Borderline Personality Disorder Clinic, Centre for Addiction and Mental Health, Toronto, Canada.
Department of Psychiatry, University of Toronto, Toronto, Canada.
J Clin Psychol. 2021 Feb;77(2):441-456. doi: 10.1002/jclp.23101. Epub 2020 Dec 17.
Emotional and interpersonal instability are core features of borderline personality disorder (BPD) and can pose a challenge for the therapeutic relationship. In dialectical behavior therapy (DBT) for BPD, ruptures in the therapeutic alliance are considered through a behavioral lens that examines the client's relational learning history, the function and context of the rupture, as well as the patterns of emotional processing difficulties that underlie interpersonal conflict. In this article, we use the case of Rachel to illustrate how alliance-focused approach can be integrated with DBT case formulation to enhance treatment planning and the successful negotiation of alliance ruptures.
情感和人际关系不稳定是边缘型人格障碍（BPD）的核心特征，这可能对治疗关系构成挑战。在针对 BPD 的辩证行为疗法（DBT）中，通过行为视角来考察治疗联盟的破裂，该视角检查了客户的关系学习历史、破裂的功能和背景，以及潜在人际冲突的情绪处理困难模式。在本文中，我们使用 Rachel 的案例来说明如何将以联盟为重点的方法与 DBT 案例制定相结合，以增强治疗计划和成功协商联盟破裂。
