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早期干预精神病中的艺术与心理化:一门新的心理教育课程的基本原理及治疗师见解

Art and mentalizing in early intervention psychosis: rationale and therapist insights on a new psychoeducational course.

作者信息

Parkinson Sarah, Cole Bethany, Trevelyan Clare

机构信息

Avon and Wiltshire Mental Health Partnership National Health Service (NHS) Trust, Bath, United Kingdom.

出版信息

Front Psychiatry. 2024 Jul 1;15:1243990. doi: 10.3389/fpsyt.2024.1243990. eCollection 2024.

Abstract

In this paper, we explore the rationale for a combined art therapy and mentalization-based treatment (MBT) group course for those experiencing a first episode of psychosis (FEP). We discuss the theoretical background for how art and MBT theory can help us better understand and work with groups of individuals experiencing FEP, particularly focusing on avoidance and insecure attachment styles. We outline the delivery of a ten-week psychoeducational Art MBT course within an Early Intervention in Psychosis (EIP) Service and discuss our experiential insights into this new modality as co-therapists. We conclude by proposing that art therapy and mentalizing practice together offer an accessible, useful and practical group structure for EIP services, which could improve individuals' mentalizing capacity and overall social functioning.

摘要

在本文中,我们探讨了为首次发作精神病(FEP)患者开设艺术疗法与基于心理化的治疗(MBT)相结合的团体课程的基本原理。我们讨论了艺术和MBT理论如何帮助我们更好地理解首次发作精神病患者群体并与之合作的理论背景,尤其关注回避型和不安全依恋模式。我们概述了在精神病早期干预(EIP)服务中开展为期十周的艺术MBT心理教育课程,并作为联合治疗师讨论我们对这种新方式的实践见解。我们最后提出,艺术疗法和心理化实践共同为EIP服务提供了一种易于理解、有用且实用的团体结构,这可以提高个体的心理化能力和整体社会功能。

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本文引用的文献

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Art therapy for people with psychosis: a narrative review of the literature.针对精神病患者的艺术疗法:文献综述
Lancet Psychiatry. 2016 Nov;3(11):1067-1078. doi: 10.1016/S2215-0366(16)30146-8. Epub 2016 Aug 12.
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Mentalization based treatment for borderline personality disorder.基于心理化的治疗边缘型人格障碍。
World Psychiatry. 2010 Feb;9(1):11-5. doi: 10.1002/j.2051-5545.2010.tb00255.x.
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Silencing the self: schizophrenia as a self-disturbance.自我沉默:作为自我障碍的精神分裂症
Schizophr Bull. 2009 Nov;35(6):1034-6. doi: 10.1093/schbul/sbp043. Epub 2009 May 28.

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