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辩证行为疗法、图式疗法和认知行为分析系统心理治疗中的治疗性自我表露:机遇与挑战

Therapeutic Self-Disclosure within DBT, Schema Therapy, and CBASP: Opportunities and Challenges.

作者信息

Köhler Stephan, Guhn Anne, Betzler Felix, Stiglmayr Christian, Brakemeier Eva-Lotta, Sterzer Philipp

机构信息

Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Berlin, Germany.

Arbeitsgemeinschaft für Wissenschaftliche Psychotherapie, Berlin, Germany.

出版信息

Front Psychol. 2017 Nov 29;8:2073. doi: 10.3389/fpsyg.2017.02073. eCollection 2017.

Abstract

In recent years, various therapeutic interventions have been established that extended behavior and cognitive behavior therapy (CBT) by so-called "third-wave" strategies. In order to address specific therapeutic challenges in certain subgroups of patients who do not sufficiently respond to "classical CBT," some of these third-wave strategies put particular emphasis on therapist self-disclosure. This article highlights therapeutic self-disclosure as a means to address interpersonal problems by comparing three third-wave strategies: (a) acceptance and change strategies as used in Dialectical Behavioral Therapy (DBT), (b) the concept of "limited reparenting" as used in Schema Therapy (ST), and (c) disciplined personal involvement as used in the Cognitive Behavioral Analysis System of Psychotherapy (CBASP). On the basis of a critical discussion on opportunities and challenges within these three concepts, self-disclosure is proposed to be a promising therapeutic tool that is worth to be investigated in more depth in future studies.

摘要

近年来,已经建立了各种治疗干预措施,这些措施通过所谓的“第三波”策略扩展了行为和认知行为疗法(CBT)。为了应对某些对“经典CBT”反应不足的患者亚组中的特定治疗挑战,其中一些第三波策略特别强调治疗师的自我表露。本文通过比较三种第三波策略,突出了治疗性自我表露作为解决人际问题的一种手段:(a)辩证行为疗法(DBT)中使用的接纳与改变策略;(b)图式疗法(ST)中使用的“有限再养育”概念;(c)认知行为心理治疗分析系统(CBASP)中使用的有纪律的个人参与。在对这三个概念中的机遇和挑战进行批判性讨论的基础上,自我表露被认为是一种有前景的治疗工具,值得在未来的研究中进行更深入的调查。

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