Lysaker Paul H, Buck Kelly D, Pattison Michelle L, Beasley Rhianna E, Hillis Jaclyn D, Hamm Jay A
Richard L Roudebush VA Medical Center, Indianapolis, IN, USA.
Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.
Am J Psychoanal. 2019 Sep;79(3):284-303. doi: 10.1057/s11231-019-09198-y.
Historical and newly emerging models of schizophrenia suggest it is a disorder characterized by the fragmentation of the experience of the self and the world, leading to the interruption of how a unique life is unfolding in the world. It has been proposed that psychotherapy might therefore promote recovery by facilitating the development of a greater ability to integrate information about the self and others. In this paper we explore how the supervision of a metacognitively-oriented psychotherapy can assist therapists to experience and conceptualize fragmentation within sessions, join patients in the gradual process of making sense of their psychiatric problems and life challenges, and ultimately envision and achieve recovery. Common challenges and responses within supervision are described and discussed.
精神分裂症的传统及新出现的模型表明，它是一种以自我和世界体验的碎片化特征的障碍，导致独特的生活在世界中展开的过程被中断。因此有人提出，心理治疗可能通过促进发展更强的整合关于自我和他人信息的能力来促进康复。在本文中，我们探讨以元认知为导向的心理治疗的督导如何帮助治疗师在治疗过程中体验和理解碎片化，在患者逐渐理解其精神问题和生活挑战的过程中与患者共同参与，并最终设想并实现康复。文中描述并讨论了督导过程中的常见挑战及应对方法。
