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针对反社会青少年早期阶段的心理治疗

The early phase of psychotherapy with antisocial early adolescents.

作者信息

Awad G A

出版信息

Can J Psychiatry. 1981 Feb;26(1):38-42. doi: 10.1177/070674378102600108.

DOI:10.1177/070674378102600108
PMID:7471032
Abstract

Adolescence is a developmental stage with specific defenses, styles, and ego functions and thus requires a specific psychotherapeutic technique. The task of early adolescence is the establishment of a sense of autonomy during major biological, psychological, familial and social changes. Antisocial behaviour is understood as having multiple etiology and to be a manifestation of different diagnostic entities including reactive disorder, depression, neurosis, narcissistic, impulsive and borderline personalities, or psychosis. The main goal of the early phase of therapy is the establishment of a therapeutic relationship. This is achieved through the therapist's ability to help the adolescent to talk and explore, without fear of exposure, in the context of an active, empathic relationship. Specific guidelines helpful in establishing this relationship in the early phase of adolescent therapy are discussed.

摘要

青春期是一个具有特定防御机制、风格和自我功能的发展阶段,因此需要特定的心理治疗技术。青春期早期的任务是在重大的生理、心理、家庭和社会变化中建立自主感。反社会行为被认为有多种病因,是不同诊断实体的表现,包括反应性障碍、抑郁症、神经症、自恋型、冲动型和边缘型人格障碍,或精神病。治疗早期阶段的主要目标是建立治疗关系。这是通过治疗师在积极、共情的关系中帮助青少年交谈和探索而不担心暴露的能力来实现的。本文讨论了在青少年治疗早期阶段有助于建立这种关系的具体指导方针。

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