Conflict Mediation by Cognitive-Behavioral Therapy: A New Psychotherapeutic Strategy.

Q4 Medicine
Rafael Thomaz da Costa, Marcele R de Carvalho, Antonio E Nardi
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引用次数: 0

Abstract

Objective: To test the effectiveness of a psychotherapeutic strategy-the want/ can/must (WCM) strategy-to mediate conflicts. This intervention aimed to (1) facilitate the collection and sharing of information among the individuals involved and with therapists; (2) comprehend what each person wants, can, and must do; (3) alleviate psychological distress associated with decision-making and action implementation; and (4) minimize harm to all parties involved in the conflict.

Methods: Thirty adult subjects experiencing a conflict situation participated in 8 cognitive-behavioral therapy sessions: 3 sessions for assessment and therapeutic bond building and 5 sessions to implement the WCM strategy. Depressive, anxious, and stress symptoms were assessed and compared before and after the intervention.

Results: Depending on client and contextual factors, employing the WCM strategy, it was possible to apply techniques that promote cognitive restructuring, psychological acceptance, defusion, and impulse control and that foster compassion and self-compassion, enhance empathetic connection, foster mindfulness in social interactions, and facilitate assertive communication. There was a statistically significant decrease in Perceived Stress Scale scores (P ≤ .05).

Conclusion: All participants reported that the WCM strategy aided in comprehending conflict variables, identifying how to collect information, sharing information about the conflict, accepting that there would be no "perfect solution," and making a decision with the intention of minimizing harm to those involved in the conflict.

Prim Care Companion CNS Disord 2025;27(3):24m03895.

Author affiliations are listed at the end of this article.

认知行为疗法调解冲突:一种新的心理治疗策略。
目的:检验心理治疗策略“想要/能/必须”(WCM)在调解冲突中的有效性。这种干预旨在(1)促进信息的收集和共享,并在涉及的个人之间以及与治疗师之间;(2)了解每个人想要、能做和必须做什么;(3)缓解与决策和行动实施相关的心理困扰;(4)尽量减少对冲突各方的伤害。方法:30名经历过冲突情境的成人受试者参加8个认知行为治疗疗程,其中3个疗程用于评估和建立治疗联系,5个疗程用于实施WCM策略。对干预前后的抑郁、焦虑和压力症状进行评估和比较。结果:根据客户和情境因素,采用WCM策略,可以应用促进认知重构、心理接受、融合和冲动控制的技术,培养同情和自我同情,增强共情联系,培养社会互动中的正念,促进自信沟通。感知压力量表得分下降有统计学意义(P≤0.05)。结论:所有参与者都报告说,WCM策略有助于理解冲突变量,确定如何收集信息,分享关于冲突的信息,接受没有“完美的解决方案”,并做出决定,以尽量减少对冲突参与者的伤害。中枢神经系统疾病护理伴发2025;27(3):24m03895。本文末尾列出了作者所属单位。
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
CiteScore
1.50
自引率
0.00%
发文量
300
期刊介绍: Founded in 1998, The Primary Care Companion for CNS Disorders (ISSN 2155-7780), formerly The Primary Care Companion to The Journal of Clinical Psychiatry, is an international, peer-reviewed, online-only journal, and its articles are indexed by the National Library of Medicine. PCC seeks to advance the clinical expertise of primary care physicians and other health care professionals who treat patients with mental and neurologic illnesses. PCC publishes research from disciplines such as medicine, nursing, pharmacy, and psychology, especially as it pertains to integrated delivery systems and interdisciplinary collaboration. PCC focuses on providing information of direct clinical utility and giving a voice to clinician researchers. Practice-based research from individuals and groups with clinical expertise is particularly welcome. Pertinent manuscript types include: -Original research -Systematic reviews -Meta-analyses -Case reports and series -Commenting letters to the editor Articles published in PCC typically cover attention-deficit/hyperactivity disorder, depression, bipolar disorder, anxiety, addiction, sleep disorders, pain, Alzheimer’s disease, multiple sclerosis, and Parkinson’s disease.
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