Division of Psychiatry, Sydney Medical School, Parramatta, Australia.
V.M.O. Complex Trauma Unit, Western Sydney Health District, Australia.
J Pers Disord. 2018 Feb;32(1):70-86. doi: 10.1521/pedi_2017_31_290. Epub 2017 May 17.
The psychotherapy of commonly occurring severe personality disorders-borderline, narcissistic, avoidant, dependent, obsessive compulsive, and schizoid-presents the therapist with a unique therapeutic challenge, as each personality disorder rarely occurs alone. Integration of what is most useful and what works in each model is being proposed to enable a more successful approach to the diversity of presentations. We describe the conversational model, some outcome research, and descriptive studies to illustrate this. Based in psychoanalytic theory, the conversational model is integrated with trauma theory, findings in memory research, linguistics, neurophysiological data, and, above all, on the observations of clinical experiences. Our emphasis in this article is on the treatment principles, methods, and techniques, along with case examples to illustrate what we mean. Case material is taken from audio recordings for which written informed consent was obtained for presentations and journal articles. Some changes have been made to maintain confidentiality.
常见的严重人格障碍（边缘型、自恋型、回避型、依赖型、强迫型和分裂型）的心理治疗给治疗师带来了独特的治疗挑战，因为每种人格障碍很少单独出现。目前有人提出整合每种模式中最有用和最有效的方法，以更成功地处理各种表现。我们描述了会话模型、一些结果研究和描述性研究来说明这一点。会话模型基于精神分析理论，与创伤理论、记忆研究、语言学、神经生理学数据相结合，最重要的是与临床经验观察相结合。我们在本文中的重点是治疗原则、方法和技术，以及案例示例来说明我们的意思。案例材料取自音频记录，已获得书面知情同意，可用于演示文稿和期刊文章。为了保持机密性，做了一些更改。
