Personality, personality disorders, and the process of change
Personality, personality disorders, and the process of change
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DOI：
10.1080/10503307.2017.1377358
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发表时间：
2019-05-04
影响因子：
3.9
通讯作者：
Kramer, Ueli
中科院分区：
文献类型：
--
作者：
Kramer, Ueli
目的：阐述人格障碍心理治疗的过程观。首先，本文回顾了帕金森病治疗机制变化的文献，主要集中在情绪加工和社会认知加工方面。其次，它提出了一个说明性的案例系列分析的8例，从调解分析的背景下进行的边缘型人格障碍（BPD）的随机对照试验。方法：因此，对结局良好和不良的病例进行了比较，对摄入特征不良和良好的病例以及治疗过程标记不良和良好的病例也进行了比较。结果如下：结果说明了在四个月的治疗过程中健康变化的可能途径，以及没有变化的可能途径。结论：这些结果进行了讨论，关于三个主要的研究视角：心理治疗研究的定性和定量方法的结合可能适用于个案研究研究，神经行为的角度来看，改变可能会纳入个性化的经验，在实验室和治疗师的反应，病人的特点可能是一个核心特征，促进变化。
Objective: The present paper elaborates a process perspective of change in psychotherapy for personality disorders (PDs). Firstly, the paper reviews the literature of mechanisms of change in treatments of PD, with the main focus on emotional processing and socio-cognitive processing. Secondly, it proposes an illustrative case-series analysis of eight cases, drawn from a mediation analysis conducted within the context of a randomized controlled trial for borderline personality disorder (BPD). Method: As such, cases with good and poor outcomes are compared, as are cases with poor and good intake features and cases with poor and good process markers across treatment. Results: The results illustrate possible pathways to healthy change over the course of four months of treatment, and possible pathways of the absence of change. Conclusions: These results are discussed with regard to three main research perspectives: the combination of qualitative and quantitative methodology in psychotherapy research may be applied to case study research, a neurobehavioral perspective on change may incorporate the individualized experience in the laboratory and therapist responsiveness to patient characteristics may be a core feature of fostering change.