Krämer K, Gawronski A, Vogeley K
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinik Köln.
Fortschr Neurol Psychiatr. 2016 Sep;84(9):578-88. doi: 10.1055/s-0042-114795. Epub 2016 Sep 8.
Autism spectrum disorders (ASD) are characterized by disturbed social interaction and communication as well as stereotyped or repetitive behaviors and interests. Although adults with ASD often acquire complex compensatory strategies that help them master social situations in a rule-based fashion, they still show impairments in intuitive processing of social signals and especially nonverbal communication in complex everyday situations. This constitutes a particular challenge for the psychotherapy of ASD. Psychotherapists are required to explicitly inform and act as an agent of the non-autistic world to enable patients to acquire the ability to take different perspectives. The overall aim of cognitive behavioral therapy interventions addressing ASD in adulthood is to extend the patients' behavioral repertoire to improve their quality of life. Thus, besides psychoeducation on ASD and its frequently associated comorbidities, psychotherapy for adults with ASD should focus on the training and development of social-communicative skills. Furthermore, dealing with stress in everyday situations is an important aspect of psychotherapy of these patients.
自闭症谱系障碍(ASD)的特征是社交互动和沟通障碍,以及刻板或重复的行为和兴趣。尽管患有ASD的成年人通常会获得复杂的补偿策略,帮助他们以基于规则的方式应对社交场合,但在复杂的日常情境中,他们在直观处理社交信号尤其是非言语沟通方面仍存在障碍。这对ASD的心理治疗构成了特殊挑战。心理治疗师需要明确告知患者并充当非自闭症世界的引导者,以使患者能够获得采取不同视角的能力。针对成年ASD患者的认知行为疗法干预的总体目标是扩展患者的行为模式,以提高他们的生活质量。因此,除了对ASD及其常见共病进行心理教育外,针对成年ASD患者的心理治疗应侧重于社交沟通技能的训练和发展。此外,应对日常情境中的压力是这些患者心理治疗的一个重要方面。