Mikail Samuel F, Hewitt Paul L, Flett Gordon L, Ge Sabrina
Department of Psychology, University of Waterloo, Waterloo, ON.
Department of Psychology, University of British Columbia, Vancouver, BC.
Res Psychother. 2022 Sep 1;25(3):635. doi: 10.4081/ripppo.2022.635.
The interest in treating underlying core vulnerability factors or transdiagnostic processes has been a focus of much attention. In this paper we describe our application of group dynamic-relational psychotherapy to the treatment of perfectionism, a core personality vulnerability factor associated with various forms and types of dysfunction and disorders that have profound costs to the individual both socially and subjectively. Over the course of the past three decades, we developed an evidence-based integrative group treatment that targets the psychodynamic and relational underpinnings of perfectionism. The treatment is based on an integration of psychodynamic and interpersonal perspectives and therapeutic approaches. In this paper we present our model of perfectionism and describe our group dynamic-relational therapy for the treatment of its pernicious outcomes. By drawing on illustrative case material, we describe the approach as applied to one such group as it progresses through four phases of group development that we have termed engagement and pseudo attachment, pattern interruption, self-redefinition/painful authenticity, and termination. Finally, we present some of the accumulating evidence of the effectiveness and efficacy of dynamic-relational therapy.
对潜在核心脆弱因素或跨诊断过程进行治疗的兴趣一直备受关注。在本文中，我们描述了团体动力-关系心理治疗在完美主义治疗中的应用，完美主义是一种核心人格脆弱因素，与各种形式和类型的功能障碍及失调相关，这些对个体在社会和主观层面都造成了巨大代价。在过去三十年里，我们开发了一种基于证据的综合团体治疗方法，旨在针对完美主义的心理动力和关系基础。该治疗基于心理动力和人际视角及治疗方法的整合。在本文中，我们展示了我们的完美主义模型，并描述了用于治疗其有害后果的团体动力-关系疗法。通过引用说明性案例材料，我们描述了该方法在一个这样的团体中的应用，该团体经历了团体发展的四个阶段，我们将其称为参与和假性依恋、模式中断、自我重新定义/痛苦的真实性以及结束阶段。最后，我们展示了一些关于动力-关系疗法有效性和功效的越来越多的证据。
