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边缘型成年人:治疗联盟与移情

The borderline adult: therapeutic alliance and transference.

作者信息

Masterson J F

出版信息

Am J Psychiatry. 1978 Apr;135(4):437-41. doi: 10.1176/ajp.135.4.437.

DOI:10.1176/ajp.135.4.437
PMID:637138
Abstract

The author suggests that successful therapy with borderline patients requires the initiation, strengthening, and maturation of the therapeutic alliance as well as the working-through of the patient's difficulty with separation-individuation from the past. He defines a borderline transference as the activation and alternative projection on the therapist of the patient's primitive, split, positive, and negative object relations part-units. In the process of therapy confrontation and, later, interpretation bring these part-units to the patient's awareness, where they can be worked through and the separation-individuation process failure repaired. The therapist who deals with borderline patients must have both personal maturity and professional skill.

摘要

作者认为,对边缘型人格障碍患者的成功治疗需要建立、强化和巩固治疗联盟,以及帮助患者解决过去在分离个体化过程中遇到的困难。他将边缘型移情定义为患者原始、分裂、积极和消极客体关系部分单元在治疗师身上的激活和替代性投射。在治疗过程中,对抗以及随后的阐释会让这些部分单元进入患者的意识层面,在那里它们可以得到处理,分离个体化过程中的失败也能得到修复。治疗边缘型人格障碍患者的治疗师必须兼具个人成熟度和专业技能。

相似文献

1
The borderline adult: therapeutic alliance and transference.边缘型成年人:治疗联盟与移情
Am J Psychiatry. 1978 Apr;135(4):437-41. doi: 10.1176/ajp.135.4.437.
2
The psychodynamics and developmental psychology of the borderline patient: a review of the literature.
Am J Psychiatry. 1978 Nov;135(11):1305-15. doi: 10.1176/ajp.135.11.1305.
3
Effects of transference work in the context of therapeutic alliance and quality of object relations.治疗联盟和客体关系质量背景下的转移工作的影响。
J Consult Clin Psychol. 2011 Oct;79(5):697-706. doi: 10.1037/a0024863.
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Attachment theory as a guide to understanding and working with transference and the real relationship in psychotherapy.依恋理论指导下对移情和心理治疗中真实关系的理解和处理。
J Clin Psychol. 2013 Nov;69(11):1160-71. doi: 10.1002/jclp.22043. Epub 2013 Sep 3.
5
Aloneness and borderline psychopathology: the possible relevance of child development issues.
Int J Psychoanal. 1979;60(1):83-96.
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Omnipotence, helplessness, and control with the borderline patient.
Am J Psychother. 1983 Jan;37(1):49-61. doi: 10.1176/appi.psychotherapy.1983.37.1.49.
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The "we-self" in borderline patients: manifestations of the symbiotic self-object in psychotherapy.边缘型患者中的“我们自我”:心理治疗中共生自我客体的表现。
Psychiatry. 1983 Nov;46(4):351-61.
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Separation-individuation in the psychotherapy of symbiotic states.共生状态心理治疗中的分离个体化
Can Psychiatr Assoc J. 1975 Nov;20(7):521-6. doi: 10.1177/070674377502000703.
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Analytically oriented psychotherapy in schizotypal and borderline patients: at the border of treatability.分裂型人格障碍和边缘型人格障碍患者的分析性心理治疗:处于可治疗性的边缘
Yale J Biol Med. 1985 May-Jun;58(3):275-88.
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Transference, real relationship and alliance.移情、现实关系与联盟。
Int J Psychoanal. 1980;61(Pt 4):547-58.

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Differential effects of interventions on the therapeutic alliance with patients with personality disorders.干预措施对与人格障碍患者治疗联盟的不同影响。
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