McMain Shelley, Pos Alberta E
Centre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario M5S 2S1, Canada.
Curr Psychiatry Rep. 2007 Feb;9(1):46-52. doi: 10.1007/s11920-007-0009-7.
This article reviews psychotherapy studies published between 2003 and 2006 directed at psychotherapy for personality disorders (PDs). Over the past 3 years, there has been a substantial increase in these studies compared with previous decades. Psychodynamic therapy, cognitive-behavioral therapy, and variants of these approaches have been evaluated and shown to have positive results. Borderline personality disorder continues to garner the most attention and has been shown to respond favorably to several types of therapeutic interventions on a range of outcomes. Avoidant personality disorder and obsessive-compulsive personality disorder also respond positively to psychotherapy. Although growing attention to the treatment of PDs is encouraging, further research is indicated. A summary of recent empirical findings and their implications for clinical practice are discussed.
本文回顾了2003年至2006年间发表的针对人格障碍心理治疗的研究。在过去3年中,与前几十年相比,这类研究有了大幅增加。心理动力疗法、认知行为疗法以及这些方法的变体都经过了评估,并显示出积极的效果。边缘型人格障碍仍然最受关注,并且已被证明在一系列结果上对几种类型的治疗干预有良好反应。回避型人格障碍和强迫型人格障碍对心理治疗也有积极反应。尽管对人格障碍治疗的关注度不断提高令人鼓舞,但仍需进一步研究。本文讨论了近期实证研究结果及其对临床实践的启示。