Laboratoire de Psychopathologie Expérimentale, Université catholique of Louvain, Louvain-la-Neuve, Belgium.
Département de Psychologie, Université de Savoie Mont Blanc, Chambéry, France.
Clin Psychol Psychother. 2019 Mar;26(2):175-190. doi: 10.1002/cpp.2340. Epub 2018 Nov 13.
This article presents the theoretical, clinical, and practical arguments supporting a process-based transdiagnostic approach to psychotherapy. A working definition of "psychological process" is provided, as well as a tri-dimensional categorization of psychological processes potentially involved in psychopathology. Guidelines are proposed to select psychological interventions based on the active psychopathological processes evidenced in a given case. We also provide a rationale to organize treatment as a set of modules, each addressing a specific psychopathological process. Next, we review the main processes that may be active in mood and anxiety disorders, and that are accessible to clinicians in regular practice. For each process, we propose a validated assessment questionnaire. Finally, we offer a free-access web-based instrument that allows clients to fill in these questionnaires via an internet survey, and that provides therapists with a tool to easily decode and interpret the questionnaire results and to present them to the clients.
本文提出了支持基于过程的心理治疗跨诊断方法的理论、临床和实践论据。提供了“心理过程”的工作定义,以及心理病理学中可能涉及的心理过程的三维分类。根据给定案例中证据确凿的积极心理病理过程,提出了选择心理干预措施的指南。我们还提供了一个将治疗组织为一组模块的基本原理,每个模块都针对特定的心理病理过程。接下来,我们回顾了可能在情绪和焦虑障碍中活跃的主要过程,以及在常规实践中临床医生可以使用的过程。对于每个过程,我们都提出了一个经过验证的评估问卷。最后,我们提供了一个免费的基于网络的工具,允许客户通过互联网调查填写这些问卷,并且为治疗师提供了一个方便解码和解释问卷结果并将其呈现给客户的工具。