Subic-Wrana Claudia, Greenberg Leslie S, Lane Richard D, Michal Matthias, Wiltink Jörg, Beutel Manfred E
Department of Psychosomatic Medicine and Psychotherapy Universal Medical Center of Johannes Gutenberg University Mainz Zahlbacher Str. 8 55131 Mainz Germany https://www.unimedizin-mainz.de/psychosomatik/startseite/startseite.html.
Department of Psychology Emotion-focused Clinic York University 4700 Keele Street Toronto, ON M3J 1P3 Canada http://www.emotionfocusedclinic.org/
Z Psychosom Med Psychother. 2016 Sep;62(3):207-23. doi: 10.13109/zptm.2016.62.3.207.
Affective change has been considered the hallmark of therapeutic change in psychoanalysis. Psychoanalytic writers have begun to incorporate theoretically the advanced understanding of emotional processing and transformation of the affective neurosciences. We ask if this theoretical advancement is reflected in treatment techniques addressing the processing of emotion.
We review psychoanalytic models and treatment recommendations of maladaptive affect processing in the light of a neuroscientifically informed model of achieving psychotherapeutic change by activation and reconsolidation of emotional memory.
Emotions tend to be treated as other mental contents, resulting in a lack of specific psychodynamic techniques to work with emotions. Manualized technical modifications addressing affect regulation have been successfully tested in patients with personality pathology, but not for psychodynamic treatments of axis I disorders.
Emotional memories need to be activated in order to be modified, therefore, we propose to include techniques into psychodynamic therapy that stimulate emotional experience.
情感变化一直被视为精神分析治疗性改变的标志。精神分析领域的作者们已开始在理论上纳入对情感神经科学中情绪加工与转化的深入理解。我们探讨这种理论进展是否体现在针对情绪加工的治疗技术中。
我们根据一种通过激活和重新巩固情绪记忆来实现心理治疗改变的神经科学模型，审视精神分析模型以及针对适应不良情感加工的治疗建议。
情感往往被当作其他心理内容来对待，导致缺乏处理情感的特定心理动力学技术。针对情感调节的手册化技术改良已在人格病理学患者中成功测试，但尚未用于对轴I障碍的心理动力学治疗。
为了对情感记忆进行修改，需要激活这些记忆，因此，我们建议在心理动力学治疗中纳入能激发情感体验的技术。
