Hingley S M
University of Newcastle, Newcastle upon Tyne, UK.
Br J Med Psychol. 1997 Dec;70(4):301-12. doi: 10.1111/j.2044-8341.1997.tb01908.x.
Psychotherapy with sufferers of psychosis may usefully draw on both cognitive--behavioural and psychodynamic theory. The latter has a long history with fluctuating popularity, whilst cognitive--behavioural approaches are currently attracting the attention of clinicians. Some of the factors which may reduce interest in psychodynamic approaches are reviewed, followed by an overview of core psychodynamic theories of psychosis under the major headings of vulnerability of defence and vulnerability of the ego. A vulnerability-stress formulation of psychodynamic theory is then considered together with implications for intervention.
针对精神病患者的心理治疗可以有效地借鉴认知行为理论和心理动力理论。后者有着悠久的历史，其受欢迎程度也有波动，而认知行为方法目前正吸引着临床医生的关注。本文回顾了一些可能降低人们对心理动力方法兴趣的因素，随后概述了在防御脆弱性和自我脆弱性这两个主要标题下的核心精神病心理动力理论。接着探讨了心理动力理论的易感性-应激模型及其对干预的启示。
