{"title":"动态人际治疗中的人际情感焦点(IPAF):一个复合个案研究","authors":"P. McEvoy","doi":"10.1080/14753634.2023.2191112","DOIUrl":null,"url":null,"abstract":"Dynamic Interpersonal Therapy (DIT) is a manualised, time-limited, psychodynamic therapy for patients with treatment-resistant depression linked to interpersonal problems. This paper examines the central thread of DIT; a case formulation called the interpersonal affective focus (IPAF). The IPAF is a brief psychodynamic case formulation of a problematic response to interpersonal threats that is rooted in internalised object relationships. It has two dimensions: an interpersonal focus and an affective focus. The interpersonal focus is a way of viewing the self in relation to others, which creates a bias towards perceiving the self and others in particular ways. The affective focus is an emotional reaction that contributes to interpersonal problems due to the inflexible character of the behaviours it evokes. A composite case study illustrates the value of using an IPAF to explore patients’ internal representations and work through painful emotional states that may be contributing to their relational problems. However, it also illustrates that for DIT patients with borderline aspects to their personality organisation, extra care may need to be taken with the pacing and timing of the approach.","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"15 1","pages":"136 - 153"},"PeriodicalIF":0.3000,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The interpersonal affective focus (IPAF) in dynamic Interpersonal Therapy (DIT): a composite case study\",\"authors\":\"P. McEvoy\",\"doi\":\"10.1080/14753634.2023.2191112\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Dynamic Interpersonal Therapy (DIT) is a manualised, time-limited, psychodynamic therapy for patients with treatment-resistant depression linked to interpersonal problems. This paper examines the central thread of DIT; a case formulation called the interpersonal affective focus (IPAF). The IPAF is a brief psychodynamic case formulation of a problematic response to interpersonal threats that is rooted in internalised object relationships. It has two dimensions: an interpersonal focus and an affective focus. The interpersonal focus is a way of viewing the self in relation to others, which creates a bias towards perceiving the self and others in particular ways. The affective focus is an emotional reaction that contributes to interpersonal problems due to the inflexible character of the behaviours it evokes. A composite case study illustrates the value of using an IPAF to explore patients’ internal representations and work through painful emotional states that may be contributing to their relational problems. However, it also illustrates that for DIT patients with borderline aspects to their personality organisation, extra care may need to be taken with the pacing and timing of the approach.\",\"PeriodicalId\":43801,\"journal\":{\"name\":\"Psychodynamic Practice\",\"volume\":\"15 1\",\"pages\":\"136 - 153\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2023-03-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychodynamic Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/14753634.2023.2191112\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychodynamic Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/14753634.2023.2191112","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
The interpersonal affective focus (IPAF) in dynamic Interpersonal Therapy (DIT): a composite case study
Dynamic Interpersonal Therapy (DIT) is a manualised, time-limited, psychodynamic therapy for patients with treatment-resistant depression linked to interpersonal problems. This paper examines the central thread of DIT; a case formulation called the interpersonal affective focus (IPAF). The IPAF is a brief psychodynamic case formulation of a problematic response to interpersonal threats that is rooted in internalised object relationships. It has two dimensions: an interpersonal focus and an affective focus. The interpersonal focus is a way of viewing the self in relation to others, which creates a bias towards perceiving the self and others in particular ways. The affective focus is an emotional reaction that contributes to interpersonal problems due to the inflexible character of the behaviours it evokes. A composite case study illustrates the value of using an IPAF to explore patients’ internal representations and work through painful emotional states that may be contributing to their relational problems. However, it also illustrates that for DIT patients with borderline aspects to their personality organisation, extra care may need to be taken with the pacing and timing of the approach.
期刊介绍:
Psychodynamic Practice is a journal of counselling, psychotherapy and consultancy and it is written for professionals in all fields who use psychodynamic thinking in their work. The journal explores the relevance of psychodynamic ideas to different occupational settings. It emphasizes setting and application as well as theory and technique and focuses on four broad areas: •Clinical practice •The understanding of group and organisational processes •The use of psychodynamic ideas and methods in different occupational settings (for example, education and training, health care, social work, pastoral care, management and consultancy) •The understanding of social, political and cultural issues