Friedman S
Am J Psychother. 1985 Oct;39(4):525-40. doi: 10.1176/appi.psychotherapy.1985.39.4.525.
In this paper I review recent developments in analytic object-relations theory and show how such a frame of reference can formulate and contribute useful clinical insights for the implementation of in-vivo exposure treatment. Since agoraphobic patients tend to relate to significant others, including therapists, in either a safety-producing or potentially anxiety-provoking fashion, knowledge of developmental object-relations theory can aid the behavior therapist in avoiding the enactment of one or the other side of the split. In-vivo exposure, is structured to guard against such enactments. However, the therapeutic relationship often becomes stormy and current social learning theory has provided few guides in managing the therapeutic relationship.
在本文中，我回顾了分析性客体关系理论的最新进展，并展示了这样一种参照框架如何能够为实施现场暴露疗法制定并提供有用的临床见解。由于广场恐惧症患者倾向于以产生安全感或潜在引发焦虑的方式与重要他人（包括治疗师）建立关系，发展性客体关系理论的知识可以帮助行为治疗师避免陷入分裂的某一方。现场暴露疗法的设计旨在防止此类情况的发生。然而，治疗关系往往会变得紧张，而当前的社会学习理论在管理治疗关系方面几乎没有提供什么指导。
