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An Integrative Psychotherapy Approach to Foster Community Engagement and Rehabilitation in Schizophrenia: A Case Study Illustration

机译:在精神分裂症中促进社区参与和康复的综合心理治疗方法:一个案例研究插图

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This case study illustrates the use of a long-term integrative psychotherapy approach with a middle- aged man with chronic schizophrenia and a mood disorder. The case of Holst describes a man with a history of insecure attachment and trauma who later went on to contract a serious chronic illness, precipitating the onset of psychotic symptoms, depression, and chronic suicidal ideation, resulting in multiple hospitalizations. Combining metacognition-oriented therapy with elements of cognitive behavioral therapy and psychiatric rehabilitation, this approach fostered significantly improved community functioning and attainment of personal goals over time. Through the journey of therapy, the patient also developed a more coherent narrative about his life, established a stable sense of self, and became an active agent in the world. This case illustration demonstrates that these three different approaches can be used in a sequential and complementary fashion to foster recovery in the midst of serious physical and mental illness. (C) 2015 Wiley Periodicals, Inc.
机译:本案例研究说明了对患有慢性精神分裂症和情绪障碍的中年男子的长期综合心理治疗方法。霍尔斯特(Holst)案描述了一个有不安全依恋和外伤史的人,他后来患上了严重的慢性病,​​加剧了精神病性症状,抑郁症和慢性自杀意念的发作,导致多次住院。将以元认知为导向的治疗方法与认知行为治疗方法和精神病康复相结合,这种方法随着时间的推移大大促进了社区功能和个人目标的实现。在治疗过程中,患者对自己的生活也有了更连贯的叙述,建立了稳定的自我意识,并成为了世界上的积极分子。该案例说明表明,可以在严重的身体和精神疾病中以顺序和补充的方式使用这三种不同的方法来促进康复。 (C)2015威利期刊公司

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