急诊科边缘性人格和物质使用障碍共同发生的心理动力学方法。

IF 2.3 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-02-01 DOI:10.1176/appi.psychotherapy.20220041

Bernadine H Han, Giselle Appel, Jonathan D Avery, Richard Hersh

{"title":"急诊科边缘性人格和物质使用障碍共同发生的心理动力学方法。","authors":"Bernadine H Han, Giselle Appel, Jonathan D Avery, Richard Hersh","doi":"10.1176/appi.psychotherapy.20220041","DOIUrl":null,"url":null,"abstract":"Patients with co-occurring substance use disorders and borderline personality disorder have high rates of morbidity, mortality, and utilization of medical services. Their acute symptoms present complex challenges to clinical staff in the medical emergency department related to both logistics and management of countertransference. This article examines patterns in countertransference and proposes application of psychodynamically informed principles and strategies to facilitate safety and enhance communication during fraught clinical encounters.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"76 2","pages":"82-86"},"PeriodicalIF":2.3000,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Psychodynamic Approach to Co-occurring Borderline Personality and Substance Use Disorders in the Emergency Department.\",\"authors\":\"Bernadine H Han, Giselle Appel, Jonathan D Avery, Richard Hersh\",\"doi\":\"10.1176/appi.psychotherapy.20220041\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Patients with co-occurring substance use disorders and borderline personality disorder have high rates of morbidity, mortality, and utilization of medical services. Their acute symptoms present complex challenges to clinical staff in the medical emergency department related to both logistics and management of countertransference. This article examines patterns in countertransference and proposes application of psychodynamically informed principles and strategies to facilitate safety and enhance communication during fraught clinical encounters.\",\"PeriodicalId\":46822,\"journal\":{\"name\":\"AMERICAN JOURNAL OF PSYCHOTHERAPY\",\"volume\":\"76 2\",\"pages\":\"82-86\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2023-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AMERICAN JOURNAL OF PSYCHOTHERAPY\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1176/appi.psychotherapy.20220041\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AMERICAN JOURNAL OF PSYCHOTHERAPY","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1176/appi.psychotherapy.20220041","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

摘要

同时出现物质使用障碍和边缘型人格障碍的患者有很高的发病率、死亡率和医疗服务使用率。他们的急性症状给急诊科临床工作人员在反移情的后勤和管理方面提出了复杂的挑战。本文探讨了反移情的模式，并提出了心理动力学原则和策略的应用，以促进安全，并在令人担忧的临床遭遇中加强沟通。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A Psychodynamic Approach to Co-occurring Borderline Personality and Substance Use Disorders in the Emergency Department.

Patients with co-occurring substance use disorders and borderline personality disorder have high rates of morbidity, mortality, and utilization of medical services. Their acute symptoms present complex challenges to clinical staff in the medical emergency department related to both logistics and management of countertransference. This article examines patterns in countertransference and proposes application of psychodynamically informed principles and strategies to facilitate safety and enhance communication during fraught clinical encounters.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-

CiteScore

2.90

自引率

4.00%

发文量

期刊介绍： Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.