对精神病患者进行心理治疗的时代已经过去了吗?

IF 0.5 4区 医学 Q4 PSYCHIATRY Annales medico-psychologiques Pub Date : 2024-04-01 DOI:10.1016/j.amp.2023.04.012
Nicolas Zdanowicz, Carole Jassogne
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引用次数: 0

摘要

目的六十年代,心理疗法的重要发展使人们对精神病的治疗寄予厚望。材料与方法我们使用 Pubmed、Scopus、Psycart 和 Cairninfo 对 2005 年至 2020 年这 15 年间的文献进行了研究,关键词为:精神动力学与精神病或精神分裂症、精神分析与精神分裂症或精神病。结果 通过排除荟萃分析,我们保留了 63 篇文章,其中 26 篇带有精神分析的字眼。仅这一点就足以说明,在国际范围内,每年只有不到 5 篇文章论述这些主题!就有效性研究而言,结果更为罕见:我们在所选的 63 篇文章中发现了 11 项研究。其中只有两项研究使用了对照组和标准化量表。结论在治疗精神病的过程中,精神分析心理疗法面临着证明效率而非疗效的压力。然而,这可能并不是唯一的原因。精神病理论的复杂性和综合著作的缺乏使其难以传播。如果我们不想让已经取得的所有理论进展付诸东流,就必须确保这些理论的教学更加具体和综合。同样,我们需要开展更长期的研究,以便有足够长的治疗时间来真正评估这些疗法的效率。
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Le temps de la psychothérapie des psychotiques est-il révolu ?

Objectives

During the sixties, the important development of psychotherapies gave rise to great expectations for the treatment of psychoses. Are those days over or are there still publications that support the place and effectiveness of psychoanalytically-inspired psychotherapies?

Material and methods

Bibliographical research was carried out focusing on the 15-year period from 2005 to 2020 using Pubmed, Scopus, Psycart, and Cairninfo, and with the keywords: psychodynamics and psychosis or schizophrenia, psychoanalysis and schizophrenia or psychosis, Articles dealing only with theoretical issues related to psychoses or schizophrenia were excluded.

Results

By excluding meta-analyses, all of which have moreover shown at best a discrete effectiveness of cognitive-behavioral therapies, we retained 63 articles, 26 of which with the word psychoanalysis. This observation alone is indicative of the lack of publications addressing these themes with fewer than 5 publications per year at the international level! As far as effectiveness studies are concerned, the results are even rarer: We found 11 studies among the 63 selected articles. Only two of these studies used a control group and standardized scales. The need for standardization has resulted in the creation of a simplified form of psychotherapy, “Supportive Psychoanalytic Psychotherapy”.

Conclusion

The pressure to demonstrate efficiency rather than effectiveness has prevailed over psychoanalytic psychotherapies in the treatment of psychoses. However, that is probably not the only reason. The complexity of the theory of psychoses and the lack of synthesis works render its transmission difficult. If we do not want all the theoretical advances that have been made to be lost, we must ensure that the teaching of these theories be more specific and synthetic. Similarly, we need to launch longer-term studies so that a sufficient duration of treatment allows for a real evaluation of the efficiency of these therapies.

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来源期刊
Annales medico-psychologiques
Annales medico-psychologiques 医学-精神病学
CiteScore
1.30
自引率
33.30%
发文量
196
审稿时长
4-8 weeks
期刊介绍: The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.
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