Krauthamer Ewing E Stephanie, Levy Suzanne A, Boamah-Wiafe Linda, Kobak Roger, Diamond Guy
Drexel University.
University of Delaware.
J Marital Fam Ther. 2016 Jan;42(1):91-105. doi: 10.1111/jmft.12102. Epub 2014 Oct 20.
This article describes the application of Attachment-Based Family Therapy (ABFT) to the treatment of a 13-year-old female adolescent presenting with high risk of suicide, complicated by a history of depression and sexual trauma. The article begins with an overview of ABFT, including (a) how attachment theory guides treatment; (b) the structure of the clinical model; and (c) the data that provide empirical support. A case example is then presented that exemplifies the primary clinical procedures used to reach therapeutic goals in ABFT, including attachment repair and autonomy/competence promotion. Weekly changes in suicide ideation and depression scores are presented. The article concludes with a discussion about implications for family-based treatment of suicidal youth.
本文描述了基于依恋的家庭治疗（ABFT）在一名13岁有自杀高风险且伴有抑郁症和性创伤史的女性青少年治疗中的应用。文章首先概述了ABFT，包括（a）依恋理论如何指导治疗；（b）临床模型的结构；以及（c）提供实证支持的数据。接着呈现了一个案例，例证了在ABFT中用于实现治疗目标的主要临床程序，包括依恋修复和自主性/能力提升。还展示了自杀意念和抑郁评分的每周变化情况。文章最后讨论了对自杀青少年基于家庭治疗的意义。
