Hellerstein D J, Rosenthal R N, Pinsker H, Samstag L W, Muran J C, Winston A
Department of Psychiatry, Beth Israel Medical Center, New York, NY 10003, USA.
J Psychother Pract Res. 1998 Fall;7(4):261-71.
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.
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。
