Existential despair and bipolar disorder: the therapeutic alliance as a mood stabilizer.
Existential despair and bipolar disorder: the therapeutic alliance as a mood stabilizer.
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存在绝望和双相情感障碍：作为情绪稳定剂的治疗联盟。
DOI：
10.1176/appi.psychotherapy.2005.59.2.137
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发表时间：
2005
影响因子：
2.5
通讯作者：
Ghaemi,SNassir
中科院分区：
文献类型：
--
作者：
Havens,LestonL;Ghaemi,SNassir
双相情感障碍的主要临床发病率是慢性抑郁症。然而，这种对我们最好的药物治疗有抵抗力的抑郁症可能代表着其他东西。我们认为，它可能涉及存在的绝望，作为这种疾病所造成的损失的结果，以及我们的治疗方法的结果。这种慢性抑郁症状可能被视为存在的，而不是生物的，躁狂症的希望失败的后果。与传统的精神分析观点相反，我们认为，精神治疗工作可以通过存在主义和人际关系的方法与躁狂患者进行，以与躁狂患者建立强大的治疗联盟。我们借鉴卡尔·雅斯贝尔斯的存在主义著作和哈里·斯塔克·沙利文的反投射方法来阐述这些方法。存在导向的治疗联盟可以被视为双相情感障碍患者的情绪稳定治疗，这增加了情绪稳定药物的益处。
The major clinical morbidity of bipolar disorder is chronic depression. Yet this depression, which is resistant to our best pharmacological treatments, may represent something else. We suggest it may involve existential despair, as a consequence of the losses incurred by this illness, as well as the result of our treatment approaches. Such chronic depressive symptoms may be seen as existential, rather than biological, consequences of the failed hopes of mania. Contrary to traditional psychoanalytic views, we suggest that psychotherapeutic work can be done with manic patients through existential and interpersonal methods to develop a strong therapeutic alliance with the manic patient. We draw on the existential work of Karl Jaspers and the counterprojective methods of Harry Stack Sullivan to lay out these approaches. An existentially oriented therapeutic alliance can be seen as a mood-stabilizing treatment in patients with bipolar disorder, which augments the benefits of mood stabilizing medications.