Jacobs L I
Am J Psychother. 1982 Oct;36(4):450-8. doi: 10.1176/appi.psychotherapy.1982.36.4.450.
This paper describes a common dysphoric syndrome occurring during the remission from manic-depressive episodes. Its affective, cognitive and behavioral aspects represent a significant vulnerability to further relapses. It does not respond to pharmacotherapy and requires individual psychotherapy over a period of two to four years. Such therapy usually has three phases. Initially erroneous assumptions concerning bipolar illness and magic expectations regarding treatment are identified and corrected to resolve a negative transference. The main therapeutic focus then shifts to the patient's sense of emptiness. To foster a continuous and integrated sense of self, the patient is advised to write a diary, cultivate memories of competence and recognition, remember previous sessions, develop realistic goals, and read relevant problem-related novels. Finally, improvement in tolerance for ambiguity and accuracy in perceiving self and others, move the patient from the despair of "everydayness" to more serenity and a sense of mastery over his destiny.
本文描述了一种在躁狂抑郁发作缓解期出现的常见烦躁综合征。其情感、认知和行为方面表现出对进一步复发的显著易感性。它对药物治疗无反应，需要在两到四年的时间里进行个体心理治疗。这种治疗通常有三个阶段。最初，识别并纠正有关双相情感障碍的错误假设以及对治疗的不切实际期望，以解决消极移情。然后，主要治疗重点转向患者的空虚感。为了培养持续且完整的自我意识，建议患者写日记、培养对自身能力和他人认可的记忆、回忆之前的治疗过程、制定现实目标以及阅读相关的问题类小说。最后，提高对模糊性的耐受性以及对自我和他人认知的准确性，使患者从“日常”的绝望中走向更加平静和对自己命运的掌控感。
