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[基于元认知和心理化的概念与治疗模型:对儿童和青少年精神病学的启示]

[Metacognitive and Mentalization Based Concepts and Treatment Models: Implications for Child and Adolescent Psychiatry].

作者信息

Müller Christian

机构信息

Verhaltenstherapie Falkenried MVZ GmbH Ambulanz Winterhude (GKV) Deutschland VT Falkenried MVZ Hamburg.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2020 May;69(3):252-271. doi: 10.13109/prkk.2020.69.3.252.

Abstract

The aim of this article is to provide a survey of metacognitive and mentalization-based therapeutic approaches and possible applications in the field of child and adolescent psychiatry. Firstly areas of metacognition are described and the concept of mentalization is introduced. Next, the treatments Mentalization Based Treatment (MBT), Metacognitive Interpersonal Therapy (MIT) and Metacognitive Therapy (MCT) are presented. Treatment models, theoretical backgrounds, the most important treatment steps, and typical interventions are explained. The treatment modalities are discussed concerning their conceptual similarities and differences as well as their applications in child and adolescent psychiatry. Finally the treatments are subsumed under the aspect of therapeutic change processes. An outlook for an integrative approach matching the level of metacognitive competency is given.

摘要

本文旨在概述基于元认知和心理化的治疗方法及其在儿童和青少年精神病学领域的可能应用。首先,阐述元认知领域并介绍心理化概念。接下来,介绍基于心理化的治疗(MBT)、元认知人际治疗(MIT)和元认知治疗(MCT)。解释治疗模式、理论背景、最重要的治疗步骤和典型干预措施。讨论这些治疗方式在概念上的异同以及它们在儿童和青少年精神病学中的应用。最后,从治疗变化过程的角度对这些治疗进行归纳。给出了一种与元认知能力水平相匹配的综合方法的展望。

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