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精神分析互动心理治疗对边缘型人格障碍的疗效。

The effectiveness of psychoanalytic-interactional psychotherapy in borderline personality disorder.

作者信息

Leichsenring Falk, Masuhr Oliver, Jaeger Ulrich, Dally Andreas, Streeck Ulrich

机构信息

Department of Psychosomatics and Psychotherapy, University of Giessen, Germany.

出版信息

Bull Menninger Clin. 2010 Summer;74(3):206-18. doi: 10.1521/bumc.2010.74.3.206.

Abstract

Different methods are available for the psychotherapeutic treatment of patients with severe personality disorders. In Germany, a special form of dynamically oriented therapy called psychoanalytic-interactional psychotherapy or method (PiM) has been clinically applied for many years. PiM was derived from psychoanalytic therapy and has been specifically adapted for the treatment of severely disordered patients, for example, patients with borderline personality disorders, prepsychotic disorders, addictions, and perversions. In a naturalistic study, the effectiveness of PiM was tested in a sample of patients with borderline personality disorders (N = 132). The patients were treated in the Clinic Tiefenbrunn near Göettingen. Standardized, reliable, and valid diagnostic instruments were used to study the treatment effects. According to the results, PiM achieved significant improvements in target symptoms, general symptoms, interpersonal problems, and contentedness with life. The results are discussed with regard to the treatment of severely disordered patients.

摘要

有多种方法可用于对严重人格障碍患者进行心理治疗。在德国,一种特殊形式的动态取向治疗方法,即精神分析互动心理治疗或方法(PiM),已在临床上应用多年。PiM源自精神分析治疗,并已专门针对严重紊乱患者的治疗进行了调整,例如边缘性人格障碍、精神病前期障碍、成瘾和性变态患者。在一项自然主义研究中,对132名边缘性人格障碍患者样本进行了PiM有效性测试。这些患者在哥廷根附近的蒂芬布伦诊所接受治疗。使用标准化、可靠且有效的诊断工具来研究治疗效果。根据结果,PiM在目标症状、一般症状、人际问题和生活满意度方面取得了显著改善。针对严重紊乱患者的治疗对结果进行了讨论。

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