[Transference focused psychotherapy and mentalization based treatment. Εvidence based psychotherapies for borderline personality disorder].

Q3 Medicine
Orestis Kanter Bax, Georgios Nerantzis
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引用次数: 0

Abstract

Over the past decades mental health services around the world are faced with a high number of patients with borderline personality disorder (BPD) which has resulted in a particular emphasis on research for specialist treatments for this class of disorders. At least 5 psychotherapeutic models are based on evidence from clinical trials that support their effectiveness. In this review we present the latest research evidence as well as a summary of the basic characteristics of Transference-Focused Psychotherapy and Mentalization Based Treatment, which are not yet widely used in Greece. The two modalities originate from the psychoanalytic tradition and they have various points of convergence and divergence with regards to their structure (individual, group, combined) the role of the therapist and their use of basic theoretical concepts (eg. attachment, aggression). Their descriptive presentation in the form of a treatment manual and the standardisation of their training model, makes them accessible for training therapists and allows their introduction in psychiatric training programmes. We present a clinical case as an example of the application of the two approaches, along with the clinical and research paradigm originating from DeanCross Personality Disorder Service in London and the Centre for Understanding Personality Disorder, in order to compare the basic theoretical and technical characteristics of the two therapeutic modalities in view of their unique application within one outpatient service in the community. DeanCross provides a mixed MBT model (group, individual) with psychiatric input, which has been updated by the introduction of TFP in individual and group formats. Our review aligns with the international current that does not regard the two models in competition with each other; instead, we present a successful paradigm of their compatibility and mutual enrichment. The successful introduction of these therapies in the British public healthcare system, which is similar in its characteristics to the Greek national health system, is an encouraging prognostic factor when it comes to the applicability of these models in the Greek paradigm. It is a necessary prerequisite that clinical and theoretical knowledge of services that care for populations with a high prevalence of BPD is updated, and the current review makes a contribution in this direction.

以移情为中心的心理治疗和以心理化为基础的治疗。Εvidence基于边缘型人格障碍的心理疗法]。
在过去的几十年里,世界各地的精神卫生服务都面临着大量边缘型人格障碍(BPD)患者,这导致了对这类障碍的专科治疗研究的特别重视。至少有5种心理治疗模式是基于临床试验的证据来支持其有效性的。在这篇综述中,我们介绍了最新的研究证据,并总结了移情心理治疗和心理化治疗的基本特征,这两种疗法在希腊尚未广泛应用。这两种模式源于精神分析传统,它们在结构(个体、群体、组合)、治疗师的角色和对基本理论概念(如心理治疗)的使用方面有不同的汇合点和分歧点。附件,侵略)。它们以治疗手册的形式进行描述性介绍,并使其培训模式标准化,使培训治疗师能够使用它们,并允许将它们引入精神病学培训计划。我们提出了一个临床病例作为两种方法应用的例子,以及来自伦敦迪安克劳斯人格障碍服务中心和理解人格障碍中心的临床和研究范式,为了比较两种治疗方式的基本理论和技术特征,考虑到它们在社区门诊服务中的独特应用。DeanCross提供了一种混合的MBT模型(群体,个人),其中包括精神病学的输入,该模型已通过引入个体和群体形式的TFP而得到更新。我们的检讨符合国际潮流,不认为这两种模式是相互竞争的;相反,我们提出了它们兼容和相互丰富的成功范例。这些疗法在英国公共医疗保健系统中的成功引入,其特征与希腊国家卫生系统相似,当涉及到这些模型在希腊范例中的适用性时,是一个令人鼓舞的预后因素。更新治疗BPD高患病率人群的服务的临床和理论知识是必要的先决条件,目前的综述在这方面做出了贡献。
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
Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
CiteScore
2.60
自引率
0.00%
发文量
37
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