Yanos Philip T, Roe David, Lysaker Paul H
Department of Psychology, John Jay College of Criminal Justice, City University of New York, NY 10019, USA.
Int J Group Psychother. 2011 Oct;61(4):577-95. doi: 10.1521/ijgp.2011.61.4.576.
Internalized stigma has been suggested to play a major role in negative changes in identity in severe mental illness. Evidence suggests that roughly one-third of people with severe mental illness show elevated internalized stigma and that it is linked to compromised outcomes in both subjective and objective aspects of recovery. Despite substantial evidence for the impact of internalized stigma, few efforts have been made to develop professionally led treatment to address this issue. In this article, we discuss our development of a new group-based approach to the treatment of internalized stigma which we have termed "narrative enhancement and cognitive therapy (NECT)". We describe the treatment approach and offer an illustration of it by way of a case vignette.
内化耻辱感被认为在严重精神疾病患者身份认同的消极变化中起主要作用。有证据表明，大约三分之一的严重精神疾病患者内化耻辱感较高，且这与康复主观和客观方面的不良结果有关。尽管有大量证据证明内化耻辱感的影响，但很少有人致力于开发由专业人员主导的治疗方法来解决这一问题。在本文中，我们讨论了一种新的基于团体的内化耻辱感治疗方法的开发，我们将其称为“叙事强化与认知疗法（NECT）”。我们描述了这种治疗方法，并通过一个病例 vignette 进行说明。
