McCullough James P
Emeritus Professor of Psychology, Virginia Commonwealth University, Richmond, VA, United States.
Front Psychiatry. 2021 Jan 18;11:609954. doi: 10.3389/fpsyt.2020.609954. eCollection 2020.
The characteristics of the optimal CBASP therapist role for the treatment of the Persistent Depressive Disorder patient (chronic depression) is delineated in this paper. This paper contains the opinions and experiences of the creator of CBASP who has developed and revised the model over more than 4 decades. The paper is not a rigorous study nor a review of rigorous studies. The difficulties of the patient are briefly discussed and then the characteristics of the optimal clinical role are presented. The clinical role of CBASP, the only model to have been developed specifically to treat the chronically depressive patient, is unique in the field of psychotherapy. Four role categories describing the behavior of the best therapists are presented and discussed: (1) the therapist is able to enact a Disciplined Personal Involvement clinical role with the patient; (2) the therapist is able to implement an acquisition-learning approach to therapeutic administration; (3) the practitioner is able to adhere to the standards of CBASP technique administration; and finally, (4) the clinician is able to implement several facilitative interpersonal skills.
本文阐述了治疗持续性抑郁障碍患者（慢性抑郁症）时最佳的CBASP治疗师角色的特点。本文包含了CBASP创始人的观点和经验，其在40多年的时间里对该模型进行了开发和修订。本文既不是一项严谨的研究，也不是对严谨研究的综述。文中简要讨论了患者面临的困难，然后介绍了最佳临床角色的特点。CBASP是唯一专门为治疗慢性抑郁症患者而开发的模型，其临床角色在心理治疗领域中独一无二。文中提出并讨论了描述最佳治疗师行为的四个角色类别：（1）治疗师能够与患者建立一种有纪律的个人参与的临床角色；（2）治疗师能够实施一种习得性学习方法来进行治疗管理；（3）从业者能够遵守CBASP技术管理的标准；最后，（4）临床医生能够运用多种促进性人际技能。
