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首页> 外文期刊>British journal of psychotherapy >TRANSFERENCE-FOCUSED PSYCHOTHERAPY FOR PATIENTS WITH PERSONALITY DISORDERS: OVERVIEW AND CASE EXAMPLE WITH A FOCUS ONTHE USE OF CONTRACTING
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TRANSFERENCE-FOCUSED PSYCHOTHERAPY FOR PATIENTS WITH PERSONALITY DISORDERS: OVERVIEW AND CASE EXAMPLE WITH A FOCUS ONTHE USE OF CONTRACTING

机译：患有人格障碍患者的转移的心理治疗：概述和案例示例，重点是使用承包

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摘要

Transference-focused psychotherapy (TFP) is a manualized treatment for patients with a personality disorder based on 18 months of once-weekly or twice-weekly therapy. TFP is suitable for publicly funded psychotherapy and private practice. Devised by Kernberg and colleagues, its conceptual framework is based on Kleinian theory of primitive defences in the paranoid schizoid position. A TFP 'structural assessment' is carried out before negotiating a treatment contract, which must be agreed before therapy can begin. Contracting addresses destructive acting-out and isolative lifestyles, and requires a commitment to active engagement with therapy and its agreed aims. The therapist closely attends to relationships outside therapy and transference parallels. The goal is greater integration of the self and self-object relations. In addition to changes in symptoms, TFP can lead to changes in patients' defensive structures with concomitant shifts in personality structure, improved satisfaction in life, and fuller engagement in work and relationships. A case example is given of a patient with a withdrawn lifestyle. Her object relationships were interpreted as they unfolded in life outside therapy and in the transference, leading to personality structure changes which enabled her to be able to function successfully in work and in her personal relationships.
机译：焦点的心理治疗（TFP）是对人格障碍的患者的手动治疗，其基于每周一次或每周两次治疗的18个月。 TFP适用于公共资助的心理治疗和私人惯例。其概念框架由克尼斯伯格及其同事设计为基于偏执狂科利诺特地位的基因原始防御理论。在谈判治疗合同之前进行TFP的结构评估'，在治疗开始前必须同意。签约解决破坏性的演出和孤立生活方式，并要求致力于与治疗的积极参与及其同意的目标。治疗师密切关注治疗和转移相似之处外的关系。目标是自我和自体对象关系的更大融合。除了症状的变化外，TFP还可以导致患者防御性结构的变化，伴随人格结构的转变，改善生活满意度，以及更全面的工作和关系参与。案例示例给出了撤回生活方式的患者。她的对象关系被解释为他们在生活中展开的疗法和转移，导致人格结构变化，使她能够在工作中成功地运作和她的个人关系。

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