Abbass Allan
FRCPC, Professor and Director, Centre for Emotions and Health, Dalhousie University, Halifax, Canada.
Psychodyn Psychiatry. 2016 Summer;44(2):245-80. doi: 10.1521/pdps.2016.44.2.245.
Intensive short-term dynamic psychotherapy (ISTDP) was developed out of the need for relatively short psychodynamic psychotherapeutic treatment approaches to complex and resistant patient populations so common in public health systems. Based on extensive study of video recordings, Habib Davanloo discovered, and other researchers have validated, some important clinical ingredients that align the therapist with healthy aspects of the patient striving for resolution of chronic neurotic disorders and fragile character structure. In the case of character neurotic highly resistant patients, these approaches including "pressure," "clarification," "challenge to defenses," and "head on collision" can be used in a tailored and properly timed way to help the chronically suffering patient to overcome his or her own resistance and access core drivers of these pathologies. In this article the meta-psychological basis of ISTDP is reviewed and illustrated with an extended case vignette.
强化短期动力心理治疗（ISTDP）是出于对公共卫生系统中常见的复杂且抗拒治疗的患者群体进行相对短期的心理动力心理治疗方法的需求而发展起来的。通过对录像的广泛研究，哈比卜·达万卢发现，其他研究人员也已证实，一些重要的临床要素能使治疗师与患者为解决慢性神经症和脆弱性格结构而努力的健康方面保持一致。对于高度抗拒治疗的性格神经症患者，这些方法包括“施压”“澄清”“挑战防御”和“正面冲突”，可以以量身定制且时机恰当的方式使用，以帮助长期受苦的患者克服自身的抗拒，并触及这些病症的核心驱动因素。在本文中，将对ISTDP的元心理学基础进行回顾，并用一个扩展的病例 vignette 进行说明。
