Montefiore Medical Center, New York.
The New School for Social Research, New York.
J Clin Psychol. 2018 Aug;74(8):1370-1382. doi: 10.1002/jclp.22647. Epub 2018 May 24.
This paper describes the treatment of a mother and child who demonstrated disorganized attachment behaviors in their interactions with one another. The mother, who was diagnosed with Borderline Personality Disorder, felt incapable of managing her aggressive toddler and his emotional needs. The dyad was referred for therapy due to concerns about his developmental progress, evident delays having been mainly attributed to the problems observed within the parent-child relationship. The primary intervention applied to working with the dyad was the Group Attachment-Based Intervention (GABI©), developed by Anne Murphy in collaboration with Miriam Steele and Howard Steele. The mother also received individual psychotherapy as a supplement to the dyadic and group work of GABI©. The process and outcome of this comprehensive approach to treating a vulnerable dyad is explored in this case study.
本文描述了一位母亲和她的孩子的治疗案例,他们在互动中表现出了紊乱的依恋行为。这位母亲被诊断患有边缘型人格障碍,她觉得自己无法应对自己好斗的幼儿和他的情感需求。由于担心他的发展进度,这对母子被转介到治疗中心,主要是因为在亲子关系中观察到的问题导致了明显的发育迟缓。针对这对母子,应用的主要干预措施是由安妮·墨菲(Anne Murphy)与米里亚姆·斯蒂尔(Miriam Steele)和霍华德·斯蒂尔(Howard Steele)合作开发的基于团体的依恋干预(GABI©)。母亲还接受了个体心理治疗,作为 GABI©的母子和团体工作的补充。本案例研究探讨了这种综合方法治疗脆弱母子关系的过程和结果。