Apple R F
Stanford Medical Center, Department of Psychiatry, CA 94305-5722, USA.
J Clin Psychol. 1999 Jun;55(6):715-25. doi: 10.1002/(sici)1097-4679(199906)55:6<715::aid-jclp5>3.0.co;2-b.
Interpersonal therapy (IPT) has been identified as an effective treatment for bulimia nervosa that does not focus on bulimic symptoms. Rather, a detailed assessment culminating in an "interpersonal inventory" identifies core associated interpersonal problem(s) that become the focus of treatment. For that reason, IPT may be particularly helpful for clients who have become "stuck" in their eating disorder for reasons associated with problematic relationships. IPT is also helpful for clients who may benefit from a therapy that offers some structure, focus, and containment without clear behavioral directives. This article describes the theoretical background, structure, and technical aspects of IPT and presents a bulimia nervosa case in which IPT was used effectively, in part due to a "goodness of fit" between the issues presented by this particular client and the treatment model. The case also illustrates IPT's approach to handling resistance and therapist/client relationship issues.
人际心理治疗（IPT）已被确定为治疗神经性贪食症的一种有效方法，该方法并不专注于贪食症状。相反，通过详细评估最终形成一份“人际清单”，从而确定核心相关人际问题，这些问题将成为治疗的重点。因此，对于那些因人际关系问题而陷入饮食失调困境的患者，IPT可能特别有帮助。对于那些可能从一种提供一定结构、重点和约束但没有明确行为指导的治疗中受益的患者，IPT也很有帮助。本文介绍了IPT的理论背景、结构和技术方面，并呈现了一个有效运用IPT治疗神经性贪食症的案例，部分原因在于该特定患者所呈现的问题与治疗模式之间的“匹配度良好”。该案例还展示了IPT处理阻抗以及治疗师/患者关系问题的方法。
