EXPERIENTIAL PSYCHOTHERAPY--DEPRESSED & CHRONIC PATIENTS

该项目被设计为一项临床试验研究 一种集中形式的体验式心理治疗的有效性 格式塔疗法原理。项目的目标是展示 这一治疗程序应用于临床的疗效 这是一种典型的难以治疗的人群。六十 同时出现抑郁症和心因性疼痛综合征的患者将 细分为两组，相对于其特有的方法 处理愤怒和怨恨的情绪。情感上的亚群 过度控制和情绪控制不足的人将被随机 分配到两个治疗方案，一个强调高度集中的 格式塔/体验式治疗，另一种是教育/对照 治疗。治疗将在两周的药物洗涤后开始 会议将进行15至20届会议。六个月的随访 也将获得。患者状态的变化将在 (1)医疗和疼痛状况，(2)抑郁和心理状况 状态，(3)情绪表达，(4)参与 心理治疗的过程。我们预计格式塔治疗将是 比教育性的更有效，特别是对那些 情绪失控。我们进一步预计，这种情绪和 治疗中的生理唤醒将与止痛和 以减轻抑郁症状。最后，我们预计 治疗收益将在更长时间内保持 体验式治疗条件。

This project is designed as a clinical trials investigation of the effectiveness of a focused form of experiential psychotherapy based on principles of Gestalt therapy. The project objectives are to demonstrate the efficacy of this treatment procedure as applied to a clinical population which has been characteristically difficult to treat. Sixty patients presenting both depression and psychogenic pain syndrome will be subclassified into two groups, relative to their characteristic method of coping with angry and resentful feelings. Subgroups of emotionally overcontrolled and emotionally undercontrolled individuals will be randomly assigned to two treatment protocols, one emphasizing a highly focused Gestalt/experiential treatment and the other an educative/control treatment. Treatment will be initiated following a two week drug wash out period and will proceed through 15 to 20 sessions. A six month follow-up will also be obtained. Changes in patients' status will be assessed in the areas of (1) medical and pain condition, (2) depression and psychological state, (3) emotional expressiveness, and (4) involvement in the psychotherapy process. We anticipate that the Gestalt treatment will be more effective than the educative one, especially for those who are emotionally overcontrolled. We further anticipate that emotional and physiological arousal in treatment will be related both to pain relief and to diminuation of depressive symptoms. Finally, we anticipate that treatment gains will be maintained longer for individuals in the experiential treatment condition.