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行为疗法与精神动力心理治疗:基本冲突还是和解与整合?

Behaviour therapy and psychodynamic psychotherapy: basic conflict or reconciliation and integration?

作者信息

Yates A J

出版信息

Br J Clin Psychol. 1983 Jun;22 (Pt 2):107-25. doi: 10.1111/j.2044-8260.1983.tb00584.x.

DOI:10.1111/j.2044-8260.1983.tb00584.x
PMID:6135469
Abstract

As recently as 1970 the approaches of behaviour therapy and psychodynamic psychotherapy (especially in the form of psychoanalysis) to the explanation and treatment of disorders of behaviour were acknowledged by most psychologists to be fundamentally different and irreconcilable. Sporadic earlier suggestions that reconciliation between and even integration of the two approaches might be possible have received strong support in the last decade from a number of sources. The literature relating to these developments is reviewed and it is concluded that a strong case appears to have been made out for reconciliation and integration. These 'paths of convergence' have been produced by both general and specific forces. However, critical voices (mainly from sympathetic but unconvinced psychoanalytically oriented therapists) have not been wanting. Their criticisms are reviewed as well as the fundamental issue of the relationship between theory and therapy in the two approaches. It is concluded that the case for the reconciliation and integration of behaviour therapy and psychodynamic psychotherapy has not been satisfactorily established on empirical grounds and is very difficult, if not impossible, to establish on theoretical grounds.

摘要

就在1970年,行为疗法和心理动力心理治疗(尤其是精神分析形式)在解释和治疗行为障碍方面的方法,被大多数心理学家认为在根本上是不同且无法调和的。早期偶尔有人提出,这两种方法之间实现调和甚至整合或许是可能的,在过去十年里,这一观点得到了许多方面的有力支持。本文对与这些发展相关的文献进行了综述,并得出结论:似乎有充分的理由支持调和与整合。这些“趋同路径”是由一般力量和特定力量共同促成的。然而,批评的声音(主要来自持同情态度但未被说服的精神分析取向治疗师)也并不少见。本文对他们的批评以及这两种方法中理论与治疗关系的基本问题进行了综述。结论是,行为疗法和心理动力心理治疗实现调和与整合的理由,在实证基础上尚未得到令人满意的确立,而且在理论基础上即使不是不可能,也非常难以确立。

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