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Psychodynamic Art Psychotherapy for the Treatment of Aggression in an Individual With Antisocial Personality Disorder in a Secure Forensic Hospital: A Single-Case Design Study

机译:心理学艺术心理治疗在安全法医院中的反社会人格障碍治疗个体侵略:一个单案设计研究

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The aim of this single-case study was to investigate the responses to psychodynamic art psychotherapy from a man who had a diagnosis of antisocial personality disorder and ongoing aggressive behavior in a secure care setting. The intervention was 19 sessions of psychodynamic art psychotherapy lasting up to 1 hr per week. This study uses a single-case design with pretreatment. treatment, and posttreatment follow-up assessment of symptoms using. multiple methods reported by the therapist, other staff members, and the patient. Treatment progress was assessed by (a) repeated self-report symptom measurements, (b) continuous assessment of observed aggressive behavior and risk incident reports in the hospital, (c) pre-post treatment assessment of relationship patterns and interpersonal schemas, and (d) interviews with the patient and his nurse at 9-month follow-up, retrospectively assessing the change. The patient showed a clinically significant reduction pre-post and pre-follow-up in symptoms. Behavioral observations indicated a reduction of overt aggression and risk-related incidents. Comparison of the Core Conflictual Relationship Theme pre-post treatment indicated positive changes in interpersonal schemas. This illustrative systematic single-case study highlights the potential for investigation of a novel psychotherapeutic approach that has in turn led to further developments in clinical research.
机译:本种案例研究的目的是调查对诊断反社会人格障碍以及在安全护理环境中进行持续攻击行为的人对心理学艺术心理治疗的反应。干预是每周持续高达1小时的心理动力学艺术心理治疗的19次。本研究采用了一种用预处理的单一案例设计。治疗,以及症状的疗程后续评估。治疗师,其他工作人员和患者报告的多种方法。通过(a)重复的自我报告症状测量评估治疗进展,(b)对医院的侵略性行为和风险事件报告的连续评估,(c)关系模式和人际关系的后期治疗前评估和(D. )在9个月的随访中与患者和他的护士进行采访,回顾性地评估变革。患者患有临床显着的减少症状预后和预后随后。行为观察表明明显的侵略和与风险相关事件减少。核心冲突关系主题的比较后治疗后的核心模式的正变化。该说明性系统的单案例研究突出了对新型心理治疗方法调查的潜力,这些方法又导致了临床研究的进一步发展。

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