Accelerated Experiential Dynamic Psychotherapy Institute.
Department of Psychiatry, Weill Cornell Medical College.
Psychotherapy (Chic). 2020 Sep;57(3):323-339. doi: 10.1037/pst0000289. Epub 2020 Mar 5.
Psychotherapy has primarily focused on ameliorating symptoms and psychopathology. This is in contrast to positive psychology, which has focused on bringing about what Keyes (2002) has called "flourishing." Accelerated experiential dynamic psychotherapy (AEDP) seeks to bridge the two traditions by both relieving suffering through processing painful negative emotions to completion and then going on to foster flourishing, in session and beyond, through a technique called metatherapeutic processing. After a brief summary of the AEDP approach, the aim of this article is to elaborate specifically on metatherapeutic processing, where a focus on savoring and exploring the positive affects that accompany the change process itself can set into motion an upward spiral of positive affect that broadens and builds the treatment's effectiveness. We provide a how-to primer on metatherapeutic processing as well as annotated transcript material from three cases to illustrate the application of the technique. We describe how metatherapeutic processing can organically foster, from the bottom-up, positive feeling states labeled transformational affects, such as gratitude, love, hope, curiosity, and zest, freeing up these vital energies that were latent within the client. We go on to propose that although metatherapeutic processing was conceived of within the framework of AEDP, it is a technique that can be integrated into a wide variety of psychotherapies, to activate flourishing in session and beyond. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
心理治疗主要侧重于改善症状和精神病理学。这与积极心理学形成对比，后者侧重于实现 Keyes（2002 年）所谓的“繁荣”。加速体验动态心理疗法（AEDP）试图通过两种方式来弥合这两个传统，一种是通过处理痛苦的负面情绪来缓解痛苦，直到完成，然后通过一种称为元治疗处理的技术来促进繁荣，无论是在治疗过程中还是在治疗之外。在简要总结 AEDP 方法之后，本文的目的是专门阐述元治疗处理，其中关注享受和探索伴随变革过程本身的积极影响可以引发积极影响的上升螺旋，从而拓宽和增强治疗的效果。我们提供了关于元治疗处理的操作指南以及来自三个案例的注释转录材料，以说明该技术的应用。我们描述了元治疗处理如何能够从下到上有机地培养积极的感觉状态，称为变革性影响，如感激、爱、希望、好奇心和热情，释放客户潜在的这些重要能量。我们接着提出，尽管元治疗处理是在 AEDP 的框架内构思的，但它是一种可以整合到各种心理治疗中的技术，以在治疗过程中和治疗之外激活繁荣。（PsycInfo 数据库记录（c）2020 APA，保留所有权利）。
