精神科青少年患者的互动家庭动力学与非自杀性自伤：一项单病例研究
Interactive Family Dynamics and Non-suicidal Self-Injury in Psychiatric Adolescent Patients: A Single Case Study.
作者信息
Gatta Michela, Miscioscia Marina, Sisti Marta, Comis Ilaria, Battistella Pier Antonio
机构信息
Childhood Adolescence Family Unit, ULSS 16 - University of PaduaPadua, Italy; Department of Women's and Children's Health, University of PaduaPadua, Italy.
Department of Women's and Children's Health, University of PaduaPadua, Italy; Department of Developmental and Social Psychology, University of PaduaPadua, Italy.
出版信息
Front Psychol. 2017 Feb 6;8:46. doi: 10.3389/fpsyg.2017.00046. eCollection 2017.
Abstract
Non-Suicidal Self-Injury (NSSI) is a common, multifaceted phenomenon among adolescents. Recent researchers have shown that a number of psychological and psychiatric correlates are implicated in the onset/repetition of NSSI, but those previous studies did not directly observe the family interaction patterns of this clinical population. In this paper, the quality of family interactions was observed using the Lausanne Trilogue Play procedure to deepen the specific interactive dimensions associated with NSSI in adolescents. The results of a single case study showed a lack of positive emotional exchanges, a parenting style expressing hostility, a high level of control and difficulties in triangulation. Through this method, the authors show that a better understanding of the role of family interactions is crucial and could improve the assessment and treatment of Non-Suicidal Self-Injurious behaviors. Research and clinical implications are discussed.
摘要
非自杀性自伤行为（NSSI）在青少年中是一种常见的、多方面的现象。近期研究表明，许多心理和精神方面的相关因素与NSSI的发生/重复有关，但之前的那些研究并未直接观察这一临床群体的家庭互动模式。在本文中，通过洛桑三对话游戏程序观察家庭互动质量，以深入了解与青少年NSSI相关的具体互动维度。一项单病例研究结果显示，存在缺乏积极情感交流、表达敌意的养育方式、高度控制以及三角关系困难等情况。通过这种方法，作者表明更好地理解家庭互动的作用至关重要，并且可以改善对非自杀性自伤行为的评估和治疗。文中还讨论了研究和临床意义。
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