O'Connor Thomas G, Zeanah Charles H
Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642, USA.
Attach Hum Dev. 2003 Sep;5(3):223-44. doi: 10.1080/14616730310001593974.
The aim of this special issue is to examine methods for assessing and treating attachment disorders. This target article outlines existing strategies for assessment and considers which aspects of severe attachment disturbances and disorders may be core features of the disturbance(s). The usefulness of alternative methodologies for assessment are discussed, with particular emphasis on the need for the development of clinical protocol. The applications and implications for treatment are then discussed, with particular emphasis on the nature of the underlying disturbances that should be a focus for intervention. An absence of established treatment guidelines or consensus regarding the mechanisms of change are highlighted as barriers to further progress.
本期特刊的目的是探讨评估和治疗依恋障碍的方法。这篇目标文章概述了现有的评估策略，并思考严重依恋障碍的哪些方面可能是障碍的核心特征。文中讨论了替代评估方法的实用性，特别强调了制定临床方案的必要性。随后讨论了治疗的应用和意义，特别强调了潜在障碍的性质应成为干预的重点。文中强调，缺乏既定的治疗指南或关于改变机制的共识是进一步取得进展的障碍。
