边缘型人格障碍患者在图式疗法背景下进行意象改写的体验——一项定性研究

Experiences of Patients With Borderline Personality Disorder With Imagery Rescripting in the Context of Schema Therapy-A Qualitative Study.

作者信息

Schaich Anja, Braakmann Diana, Richter Anja, Meine Clara, Assmann Nele, Köhne Sandra, Arntz Arnoud, Schweiger Ulrich, Fassbinder Eva

机构信息

Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany.

Department of Clinical Psychology, University of Amsterdam, Amsterdam, Netherlands.

出版信息

Front Psychiatry. 2020 Dec 3;11:550833. doi: 10.3389/fpsyt.2020.550833. eCollection 2020.

Abstract

Imagery Rescripting (IR) is a therapeutic technique that is used in a wide spectrum of therapeutic methods for various mental disorders. As an important component of Schema Therapy (ST), IR is frequently used in the treatment of patients with borderline personality disorder (BPD). However, little is known about how IR is experienced by individuals with BPD. The aim of this study was to explore BPD patients' experiences with receiving IR. Qualitative data were collected through semi-structured interviews with 21 individuals (86% females) with a primary diagnosis of BPD who received IR within their ST treatment. Interview data were analyzed following the procedures of qualitative content analysis. Participants reported various effects of IR including initial high emotionality and exhaustion. Long-term effects included a better understanding of schemas and an improvement regarding emotion regulation and interpersonal relationships. Participants reported factors hindering the successful implementation of IR, such as external noise, stress, and a fast pace during IR. Facilitating factors included adequate time for debriefing, a transparent structure, and preparation of IR as well as the therapist providing safety. Implications of the findings for optimizing IR in clinical practice are discussed.

摘要

意象重编(IR)是一种治疗技术,广泛应用于多种针对不同精神障碍的治疗方法中。作为图式疗法(ST)的重要组成部分,IR常用于治疗边缘型人格障碍(BPD)患者。然而,对于BPD患者如何体验IR,我们所知甚少。本研究的目的是探索BPD患者接受IR的体验。通过对21名(86%为女性)在ST治疗中接受IR且初步诊断为BPD的个体进行半结构化访谈,收集定性数据。按照定性内容分析的程序对访谈数据进行分析。参与者报告了IR的各种影响,包括最初的高度情绪化和疲惫。长期影响包括对图式有更好的理解,以及在情绪调节和人际关系方面有所改善。参与者报告了阻碍IR成功实施的因素,如外部噪音、压力以及IR过程中的快节奏。促进因素包括有足够的时间进行汇报、清晰的结构、IR的准备以及治疗师提供安全感。讨论了研究结果对在临床实践中优化IR的意义。

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