Tyrer Peter
Department of Public Mental Health, Faculty of Medicine, Imperial College of Science, Technology and Medicine, London, UK.
Acta Psychiatr Scand. 2002 Jun;105(6):469-71;discussion 471-2. doi: 10.1034/j.1600-0447.2002.01362.x.
To develop a treatment, nidotherapy, or nest therapy, so named because it aims to alter the sufferer's personal environment rather than symptoms or behaviour, in the management of personality disorders.
Case studies, in which analysis of the environmental circumstances associated with the problems of personality disorder is followed by planned adjustment to that environment so that it makes a more appropriate fit for the personality.
Sustained improvement was found in two individuals with personality disorder after nidotherapy. Those with persistent and predictable personality attributes are easier in principle to treat than those with episodic or variable problems.
Nidotherapy deserves further consideration in the management of personality disorders.
开发一种名为巢穴疗法(nidotherapy)的治疗方法,之所以这样命名是因为它旨在改变患者的个人环境,而非症状或行为,用于人格障碍的管理。
采用案例研究,先分析与人格障碍问题相关的环境情况,然后对该环境进行有计划的调整,使其更适合患者的人格。
两名人格障碍患者在接受巢穴疗法后有持续改善。原则上,具有持续且可预测人格特征的患者比有发作性或多变问题的患者更容易治疗。
在人格障碍的管理中,巢穴疗法值得进一步考虑。