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[青少年身份认同治疗(AIT)——一种治疗人格障碍的综合治疗模式]

[AIT (Adolescent Identity Treatment) - an Integrative Treatment Model for the Treatment of Personality Disorders].

作者信息

Schlüter-Müller Susanne

机构信息

Universität Basel Schanzenstr. 13 CH-4056 Basel Schweiz UPK Basel.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2017 Jul;66(6):392-403. doi: 10.13109/prkk.2017.66.6.392.

Abstract

AIT (Adolescent Identity Treatment) - an Integrative Treatment Model for the Treatment of Personality Disorders Personality disorders are patterns of maladaptive personality traits that have an impact on the individual throughout the life span. Borderline Personality Disorder (BPD) is a very severe, but treatable mental disorder. Identity disturbance is seen as the central construct for detecting severe personality pathology - and, most notably, borderline personality disorder - in adults and adolescents. Crises in the development of identity usually resolve into a normal and consolidated identity with flexible and adaptive functioning whereas identity diffusion is viewed as a lack of integration of the concept of the self and significant others. It is seen as the basis for subsequent personality pathology, including that of borderline personality disorder. Although BPD has its onset in adolescence and emerging adulthood the diagnosis is often delayed. In most cases, specific treatment is only offered late in the course of the disorder and to relatively few individuals. Adolescent Identity Treatment (AIT) is a treatment model that focuses on identity pathology as the core characteristic of personality disorders. This model integrates specific techniques for the treatment of adolescent personality pathology on the background of object-relation theories and modified elements of Transference-Focused Psychotherapy. Moreover, psychoeducation, a behavior-oriented homeplan and intensive family work is part of AIT.

摘要

青少年身份认同治疗(AIT)——一种治疗人格障碍的综合治疗模式 人格障碍是适应不良人格特质的模式,会对个体的一生产生影响。边缘型人格障碍(BPD)是一种非常严重但可治疗的精神障碍。身份认同紊乱被视为检测成人和青少年严重人格病理学——尤其是边缘型人格障碍——的核心结构。身份认同发展过程中的危机通常会演变成具有灵活和适应性功能的正常且稳固的身份认同,而身份认同扩散则被视为自我概念与重要他人概念缺乏整合。它被视为后续人格病理学的基础,包括边缘型人格障碍的病理学基础。尽管BPD在青少年期和成年早期发病,但诊断往往会延迟。在大多数情况下,特定治疗通常在疾病后期才提供,且针对的个体相对较少。青少年身份认同治疗(AIT)是一种以身份认同病理学作为人格障碍核心特征的治疗模式。该模式在客体关系理论背景下整合了治疗青少年人格病理学的特定技术以及移情焦点心理治疗的改良元素。此外,心理教育、以行为为导向的家庭计划和强化家庭工作也是AIT的一部分。

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