Cwm Taf NHS Trust, Psychological Therapies, Wales, UK.
Personal Ment Health. 2013 Nov;7(4):298-306. doi: 10.1002/pmh.1236. Epub 2013 Jun 3.
Agreement between client and therapist on treatment goals has been consistently linked with improved treatment outcomes. Having clear and collaborative goals may be particularly important when working with clients diagnosed with personality disorders who are often difficult to engage and test the boundaries of therapy. This paper outlines the development of a personality disorder treatment goal checklist aimed at helping clients and therapists to identify and prioritize their goals for therapy.
The checklist was developed using self-reported problems of the first 90 participants randomized into the psychoeducation and problem solving (PEPS) trial. Problems were coded and categorized into problem areas. The checklist was viewed by two service users who gave suggestions for improvements.
The final checklist consists of 161 items in 16 problem areas.
The checklist may provide a clinically useful tool for working with this client group.
客户和治疗师之间对治疗目标的一致认同与改善治疗结果息息相关。在与通常难以参与和挑战治疗边界的被诊断为人格障碍的客户合作时，明确和协作的目标可能尤其重要。本文概述了人格障碍治疗目标清单的制定，旨在帮助客户和治疗师确定和优先考虑他们的治疗目标。
该清单是使用前 90 名随机分配到心理教育和解决问题 (PEPS) 试验中的参与者的自我报告问题制定的。问题被编码并分类到问题领域。该清单由两位服务使用者查看，并提出了改进建议。
最终清单包括 16 个问题领域中的 161 个项目。
该清单可能为人格障碍患者提供了一种有用的临床工具。
