McCullough J P
Psychiatry. 1984 Aug;47(3):234-50. doi: 10.1080/00332747.1984.11024245.
Dysthymic disorder, a troublesome problem for many young adults, can be effectively treated by focusing the client's attention on the interactional problems the person reports to the therapist. In therapy, interactional issues frequently take a backseat to the more obvious intrapersonal symptoms that many contemporary theories of depression emphasize. James Coyne (1976, 1982) has recently pointed out this oversight to workers in the field. The first part of the paper will discuss several aspects of current treatment approaches that deal with depression from an intrapersonal perspective. I will argue that a more realistic approach to treatment must involve accentuating the interactional predicament of the dysthymic. The Cognitive-Behavioral Analysis System, which will be introduced in the second part of the paper, approaches both the intrapersonal and interpersonal problems of the dysthymic from an interactional perspective. Four successful direct replication cases will be described, illustrating the efficacy of such an approach.
恶劣心境障碍是许多年轻人面临的一个棘手问题，通过将来访者向治疗师报告的人际互动问题作为关注焦点，该障碍能够得到有效治疗。在治疗中，人际互动问题常常被置于次要地位，而许多当代抑郁症理论所强调的更为明显的个体内心症状则占据主导。詹姆斯·科因（1976年、1982年）最近向该领域的从业者指出了这一疏忽。本文第一部分将探讨当前从个体内心角度治疗抑郁症的方法的几个方面。我将论证，一种更现实的治疗方法必须包括强调恶劣心境障碍患者的人际互动困境。本文第二部分将介绍的认知行为分析系统，从人际互动角度处理恶劣心境障碍患者的个体内心和人际问题。将描述四个成功的直接复制案例，以说明这种方法的有效性。
