Targeting emotion Dysregulation in the treatment of self-injuiry
Targeting emotion Dysregulation in the treatment of self-injuiry
复制标题
DOI：
10.1002/jclp.20417
复制
发表时间：
2007-11-01
影响因子：
3
通讯作者：
Gratz, Kim L.
中科院分区：
文献类型：
--
作者：
Gratz, Kim L.
临床上有用的关于故意自伤的情绪调节的定义（这里称为自伤）集中在应对情绪困扰的适应性方式上，而不是控制情绪或抑制情绪唤起。根据一个这样的定义，情绪调节是一个多方面的结构，涉及a）对情绪的意识、理解和接受; B）在经历负面情绪时参与目标导向行为和抑制冲动行为的能力; c）灵活使用情境适当的策略来调节情绪反应的强度和/或持续时间，而不是完全消除情绪; d）愿意体验负面情绪，作为追求生活中有意义活动的一部分（Gratz & Roemer，2004）。本文讨论了情绪调节障碍在自伤中的作用，并讨论了两种明确关注增加情绪调节的自伤治疗方法。这些治疗的前提是，减少情绪失调将减少对调节情绪的适应不良行为的需求，如自伤。提供了一个描述这些治疗方法之一（基于接受的情绪调节团体治疗）如何用于治疗自伤的案例说明。(C)2007 Wiley Periodicals，Inc. J Clin Psychol：In Session 63：1091 - 1103，2007.
Clinically useful definitions of emotion regulation with respect to deliberate self-harm (referred to here as self-injury) focus on adaptive ways of responding to emotional distress rather than on the control of emotions or dampening of emotional arousal. According to one such definition, emotion regulation is a multifaceted construct involving a) the awareness, understanding, and acceptance of emotions; b) ability to engage in goal-directed behaviors, and inhibit impulsive behaviors, when experiencing negative emotions; c) the flexible use of situationally appropriate strategies to modulate the intensity and/or duration of emotional responses rather than to eliminate emotions entirely; and d) willingness to experience negative emotions as part of pursuing meaningful activities in life (Gratz & Roemer, 2004). This article addresses the role of emotion dysregulation in self-injury and discusses two treatments for self-injury that explicitly focus on increasing emotion regulation. These treatments are based on the premise that the reduction of emotion dysregulation will decrease the need for maladaptive behaviors that function to regulate emotions, such as self-injury. A case illustration describing how one of these treatments (an acceptance-based, emotion regulation group therapy) is used to treat self-injury is provided. (C) 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 1091 -1103, 2007.