The Case of Sharon Considered from the Vantage Point of Interpersonal Reconstructive Therapy

K. Critchfield, Julia Dobner-Pereira, Eliza Stucker
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引用次数: 5

Abstract

In Interpersonal Reconstructive Therapy (IRT: Benjamin, 2003/2006; 2018) a case formulation is used to tailor interventions to each patient’s unique patterns. Using the IRT lens, psychopathology is understood as reflecting attempts to adapt to current environments using maladaptive rules and values that were learned and internalized in the context of close attachment relationships. IRT identifies precise ways in which early learning shapes present experience. Additionally, the "gift of love" (GOL) hypothesis posits that motivation to repeat maladaptive ways is linked to the wish to receive love and acceptance from specific internalized attachment figures by repeating their ways and values for the patient. The IRT case formulation has been shown to be reliable and valid (Critchfield, Benjamin, & Levenick, 2015). The therapy adherence measure is also reliable (Critchfield, Davis, Gunn, & Benjamin, 2008) and correlates well with retention as well as reduced symptoms and rehospitalization rates (Karpiak, Critchfield, & Benjamin, 2011) among "difficult to treat" patients characterized as having high levels of personality disorder, chronic and severe problems, and prior failed treatment attempts. To illustrate the case formulation process, an IRT formulation is applied to the case of a 28-year-old female patient for whom a poor outcome was documented.
从人际重建治疗的角度看莎伦的案例
人际重建治疗(IRT: Benjamin, 2003/2006);2018年),病例配方用于根据每位患者的独特模式定制干预措施。使用IRT镜头,精神病理学被理解为反映了在亲密依恋关系的背景下学习和内化的不适应规则和价值观来适应当前环境的尝试。IRT确定了早期学习形成当前经验的精确方式。此外,“爱的礼物”(GOL)假设认为,重复适应不良方式的动机与希望通过为患者重复特定的内化依恋人物的方式和价值观来获得爱和接受有关。IRT案例公式已被证明是可靠和有效的(Critchfield, Benjamin, & Levenick, 2015)。治疗依从性测量也是可靠的(Critchfield, Davis, Gunn, & Benjamin, 2008),并且在具有高度人格障碍、慢性和严重问题以及先前治疗失败的“难以治疗”患者中,与保留、症状减轻和再住院率(Karpiak, Critchfield, & Benjamin, 2011)密切相关。为了说明病例配方过程,将IRT配方应用于一位记录预后不良的28岁女性患者的病例。
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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16 weeks
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