治疗师对过度安慰寻求和帮助管理的信念:经验起作用吗?

IF 2.1 Q2 PSYCHOLOGY, CLINICAL
Brynjar Halldorsson, Paul M. Salkovskis
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引用次数: 0

摘要

过度安慰寻求(ERS)被认为在维持心理健康问题,特别是焦虑障碍如强迫症和健康焦虑中起着重要作用。尽管如此,治疗师通常会在临床环境中屈服于患者对安慰的要求,并且通常不确定如何在治疗本身以及对患者亲人的建议中处理这个问题。为了加深我们对治疗师对ERS的认知以及如何管理ERS的干预措施的理解,我们调查了治疗师对ERS的认知和理解,包括其功能,治疗师将其与哪些情绪问题联系起来,以及他们认为哪些治疗干预措施对管理ERS很重要。合格的治疗师(n =197)以来自领先临床研究人员的国际专家共识(n =20)为基准。有证据表明,直到专家水平的临床经验可能会导致治疗环境中提供的保证减少。尽管如此,专家和其他临床医生之间仍有足够的不一致之处,表明对ERS的理解仍然很差,并且在临床上没有得到一致的处理。结果讨论了目前的治疗干预措施如何限制治疗ERS,强调需要考虑处理这种复杂的人际行为的新方法。(1)描述过度寻求安慰在检查行为中的作用,包括其消极的个人和人际后果。(2)了解治疗师通常报告发现很难管理寻求安慰。(3)了解治疗师关于过度寻求安慰的信念可能在帮助我们理解如何处理这种复杂行为方面发挥关键作用。(4)考虑哪些治疗干预措施可能适合和有助于治疗过度寻求安慰。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Therapists’ beliefs about excessive reassurance seeking and helping manage it: does experience play a role?
Abstract Excessive reassurance seeking (ERS) is believed to play an important role in maintaining mental health problems, in particular anxiety disorders such as obsessive-compulsive disorder and health anxiety. Despite this, therapists commonly give into patients’ requests for reassurance in clinical settings and are generally unsure how to handle the issue both in therapy itself and concerning advice to the patient’s loved ones. In order to increase our understanding of therapists’ perception of ERS and how interventions for ERS are managed, we examined therapists’ perception and understanding of ERS, including its function, which emotional problems therapists associate it with, and what treatment interventions they consider important for managing ERS. Qualified therapists ( n =197) were benchmarked against international expert consensus ( n =20) drawn from leading clinical researchers. There was evidence that clinical experience right up to the expert level may result in less reassurance giving within treatment settings. Still, there were enough inconsistencies between the experts and other clinicians to suggest that ERS remains poorly understood and is not consistently dealt with clinically. Results are discussed in terms of how current treatment interventions may be limited for treating ERS, highlighting the need to consider new approaches for dealing with this complicated interpersonal behaviour. Key learning aims (1) To describe the role of excessive reassurance seeking in checking behaviour, including its negative personal and interpersonal consequences. (2) To learn that therapists commonly report finding it difficult to manage reassurance seeking. (3) To learn that therapists’ beliefs about excessive reassurance seeking may play a key role in helping us understand how to tackle this complicated behaviour. (4) To consider what therapeutic interventions may be appropriate and helpful for treating excessive reassurance seeking.
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来源期刊
Cognitive Behaviour Therapist
Cognitive Behaviour Therapist PSYCHOLOGY, CLINICAL-
CiteScore
4.50
自引率
14.30%
发文量
35
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