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首页> 外文期刊>Psychotherapy >The relationship between activating affects, inhibitory affects, and self-compassion in patients with Cluster C personality disorders.
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The relationship between activating affects, inhibitory affects, and self-compassion in patients with Cluster C personality disorders.

机译：C群人格障碍患者的激活情感，抑制情感和自我同情之间的关系。

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In the short-term dynamic psychotherapy model termed "Affect Phobia Treatment," it is assumed that increase in patients' defense recognition, decrease in inhibitory affects (e.g., anxiety, shame, guilt), and increase in the experience of activating affects (e.g., sadness, anger, closeness) are related to enhanced self-compassion across therapeutic approaches. The present study aimed to test this assumption on the basis of data from a randomized controlled trial, which compared a 40-session short-term dynamic psychotherapy (N = 25) with 40-session cognitive treatment (N = 25) for outpatients with Cluster C personality disorders. Patients' defense recognition, inhibitory affects, activating affects, and self-compassion were rated with the Achievement of Therapeutic Objectives Scale (McCullough et al., 2003b) in Sessions 6 and 36. Results showed that increase in self-compassion from early to late in therapy significantly predicted pre- to post-decrease in psychiatric symptoms, interpersonal problems, and personality pathology. Decrease in levels of inhibitory affects and increase in levels of activating affects during therapy were significantly associated with higher self-compassion toward the end of treatment. Increased levels of defense recognition did not predict higher self-compassion when changes in inhibitory and activating affects were statistically controlled for. There were no significant interaction effects with type of treatment. These findings support self-compassion as an important goal of psychotherapy and indicate that increase in the experience of activating affects and decrease in inhibitory affects seem to be worthwhile therapeutic targets when working to enhance self-compassion in patients with Cluster C personality disorders.
机译：在称为“恐惧症治疗”的短期动态心理治疗模型中，假设患者的防御意识增强，抑制性效应（例如，焦虑，羞耻，内）的减少以及激活性感受的经历（例如， （悲伤，愤怒，亲密）与治疗方法中自我同情心的增强有关。本研究旨在基于随机对照试验的数据来检验该假设，该试验比较了门诊就诊的40疗程短期动态心理治疗（N = 25）与40疗程认知治疗（N = 25） C人格障碍。在第6和第36节中，用治疗目标成就量表（McCullough等人，2003b）对患者的防御认知，抑制性情绪，激活性情绪和自我同情进行了评估。结果表明，从早期到晚期，自我同情的增加在治疗中，可以明显预测出精神症状，人际交往问题和人格病变的前后变化。在治疗过程中抑制作用水平的降低和激活作用水平的增加与治疗结束时较高的自我同情心显着相关。当抑制和激活作用的变化得到统计学控制时，防御识别水平的提高并不能预示更高的自我同情心。治疗类型没有明显的相互作用。这些发现支持自我同情作为心理治疗的一个重要目标，并且表明在努力增强C群人格障碍患者的自我同情时，激活情感的体验增加和抑制性情感的减少似乎是值得治疗的目标。

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