一项比较支持性疗法和动态疗法的随机前瞻性研究。结果与治疗关系。
A randomized prospective study comparing supportive and dynamic therapies. Outcome and alliance.
作者信息
Hellerstein D J, Rosenthal R N, Pinsker H, Samstag L W, Muran J C, Winston A
机构信息
Department of Psychiatry, Beth Israel Medical Center, New York, NY 10003, USA.
出版信息
J Psychother Pract Res. 1998 Fall;7(4):261-71.
Abstract
The authors report preliminary results of Brief Supportive Psychotherapy (BSP) in the Beth Israel Brief Psychotherapy Program for a sample with primarily Cluster C Axis II disorders. This study compares 24 patients treated with BSP with 25 patients treated with Short-Term Dynamic Psychotherapy (STDP). STDP was chosen because its confrontational methods contrast dramatically to BSP, which emphasizes building self-esteem, reducing anxiety, and enhancing coping mechanisms. Videotaped therapies were based on manualized 40-session protocols. Similar degrees of improvement were seen in BSP and STDP at termination and at 6-month follow-up. A study of therapeutic alliance in BSP showed stable and high levels of alliance in good-outcome cases and more variability in poor-outcome cases. These preliminary findings are consistent with other studies and suggest supportive psychotherapy may be effective for many patients, leading to significant and lasting change.
摘要
作者报告了在贝斯以色列简短心理治疗项目中，针对主要患有轴II C类人格障碍样本的简短支持性心理治疗（BSP）的初步结果。本研究将24例接受BSP治疗的患者与25例接受短期动态心理治疗（STDP）的患者进行了比较。选择STDP是因为其对抗性方法与强调建立自尊、减轻焦虑和增强应对机制的BSP形成了鲜明对比。录像治疗基于手册化的40节疗程方案。在治疗结束时和6个月随访时，BSP和STDP的改善程度相似。一项关于BSP中治疗联盟的研究表明，在治疗效果良好的案例中，联盟水平稳定且较高，而在治疗效果不佳的案例中，联盟水平的变异性更大。这些初步发现与其他研究一致，并表明支持性心理治疗可能对许多患者有效，能带来显著且持久的改变。
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本文引用的文献
1
Supportive therapy as the treatment model of choice.支持性疗法作为首选的治疗模式。
J Psychother Pract Res. 1994 Fall;3(4):300-6.
2
Early identification of treatment failures in short-term psychotherapy. An assessment of therapeutic alliance and interpersonal behavior.短期心理治疗中治疗失败的早期识别。治疗联盟和人际行为的评估。
J Psychother Pract Res. 1998 Spring;7(2):126-43.
3
Short-term psychotherapy of personality disorders.人格障碍的短期心理治疗。
Am J Psychiatry. 1994 Feb;151(2):190-4. doi: 10.1176/ajp.151.2.190.
4
A review of supportive psychotherapy, 1986-1992.支持性心理治疗综述，1986 - 1992年
Hosp Community Psychiatry. 1993 Nov;44(11):1053-60. doi: 10.1176/ps.44.11.1053.
5
The role of theory in teaching supportive psychotherapy.理论在支持性心理治疗教学中的作用。
Am J Psychother. 1994 Fall;48(4):530-42. doi: 10.1176/appi.psychotherapy.1994.48.4.530.
6
Effects of psychotherapy in schizophrenia: II. Comparative outcome of two forms of treatment.心理治疗对精神分裂症的影响：II. 两种治疗形式的比较结果。
Schizophr Bull. 1984;10(4):564-98. doi: 10.1093/schbul/10.4.564.
7
Effects of psychotherapy in schizophrenia: I. Design and implementation of a controlled study.心理治疗对精神分裂症的影响：I. 一项对照研究的设计与实施
Schizophr Bull. 1984;10(4):520-63. doi: 10.1093/schbul/10.4.520.
8
Treatment of phobias. II. Behavior therapy and supportive psychotherapy: are there any specific ingredients?恐惧症的治疗。II. 行为疗法与支持性心理疗法：是否存在特定要素？
Arch Gen Psychiatry. 1983 Feb;40(2):139-45. doi: 10.1001/archpsyc.1983.01790020033003.
9
Target complaints as criteria of improvement.将目标投诉作为改进的标准。
Am J Psychother. 1966 Jan;20(1):184-92. doi: 10.1176/appi.psychotherapy.1966.20.1.184.
10
Therapeutic alliance and long-term hospital treatment outcome.治疗联盟与长期住院治疗结果。
Compr Psychiatry. 1985 Mar-Apr;26(2):187-94. doi: 10.1016/0010-440x(85)90039-2.
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