人格障碍患者治疗前后的生活故事：能动性与共融性的变化与稳定性
Life stories of patients with personality disorders before and after treatment: Change and stability in agency and communion.
作者信息
Pol Silvia M, Schug Fabian, Chakhssi Farid, Westerhof Gerben J
机构信息
GGNet Scelta, Apeldoorn, Netherlands.
Department of Psychology, Health, and Technology, University of Twente, Enschede, Netherlands.
出版信息
Front Psychiatry. 2023 Mar 16;14:1134796. doi: 10.3389/fpsyt.2023.1134796. eCollection 2023.
INTRODUCTION
Studying written life stories of patients with personality disorders (PDs) may enhance knowledge of how they understand themselves, others and the world around them. Comparing the construction of their life stories before psychotherapy to their reconstruction after psychotherapy may provide insight in therapeutic changes in the understandings of their lives.
METHODS
As few studies addressed this topic, the current study explored changes in agency (i.e., perceived ability to affect change in life), and communion (i.e,, perceived connectedness to other persons) in written life stories of 34 patients with various PDs, before and after intensive psychotherapy treatment.
RESULTS
Life stories showed a positive increase in agency from pre- to posttreatment, in particular regarding internal agency, societal success, and occupational success. No significant changes were observed for communion as a whole. However, the perceived number and quality of close relationships revealed a significant positive increase.
DISCUSSION
The increased agency in the reconstruction of patients' life story after psychotherapy suggests that patients improved their perceived ability to affect change in their own lives. This can be seen as an important step in the treatment of PDs towards further recovery.
引言
研究人格障碍（PDs）患者的书面生活故事可能会增进我们对他们如何理解自己、他人以及周围世界的认识。将他们在心理治疗前的生活故事构建与心理治疗后的重建进行比较，可能会为他们对生活理解的治疗性变化提供见解。
方法
由于很少有研究涉及这个话题，当前的研究探讨了34名患有各种人格障碍的患者在强化心理治疗前后的书面生活故事中能动性（即影响生活变化的感知能力）和亲和性（即与他人的感知联系）的变化。
结果
生活故事显示从治疗前到治疗后能动性有正向增加，特别是在内在能动性、社会成就和职业成就方面。整体上未观察到亲和性有显著变化。然而，亲密关系的感知数量和质量显示出显著的正向增加。
讨论
心理治疗后患者生活故事重建中能动性的增加表明患者提高了他们对影响自身生活变化的感知能力。这可以被视为在人格障碍治疗中朝着进一步康复迈出的重要一步。
Zotero 插件