De Jongh Ad, Hafkemeijer Laurian, Hofman Simon, Slotema Karin, Hornsveld Hellen
Research Department, PSYTREC, Bilthoven, Netherlands.
Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, Netherlands.
Front Psychiatry. 2024 Jan 17;15:1331876. doi: 10.3389/fpsyt.2024.1331876. eCollection 2024.
Research has shown that the impact of traumatic events and circumstances on individuals is cumulative and potentially has a wide range of harmful consequences, including negative consequences on mental health. One such consequence is the development of a personality disorder, a persistent mental condition characterized by a pronounced pattern of difficulties in impulse control, emotional regulation, cognitive functions, self-esteem, and interpersonal relationships. A wide array of studies indicates that the personal history of individuals with a personality disorder is often marked by exposure to traumatic events or other types of adverse childhood experiences (ACEs). Because existing treatments for personality disorders are usually long and costly, it is essential to continue exploring alternative and complementary interventions. Nowadays, knowledge and clinical experience in regard to personality disorders have been gained in addressing ACEs by processing memories of these events through eye movement desensitization and reprocessing (EMDR) therapy. In this paper, we present a theoretical framework for this treatment approach, based on Shapiro's Adaptive Information Processing (AIP) model, describe its current empirical basis, and provide guidance on how to formulate a useful case conceptualization that can serve as a basis for the treatment of personality disorders with EMDR therapy. This approach is illustrated with a case example.
研究表明,创伤性事件和环境对个体的影响具有累积性,并且可能产生广泛的有害后果,包括对心理健康的负面影响。其中一个后果就是人格障碍的形成,这是一种持续的心理状况,其特征是在冲动控制、情绪调节、认知功能、自尊和人际关系方面存在明显的困难模式。大量研究表明,患有人格障碍的个体的个人经历往往以遭受创伤性事件或其他类型的童年不良经历(ACEs)为特征。由于现有的人格障碍治疗方法通常耗时且昂贵,因此继续探索替代和补充性干预措施至关重要。如今,通过眼动脱敏再处理(EMDR)疗法处理这些事件的记忆,在应对童年不良经历方面已经积累了关于人格障碍的知识和临床经验。在本文中,我们基于夏皮罗的适应性信息处理(AIP)模型,提出了这种治疗方法的理论框架,描述了其当前的实证基础,并就如何制定一个有用的案例概念化提供指导,该概念化可作为用EMDR疗法治疗人格障碍的基础。本文通过一个案例进行说明。