Passing tests and using one's attitude to help patients overcome their pathogenic feelings of guilt and shame

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Francesco Gazzillo, David Kealy, Eleonora Fiorenza, Marta Rodini
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引用次数: 0

Abstract

Guilt and shame are emotions that, albeit subjectively negative, help humans adapt to their social environment. However, in some cases, there are pathogenic beliefs, shaped over the lifespan that sustain them and make them a source of psychopathological suffering. In this paper we will first briefly show how Control-Mastery Theory (CMT) considers several types of pathogenic beliefs shaped by traumatic experiences that underly chronic feelings of guilt and shame. We then focus on a clinical case of Livia, a 28 year-old woman with relational and academic problems suffering mainly from two such types of pathogenic beliefs: burdening guilt and disloyalty guilt. We describe how a) Livia was driven by adverse and traumatic experiences to form some of these pathogenic beliefs, b) how she tested the therapist in order to discover whether he would disconfirm these beliefs, and c) how the therapist was able to successfully pass these tests and provide her with new and healthier interpersonal experiences. The case of Livia will highlight therapists' ability to accurately formulate patients' goals, pathogenic beliefs—including types of guilt- and shame-related beliefs—and traumas. Moreover, the case will illustrate how therapists can pass patients' tests and adopt the right attitude to help patients disprove their pathogenic beliefs and overcome problematic experiences of guilt and shame.

通过测试,用自己的态度帮助病人克服内疚和羞愧的病态情感。
内疚和羞愧是一种情绪,尽管主观上是负面的,但有助于人类适应社会环境。然而,在某些情况下,在人的一生中会形成一些致病信念,这些信念支撑着它们,并使它们成为精神病理学痛苦的根源。在本文中,我们将首先简要说明控制-掌握理论(Control-Mastery Theory,CMT)是如何看待由创伤经历形成的几种致病信念的,这些信念是长期内疚感和羞耻感的基础。然后,我们将重点讨论利维亚的一个临床案例,她是一名 28 岁的女性,在人际关系和学业方面都有问题,主要是受到两种致病信念的困扰:负担型内疚和不忠型内疚。我们描述了 a) 利维亚是如何在不利和创伤经历的驱使下形成其中一些致病信念的;b) 她是如何测试治疗师,以发现治疗师是否会否定这些信念的;c) 治疗师是如何成功通过这些测试,并为她提供新的、更健康的人际体验的。利维亚的案例将强调治疗师准确制定患者目标、致病信念(包括与内疚和羞耻相关的信念类型)和创伤的能力。此外,该案例还将说明治疗师如何通过患者的测试,采取正确的态度,帮助患者推翻其致病信念,克服内疚和羞耻的问题体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
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