Dagnino Paula, Calderón Ana
Facultad de Psicología, Universidad San Sebastián, Santiago, Chile.
Millennium Institute for the Study of Personality and Depression, Santiago, Chile.
Front Psychol. 2022 Jun 6;13:786240. doi: 10.3389/fpsyg.2022.786240. eCollection 2022.
Brief psychodynamic psychotherapy has gained importance in current clinical practice. To achieve brevity, a focus must be established and worked through. Different conceptualizations have emphasized the relational patterns and/or conflict foci as central but adopting a mono-schematic approach. However, patients come to treatment with more than one issue that must be addressed. Thus, another focus must be included because of its relevance, i.e., personality functioning. The aims of this study were to identify the presence and depth level of three foci (relational pattern, conflict, and personality functioning) in episodes of change throughout the process, and to evaluate the relationship of each focus with the complexity of patients' change. Initial OPD foci and the presence and depth of each were evaluated in 13 successful brief psychodynamic therapies. Change episodes of those therapies were analyzed as well. Results showed differences between foci in the initial phase with a higher presence of conflict focus. Throughout the process, only the presence and level of personality functioning improved. Also, complexity of patients' change was related to conflict focus, specifically on the emergence of competence feelings. The results provide evidence and enrich process research of brief psychodynamic therapies.
短程心理动力心理治疗在当前临床实践中日益重要。为了实现治疗的简洁性，必须确定并深入探讨一个焦点。不同的概念化方法强调关系模式和/或冲突焦点是核心，但采用的是单一模式方法。然而，患者前来治疗时存在不止一个需要解决的问题。因此，由于其相关性，必须纳入另一个焦点，即人格功能。本研究的目的是确定在整个治疗过程中变化阶段三个焦点（关系模式、冲突和人格功能）的存在情况和深度水平，并评估每个焦点与患者变化复杂性之间的关系。在13例成功的短程心理动力治疗中评估了最初的OPD焦点以及每个焦点的存在情况和深度。还分析了这些治疗的变化阶段。结果显示，在初始阶段各焦点之间存在差异，冲突焦点的存在更为普遍。在整个治疗过程中，只有人格功能的存在情况和水平有所改善。此外，患者变化的复杂性与冲突焦点相关，特别是与能力感的出现有关。这些结果为短程心理动力治疗的过程研究提供了证据并丰富了其内容。
