青少年和刚成年的成年人在精神动力心理治疗过程中的关系表征与变化
Relationship representations and change in adolescents and emerging adults during psychodynamic psychotherapy.
作者信息
Atzil-Slonim Dana, Wiseman Hadas, Tishby Orya
机构信息
a Department of Counseling and Human Development , University of Haifa , Haifa , Israel.
b Psychology Department and School of Social Work , Hebrew University , Jerusalem , Israel.
出版信息
Psychother Res. 2016;26(3):279-96. doi: 10.1080/10503307.2015.1010627. Epub 2015 Mar 3.
OBJECTIVE
Two groups of clients at sequential developmental stages, adolescents and emerging adults, were compared regarding their presenting problems, psychological distress, and relationship representations over one year of psychotherapy.
METHOD
Thirty adolescents aged 14-18 years and 30 emerging adults aged 22-28 years, with similar demographic background, completed outcome measures and interviews according to the Core Conflictual Relationship Theme (CCRT) method.
RESULTS
The groups differed significantly in the presenting problems but did not differ in their initial levels of distress; their symptoms improved to a similar extent after one year of psychotherapy; differences between the groups in the representations of others were consistent with age-specific developmental challenges; levels of representations were associated with levels of symptoms at the end-point of treatment.
CONCLUSION
Clinicians need to be attuned to the specific difficulties and challenges of these continuous yet distinct developmental stages.
目的
对处于连续发展阶段的两组来访者，即青少年和刚成年的成年人，就其在一年心理治疗期间所呈现的问题、心理困扰及关系表征进行比较。
方法
30名年龄在14 - 18岁的青少年和30名年龄在22 - 28岁、具有相似人口统计学背景的刚成年的成年人，根据核心冲突关系主题（CCRT）方法完成了结果测量和访谈。
结果
两组在呈现的问题上有显著差异，但初始困扰水平无差异；经过一年的心理治疗后，他们的症状改善程度相似；两组在他人表征方面的差异与特定年龄的发展挑战一致；表征水平与治疗终点时的症状水平相关。
结论
临床医生需要关注这些连续但不同的发展阶段所特有的困难和挑战。
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