EXPERIENTIAL PSYCHOTHERAPY BULEMIA DEPRESSED AND CHRONIC

这项研究的目的是进一步努力建立 团体、体验式心理治疗的疗效观察 严重的抑郁症。这项研究的目的是比较 集中表达心理疗法的有效率， 传统的团体认知疗法和最低限度的治疗 病情(阅读疗法)。我们希望不仅建立 集中表现型心理治疗的疗效，但要确定 关于其使用的一些指标，相对于最低限度的治疗和 认知疗法。治疗师将被挑选出来并 系统地接受了两种手动治疗的培训，重点是 表现性心理治疗和认知治疗。六位治疗师 分别达到93%的标准绩效水平 条件)将进行集体治疗。相同数量的 患者/受试者将被选为代表不同的 与控制和管理有关的防守风格 愤怒的感觉。90名患者/受试者，代表主要 情感障碍-抑郁和两种水平的防御方式， 将被随机分配到三种治疗条件中的一种。 这些情况将被小组认知治疗，小组为重点 表达疗法和阅读疗法。阅读疗法将包括 每周通过电话、阅读作业和定期支持 评估期。三周的基准期将是 之后是二十个疗程和六个月的疗程 后续行动。我们将对患者进行定期评估 抑郁，家庭模式的改变，医疗状况的改变，以及 普通精神病理学。我们预计，那些倾向于 过度控制愤怒的冲动会表现出更好的反应 专注的表现性心理治疗比那些倾向于 控制不住这些冲动。我们还预计， 防守风格也将区别于有效性 认知治疗率与集中表达 心理治疗。

This study is designed to further our efforts to establish the efficacy of group, experiential psychotherapy for the treatment of major depression. The aims of this study are to compare efficacy rates of Focused Expressive Psychotherapy, conventional group Cognitive Therapy, and a minimal treatment condition (bibliotherapy). We hope to establish not only the efficacy of Focused Expressive Psycho-therapy, but to determine some indicators for its use, relative to minimal treatments and Cognitive Therapy. Therapists will be selected and systematically trained in two manualized treatments, Focused Expressive Psychotherapy and Cognitive Therapy. Six therapists who achieve criterion levels of performance 9three in each condition) will conduct the group treatments. Equal numbers of patients/subjects will be selected to represent differences in defensive style as related to the control and management of angry feelings. Ninety patients/subjects, representing major affective disorder-depression and two levels of defensive style, will be randomly assigned to one of three treatment condition. These conditions will be group Cognitive Therapy, group Focused Expressive Therapy, and bibliotherapy. Bibliotherapy will consist of weekly support by telephone, reading assignments, and regular assessment periods. A three week baseline period will be followed by a twenty session treatment period and a six month followup. We will conduct periodic evaluations of patients depression, change in family patterns, medical status, and general psychopathology. We anticipate that those who tend to overcontrol angry impulses will show a better response to Focused Expressive Psychotherapy than will patients who tend to undercontrol those impulses. We additionally anticipate that defensive style will also differentiate between effectiveness rates of Cognitive Therapy and Focused Expressive Psychotherapy.