The Influence of Interpersonal Patterns on the Therapy Process in a Case of Childhood Trauma.

IF 2.7 4区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychologica Belgica Pub Date : 2020-10-26 DOI:10.5334/pb.511
Kimberly Van Nieuwenhove, Reitske Meganck, Emma Acke, Shana Cornelis, Mattias Desmet
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Abstract

Research concerning the influence of core interpersonal patterns related to childhood trauma on the therapeutic process is scarce. We investigated interpersonal patterns at the start of treatment, changes in interpersonal patterns as treatment progressed, and the change process in a mixed-methods single case study of a supportive-expressive psychodynamic psychotherapy with a 33-year-old female with a history of childhood trauma. The patient showed a pervasive inability to open up towards others throughout the entire treatment, which is closely associated with others' actual or anticipated rejection, disrespect and disinterest. Excessive use of expressive interventions, which target interpersonal change, initially led to a worsening of the patient's condition. Via supportive and general interventions, symptom stabilization was achieved. The findings of this study suggest a thorough understanding of dominant interpersonal patterns is necessary to recognize their influence on the therapy process.

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人际关系模式对童年创伤个案治疗过程的影响。
关于与童年创伤有关的核心人际关系模式对治疗过程的影响的研究很少。我们对一名有童年创伤史的 33 岁女性患者进行了支持-表达式心理动力学心理治疗,并采用混合方法对治疗开始时的人际关系模式、治疗过程中人际关系模式的变化以及变化过程进行了研究。在整个治疗过程中,患者始终表现出无法向他人敞开心扉,这与他人实际或预期的拒绝、不尊重和不感兴趣密切相关。过度使用以改变人际关系为目标的表达性干预,最初导致患者病情恶化。通过支持性干预和一般性干预,症状得到了稳定。本研究的结果表明,要认识到人际关系模式对治疗过程的影响,就必须全面了解人际关系的主导模式。
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来源期刊
Psychologica Belgica
Psychologica Belgica PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
4.00
自引率
5.00%
发文量
22
审稿时长
4 weeks
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