和观点
Vittorio Lingiardi1, Fabio Madeddu2
1Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome; Sapienza School for Advanced Studies, Rome.
防御机制,曾经是一个精神动力学概念,现在是经验上可测量的维度的功能. 向成熟防御的转变预测了更好的治疗结果,这表明它们是心理变化的关键.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 防御机制是情绪调节和自我凝聚力的核心.
- 经典的精神动力学构造已经演变为经验上可测量的维度.
- 防御的等级模型为评估提供了一个框架.
研究的目的:
- 将防御机制的演变呈现为一个跨诊断维度.
- 介绍防御的等级模型和防御机制评级表 (DMRS).
- 探索心理治疗中防御机制的作用及其与其他诊断系统的整合.
主要方法:
- 审查防御机制的历史发展.
- 介绍了防御的等级模型.
- 在实证研究中使用防御机制评分表 (DMRS) (观察者评分和自我报告版本).
主要成果:
- 向更成熟的防御转变与各种方向的更好的治疗结果相关.
- 防御机制是心理治疗改变的一个常见因素.
- 该DMRS框架与像PDM-3这样的维度和跨诊断方法集成.
结论:
- 防御机制是经验可衡量和跨诊断的.
- 防御功能的变化是治疗变化的关键因素.
- 防御机制提供了一个统一的框架,将精神动力学理论,经验心理学和神经科学联系起来.
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