Interpersonal psychotherapy for somatizing patients.
Interpersonal psychotherapy for somatizing patients.
复制标题
躯体化患者的人际心理治疗。
DOI：
10.1159/000092891
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发表时间：
2006
影响因子：
22.8
通讯作者：
NoyesJr,Russell
中科院分区：
文献类型：
--
作者：
Stuart,Scott;NoyesJr,Russell
人际关系模型对于理解躯体化行为很重要。根据这一模型，躯体化行为是一种由不安全依恋驱动的人际交往形式。人际心理治疗（IPT）是一种有时间限制的手动治疗，旨在缓解症状并改善人际功能。根据我们的经验，使用IPT与躯体化患者，我们建议一系列的策略，其成功实施。这些策略包括强调在双边谈判的治疗合同内的治疗联盟，并旨在改善人际功能，而不是减轻身体症状。具体的技巧包括使用桥接隐喻，沟通分析和真正的积极强化。IPT专注于在有限的时间内进行沟通，并通过强大的合作关系进行培养，似乎是减少躯体化行为的一种有前途的方法。我们敦促进一步研究这种治疗形式的疗效。
The interpersonal model is important for understanding somatizing behavior. According to this model, somatizing behavior is a form of interpersonal communication driven by insecure attachment. Interpersonal psychotherapy (IPT) is a time-limited, manual-based treatment designed to relieve symptoms and improve interpersonal functioning. Based on our experience using IPT with somatizing patients, we recommend a series of strategies for its successful implementation. These strategies include an emphasis on the therapeutic alliance within a bilaterally negotiated treatment contract, and aiming for improvement in interpersonal functioning rather than for alleviation of physical symptoms. Specific techniques include the use of bridging metaphors, communication analysis, and genuine positive reinforcement. With a focus on communication in a time-limited frame, fostered by a strong collaborative relationship, IPT appears to be a promising method of reducing somatizing behavior. We urge further research on the efficacy of this form of therapy.