Salvatore Giampalo, Popolo Raffaele, Buonocore Luisa, Ferrigno Anna Maria, Proto Mariagrazia, Sateriale Anna, Serio Marianna, Dimaggio Giancarlo
Am J Psychother. 2016 Dec 31;70(4):365-381. doi: 10.1176/appi.psychotherapy.2016.70.4.365.
Many patients with personality disorders (PD) display emotional inhibition or over-regulation (EOR); others display emotional dysregulation (ED)- heightened sensitivity to emotional stimuli with difficulty toning down arousal. To date, most treatments focus on patients with ED, particularly those with borderline disorders, though some focus on EOR. Patients with complex PD often swing from periods of EOR to ED. In this paper, we describe an adaptation of metacognitive interpersonal therapy (MIT), which has been manualized for treating PD with prominent EOR and is aimed at dealing with patients fluctuating from EOR to ED. We first describe the MIT model of personality pathology and offer a summary of the procedures used in MIT to treat patients with prominent EOR. Then, through the analysis of the case of a patient swinging between EOR and ED, we describe how to adapt these procedures to complex cases.
许多人格障碍（PD）患者表现出情绪抑制或过度调节（EOR）；另一些患者则表现出情绪失调（ED）——对情绪刺激高度敏感，难以降低唤醒水平。迄今为止，大多数治疗方法都集中在患有ED的患者身上，尤其是边缘性人格障碍患者，不过也有一些方法关注EOR。患有复杂人格障碍的患者常常在EOR期和ED期之间摇摆不定。在本文中，我们描述了一种元认知人际治疗（MIT）的改编方法，该方法已被编写成手册用于治疗以EOR为主的人格障碍，旨在应对从EOR转变为ED的患者。我们首先描述人格病理学的MIT模型，并总结MIT用于治疗以EOR为主的患者的程序。然后，通过分析一名在EOR和ED之间摇摆的患者的案例，我们描述如何将这些程序应用于复杂病例。
