Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy. OASIS Service, South London and Maudsley NHS Foundation Trust, London, UK. Early Psychosis: Interventions and Clinical-Detection Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Braz J Psychiatry. 2023 Mar 13;45(1):71-83. doi: 10.47626/1516-4446-2022-2765.
To provide a review of journal articles discussing clinical cases or vignettes of psychoanalysis or psychoanalytic psychotherapy of patients affected by bipolar disorder.
A thorough search of journal articles was performed in five databases to identify studies published from 1990-2021.
Twenty-four articles were included in this review, comprising a total of 29 case reports. The most common theoretical approach adopted by the authors was "object relations." Two main sets of clinical-theoretical considerations and recommendations emerge: the applicability of analytic treatment to patients with bipolar disorder - taking into account their analyzability and practical arrangements for conducting therapy - and theoretical speculations on the nature and development of the illness, as well as on the conceptualization of its different phases.
Our findings reveal that there is some psychoanalytic literature providing insight into the psychological dynamics and treatment of patients with bipolar disorder. Elaboration of this literature may help improve our understanding and provide more accurate and comprehensive descriptions of the intrapsychic and interpersonal dynamics of these patients, yielding potentially valuable information for clinical and research purposes, particularly with regard to reducing interpersonal conflict, and increasing insight and engagement with lifestyle changes and other behaviors likely to promote health and stability.
回顾讨论双相障碍患者的精神分析或精神分析心理治疗临床案例或简述的期刊文章。
在五个数据库中进行了全面的期刊文章检索，以确定 1990 年至 2021 年发表的研究。
本综述纳入了 24 篇文章，共包含 29 个病例报告。作者采用的最常见理论方法是“客体关系”。出现了两套主要的临床理论考虑和建议：精神分析治疗对双相障碍患者的适用性-考虑到他们的可分析性和进行治疗的实际安排-以及对疾病性质和发展的理论推测，以及对其不同阶段的概念化。
我们的研究结果表明，有一些精神分析文献深入探讨了双相障碍患者的心理动力学和治疗。对这些文献的阐述可能有助于提高我们的理解，并为这些患者的内心和人际关系动态提供更准确和全面的描述，从而为临床和研究目的提供有价值的信息，特别是在减少人际关系冲突、增加洞察力以及促进健康和稳定的生活方式改变和其他行为方面。
