Plakun Eric M
The Austen Riggs Center, Stockbridge, MA 01262, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2009 Fall;37(3):539-60. doi: 10.1521/jaap.2009.37.3.539.
Treatment resistance has emerged as a significant issue, with evidence of a high risk of suicide in this population. This article reviews the history of the concept of the therapeutic alliance, argues for its central importance in work with suicidal and self-destructive patients, and introduces ABIS, an Alliance-Based Intervention for Suicide that is carried out as part of psychodynamic psychotherapy. Principles of ABIS are delineated and explained.
治疗抵抗已成为一个重大问题,有证据表明这一人群存在高自杀风险。本文回顾了治疗联盟概念的历史,论证了其在治疗有自杀和自我毁灭倾向患者工作中的核心重要性,并介绍了基于联盟的自杀干预(ABIS),这是一种作为心理动力心理治疗一部分实施的自杀干预方法。文中阐述并解释了ABIS的原则。