The challenge of treatment for clients with dismissing states of mind.
The challenge of treatment for clients with dismissing states of mind.
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DOI：
10.1080/14616730010000858
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发表时间：
2001-04-01
影响因子：
3.2
通讯作者：
Lee, S W
中科院分区：
文献类型：
--
作者：
Dozier, M;Lomax, L;Lee, S W
34名患有严重精神病理障碍的客户被拍摄下来，与重要的人或案件经理解决人际关系问题。研究考察了在互动过程中客户的行为评级以及客户和伴侣对感觉的报告的变化与对驳回心理状态的不同依赖程度。与更多依赖全神贯注策略的客户相比，更依赖于解雇策略的客户表现出更大的对重要他人的拒绝，而不是对案件经理的拒绝。与全神贯注的客户的伴侣相比，被解雇的客户的伴侣在解决问题后的互动中报告了更多的悲伤。与更多依赖全神贯注策略的客户相比，更依赖于驳回策略的客户在与案件经理互动时花在任务上的时间更少，而且在这些互动之后报告了更多的困惑。这些发现表明，治疗可能会为具有排斥心理状态的成年人提供一个特别具有挑战性的环境。
Thirty-four clients with serious psychopathological disorders were videotaped solving interpersonal problems with significant others or with case managers. Differential reliance on dismissing states of mind was examined in relation to behavioral ratings of clients during the interactions, and in relation to changes in clients' and partners' reports of feelings. Clients who relied more on dismissing strategies showed greater rejection of significant others, but not of case managers, compared with clients who relied more on preoccupied strategies. The partners of dismissing clients reported greater sadness following problem-solving interactions than the partners of preoccupied clients. Clients who relied more on dismissing strategies spent less time on task when interacting with their case managers than clients who relied more on preoccupied strategies, and reported more confusion following these interactions. These findings suggest that treatment is likely to provide a particularly challenging context for adults with dismissing states of mind.