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首页> 外文期刊>Psychotherapy >Mentalization, Session-to-Session Negative Emotion Expression, Symbolic Play, and Affect Regulation in Psychodynamic Child Psychotherapy
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Mentalization, Session-to-Session Negative Emotion Expression, Symbolic Play, and Affect Regulation in Psychodynamic Child Psychotherapy

机译：精神化，会话与会话的负面情绪表达，象征性的戏剧，以及影响心理学性儿童心理治疗的监管

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Internalizing and externalizing problems have been related to negative emotionality, and affect regulation deficits in several studies. Certain psychodynamic models of treatment use children's symbolic play activity as a medium to mentalize negative emotions in order to develop children's affect regulation. However, the complex associations among these constructs and their associations with outcome have not been examined. This study aimed to investigate, first. whether average mentalization practices in treatment, as well as session-to-session expression of negative emotions and symbolic play predict gains in affect regulation and. second, whether changes in these variables are associated with clinically significant change in symptoms and global function. The sample included 40 outpatient children, who underwent long-term psychodynamic treatment. Nine hundred seventy-five sessions were coded for children's symbolic play, affect expression (anger and dysphoric affect). and affect regulation characteristics, and each treatment was scored for average adherence to mentalizing principles. Time Series Panel Analyses (TSPA) indicated session-to session use of symbolic play predicted gains in affect regulation. A significant 2-way interaction indicated that dysphoric affect expression in high mentalization adherent treatments was associated with higher affect regulation than in low adherent treatments. Partial correlation analyses indicated that mentalization adherence in treatment was associated with symptomatic improvement at trend level of significance, and changes in affect regulation and symbolic play were significantly associated with gains in global function. Findings point to the importance of use of symbolic play, and dysphoric affect expression in the context of mentalization practices for gains in affect regulation and outcome.
机译：内化和外化问题与阴性情绪有关，并影响几项研究中的监管缺陷。某些心理动力模型的治疗模型使用儿童的象征性活动作为培养的媒介，以便培养儿童的影响监管。但是，尚未检查这些构建体之间的复杂协会及其与结果的协会。本研究旨在首先调查。是否在治疗中的平均细致行为，以及对负面情绪的会话表达和象征性的表达，并在影响监管和符号戏剧中预测收益。其次，这些变量的变化是否与症状和全局功能的临床显着变化相关。该样品包括40名门诊病人，他接受了长期的心理动力学治疗。为儿童的象征性播放编码九百七十五次会议，影响表达（愤怒和烦恼的影响）。并影响调节特征，并对每种治疗进行评分，以平均遵守精神治疗原则。时间序列面板分析（TSPA）表示会话到会话使用影响监管的符号播放预测收益。显着的双向相互作用表明，在高临床化粘附治疗中的烦躁不存在于高粘附治疗中的影响较高的影响。部分相关分析表明，治疗中的心理化依从性与趋势的趋势改善有关，影响监管和象征性的变化与全球功能的收益显着相关。调查结果指出了使用符号播放的重要性，并且在影响法规和结果的提高的心理化实践中，烦扰情绪。

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