Spiegel Eric B
a Independent Practice , Philadelphia , Pennsylvania , USA.
Am J Clin Hypn. 2016 Jul;59(1):47-68. doi: 10.1080/00029157.2016.1163658.
The concept of the "wounded self" (Wolfe, 2005) offers an integrative theoretical framework for self-wounds and their developmental origins. Alladin (2013, 2014, 2016) integrated hypnotherapy into this model to comprehensively address the unconscious protective mechanisms and maladaptive conscious cognitive strategies of the wounded self. The purpose of this article is to propose how an attachment-focused psychotherapy could be utilized in working with the wounded self. With its emphasis on developmental maturation through the frame of the attachment relationship, attachment theory is well-positioned to offer conceptual and treatment insights in treating the wounded self. E. B. Spiegel's (2016) attunement, representation, and mentalization approach to attachment-focused psychotherapy described how hypnosis can be utilized across attachment processes of attunement, representation, and mentalization toward structural maturation and developmental repair of patients with histories of complex relational trauma. In this article, the attunement, representation, and mentalization attachment approach and associated interventions are further explicated in the treatment of self-wounds in the borderline and narcissistic spectrums of personality organization. These principles of conceptualization and treatment interventions are then applied in a case example.
“受伤的自我”这一概念（沃尔夫，2005年）为自我创伤及其发展根源提供了一个综合的理论框架。阿拉迪恩（2013年、2014年、2016年）将催眠疗法融入该模型，以全面解决受伤自我的无意识保护机制和适应不良的有意识认知策略。本文的目的是提出如何将以依恋为重点的心理治疗应用于与受伤自我的工作中。依恋理论强调通过依恋关系的框架实现发展成熟，非常适合在治疗受伤自我方面提供概念和治疗见解。E. B. 施皮格尔（2016年）以依恋为重点的心理治疗的协调、表征和心理化方法描述了如何在协调、表征和心理化的依恋过程中利用催眠，以促进有复杂关系创伤史患者的结构成熟和发展修复。在本文中，协调、表征和心理化依恋方法及相关干预措施在人格组织的边缘型和自恋型谱系中的自我创伤治疗中得到进一步阐述。然后，这些概念化原则和治疗干预措施应用于一个案例。
