Trimboli Frank, Keenan Charles W, Marshall Rycke L
Department of Psychiatry, Division of Psychology at the University of Texas Southwestern Medical Center at Dallas, USA.
Am J Psychother. 2016;70(2):185-202. doi: 10.1176/appi.psychotherapy.2016.70.2.185.
In this paper 12 common errors that occur in the course of psychodynamic psychotherapy are reviewed. Rationales for why we consider these to be errors are described, and vignettes are used to illustrate the errors, lastly, recommendations for alternate approaches consistent with effective psychodynamic psychotherapy are presented. The errors reviewed include concerns regarding the maintenance of appropriate limits and boundaries; decisions regarding the focus and form of treatment; no-suicide contracts; fee arrangements; missed sessions; psychological testing of psychotherapy patients; selecting appropriate patients for psychotherapy; and the importance of personal psychotherapy for the therapist. The suggestions provided are consistent with what we believe are the goals of psychodynamic psychotherapy: autonomy, insight, and self-determination.
本文回顾了心理动力心理治疗过程中出现的12种常见错误。阐述了我们将这些视为错误的理由，并用案例 vignettes 来说明这些错误，最后，提出了与有效的心理动力心理治疗相一致的替代方法建议。所回顾的错误包括对维持适当限制和边界的担忧；关于治疗重点和形式的决策；无自杀契约；费用安排；错过的治疗 sessions；对心理治疗患者的心理测试；为心理治疗选择合适的患者；以及治疗师个人心理治疗的重要性。所提供的建议与我们认为的心理动力心理治疗目标一致：自主性、洞察力和自我决定。
