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治疗师的心理化——治疗师对边缘型人格障碍短期心理化基础治疗的体验:一项定性研究

Mentalizing the therapist - Therapist experiences with short-term mentalization-based therapy for borderline personality disorder: A qualitative study.

作者信息

Søndergaard Amanda Ark, Juul Sophie, Poulsen Stig, Simonsen Sebastian

机构信息

Stolpegaard Psychotherapy Centre, Mental Health Services in the Capital Region of Denmark, Gentofte, Denmark.

Copenhagen Trial Unit, Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Copenhagen, Denmark.

出版信息

Front Psychiatry. 2023 Mar 16;14:1088865. doi: 10.3389/fpsyt.2023.1088865. eCollection 2023.

Abstract

BACKGROUND

Mentalization-Based Therapy (MBT) was originally developed as a structured psychotherapy approach developed to treat borderline personality disorder (BPD) lasting up to 18 months in outpatient settings. However, a short-term (5 months) MBT program has recently been developed. No studies have investigated how MBT therapists experience the shift towards conducting short-term MBT for BPD.

OBJECTIVE

The objective of this study was to explore therapist experiences with conducting short-term MBT for outpatients with BPD in the Danish mental health services.

METHODS

Semi-structured qualitative interviews were conducted with seven therapists about their experiences with short-term MBT after a one-year pilot phase. The interviews were verbatim transcribed and analyzed using thematic analysis.

RESULTS

The following four major themes from the therapists' experiences with short-term MBT were found in the qualitative analysis: (1) , (2) , (3) , and (4) .

CONCLUSION

Most therapists were overall reluctant towards changing from long-term to short-term MBT. These therapist experiences could inform implementation of short-term MBT in mental health settings in the future.

摘要

背景

基于心理化的治疗(MBT)最初是作为一种结构化心理治疗方法开发的,用于在门诊环境中治疗持续长达18个月的边缘性人格障碍(BPD)。然而,最近开发了一个短期(5个月)的MBT项目。尚无研究调查MBT治疗师如何体验向为BPD患者开展短期MBT的转变。

目的

本研究的目的是探讨丹麦心理健康服务机构中治疗师为BPD门诊患者开展短期MBT的经验。

方法

在为期一年的试点阶段后,对七位治疗师进行了半结构化定性访谈,了解他们开展短期MBT的经验。访谈内容逐字转录,并采用主题分析法进行分析。

结果

在定性分析中发现了治疗师短期MBT经验中的以下四个主要主题:(1) ,(2) ,(3) ,以及(4) 。

结论

大多数治疗师总体上不愿意从长期MBT转变为短期MBT。这些治疗师的经验可为未来心理健康环境中短期MBT的实施提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/10061093/e92c38e9c450/fpsyt-14-1088865-g001.jpg

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