Høglend P, Heyerdahl O
Department of Psychiatry, University of Oslo, Norway.
Psychother Psychosom. 1994;61(3-4):163-70. doi: 10.1159/000288885.
The clinical proposition that an ideal focus for intensive brief dynamic psychotherapy is an intra-psychic conflict rooted in oedipal pathology with circumscribed effects on personality functioning has been widely accepted a priori, without empirical validation. In this study 4 clinical raters assessed the 'degree of circumscribed conflict' and 'hypothesized psychosexual development level' from a dynamic evaluation interview. The variables were only marginally associated with DSM-III diagnoses. Within a subsample of 22 patients treated with intensive psychoanalytic technique, patients with whom a highly circumscribed conflict could be identified had the most favourable dynamic change 4 years after therapy.
关于强化短程动力心理治疗的理想焦点是一种源于俄狄浦斯病理且对人格功能有局限性影响的内心冲突这一临床观点，在未经实证验证的情况下就被先验地广泛接受了。在本研究中，4名临床评估者从动态评估访谈中评估了“局限性冲突程度”和“假设的性心理发展水平”。这些变量与《精神疾病诊断与统计手册》第三版（DSM - III）的诊断仅有微弱关联。在采用强化精神分析技术治疗的22名患者的子样本中，能够确定存在高度局限性冲突的患者在治疗4年后有最有利的动态变化。
