Hudon Alexandre, Couture Jonathan, Dellazizzo Laura, Beaudoin Mélissa, Phraxayavong Kingsada, Potvin Stéphane, Dumais Alexandre
Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montréal, QC H1N 3J4, Canada.
Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, QC H3T 1J4, Canada.
J Clin Med. 2023 Mar 15;12(6):2299. doi: 10.3390/jcm12062299.
(1) Background: Very little is known about the inner therapeutic processes of psychotherapy interventions for patients suffering from treatment-resistant schizophrenia. Avatar therapy (AT) is one such modalities in which the patient is undergoing immersive sessions in which they interact with an Avatar representing their main persistent auditory verbal hallucination. The aim of this study is to identify the most prevalent dyadic interactions between the patient and the Avatar in AT for patient's suffering from TRS. (2) Methods: A content analysis of 256 verbatims originating from 32 patients who completed AT between 2017 and 2022 at the Institut universitaire en santé mentale de Montréal was conducted to identify dyadic interactions between the patients and their Avatar. (3) Results: Five key dyads were identified to occur on average more than 10 times for each participant during the immersive sessions across their AT: (Avatar: Reinforcement, Patient: Self-affirmation), (Avatar: Provocation, Patient: Self-affirmation), (Avatar: Coping mechanisms, Patient: Prevention), (Patient: Self-affirmation, Avatar: Reinforcement), and (Patient: Self-appraisal, Avatar: Reinforcement). (4) Conclusion: These dyads offer a first qualitative insight to the interpersonal dynamics and patient-avatar relationships taking place during AT. Future studies on the implication of such dyadic interactions with the therapeutic outcome of AT should be conducted considering the importance of dyadic relationships in psychotherapy.
(1) 背景：对于难治性精神分裂症患者的心理治疗干预的内在治疗过程，我们了解甚少。阿凡达疗法（AT）就是这样一种治疗方式，患者在沉浸式治疗中与代表其主要持续性幻听的阿凡达进行互动。本研究的目的是确定在阿凡达疗法中，难治性精神分裂症患者与阿凡达之间最普遍的二元互动。(2) 方法：对2017年至2022年期间在蒙特利尔大学精神卫生研究所完成阿凡达疗法的32名患者的256份逐字记录进行内容分析，以确定患者与其阿凡达之间的二元互动。(3) 结果：在阿凡达疗法的沉浸式治疗过程中，每位参与者平均出现超过10次的五个关键二元组被确定为：（阿凡达：强化，患者：自我肯定）、（阿凡达：挑衅，患者：自我肯定）、（阿凡达：应对机制，患者：预防）、（患者：自我肯定，阿凡达：强化）和（患者：自我评估，阿凡达：强化）。(4) 结论：这些二元组为阿凡达疗法期间发生的人际动态和患者与阿凡达的关系提供了初步的定性见解。考虑到二元关系在心理治疗中的重要性，未来应就此类二元互动对阿凡达疗法治疗结果的影响展开研究。
