O'Malley Flynn
The Menninger Clinic and Baylor College of Medicine.
Bull Menninger Clin. 2018 Summer;82(3):173-201. doi: 10.1521/bumc.2018.82.3.173.
The Compass Program at The Menninger Clinic was designed to assess and treat emerging adult psychiatric patients with severe disorders. Establishing a collaborative therapeutic relationship with these challenging patients is an essential step in facilitating effective assessment and treatment for them. The author presents a therapeutic model for engagement and collaboration. Three interrelated processes that are keys to promoting and creating collaborative behavior are described: (1) taking agency, the ability to accept responsibility for and believe in one's own contribution to solving problems; (2) mentalizing, the ability to reflect on, as opposed to react to, mental states in self and others, as well as to contemplate the issues in one's treatment process, and (3) the ability to examine one's problems from the standpoint of identifying core issues, those internal and external factors that have been impediments to one's progress. Case examples are used to illustrate these processes.
门宁格诊所的指南针项目旨在评估和治疗患有严重精神疾病的新兴成年精神病患者。与这些具有挑战性的患者建立合作性治疗关系是促进对他们进行有效评估和治疗的关键一步。作者提出了一种参与和合作的治疗模式。描述了促进和创造合作行为的三个相互关联的关键过程：（1）承担责任，即对解决问题承担责任并相信自己贡献的能力；（2）心理化，即反思而非对自己和他人的心理状态做出反应，以及思考自己治疗过程中问题的能力；（3）从识别核心问题的角度审视自己问题的能力，这些核心问题是阻碍个人进步的内部和外部因素。文中使用案例来说明这些过程。
