大学生亲密恐惧的图式干预研究

为研究图式治疗对大学生亲密恐惧的临床疗效,以54名有亲密恐惧问题的大学生为被试,采用支持咨询和图式治疗对比的实验研究,对疗效评估的各项指标进行了重复测量(前测、后测和追踪测量)的方差分析。结果表明干预后图式组亲密恐惧以及情感剥夺、缺陷/羞耻、伤害/疾病的易感性、情感抑制等四个适应不良图式都显著低于支持组,而且干预后图式组人际功能和适应功能等两项心理治疗效果评估指标都显著高于支持组。结论:图式治疗比支持支持咨询能更有效地减轻大学生亲密恐惧。     

抑郁的人际模式——人格、人际情境与抑郁

国外对人格中的两种引起抑郁的特质:依赖和自我批评的研究已经持续了十几年。本文首先对这些研究进行了回顾。抑郁素质论者把这两种特质从人格中分离出来,之后抑郁认知理论提出导致抑郁的认知图式。但这两种理论都孤立了情境来研究人格与抑郁的关系。目前流行的抑郁人际模式把人际情境引入到人格和抑郁的关系研究中。本文比较了人际模式中的调节模式和中介模式,并探讨了对两种模式整合的趋势,最后,提出将来抑郁研究的展望。     

中学生同伴交往接受和拒绝的归因研究

本研究参考国外相关量表的设计,结合我国实际,编制了中学生人际归因风格问卷,考察了人际归因风格和人格特征两个维度对中学生在同辈群体中的社会测量地位的影响程度。结果表明,这两者共同影响中学生的社会测量地位,被拒绝学生对正性事件的归因与其他学生存在显著差异,对负性事件的归因不存在显著差异。这提示我们,可以通过改变被拒绝学生不适当的人际归因方式来改善其同伴关系。     

自立人格与心身症状：特质-应激-症状相符中介模型的检验

自立人格是新近提出的一种新的心身症状的保护性人格因素。为了探索自立人格抵御心身症状的机制, 提出了特质-应激-症状相符中介模型。该模型涉及应激中介模型假设、特质-应激相符假设、特质-症状相符假设三个理论假设。使用青少年学生自立人格量表、青少年生活事件量表和症状自评量表3种问卷对674名有效被试进行了调查, 以检验该模型。结果发现：①应激调节模型不被支持, 自立人格特质是通过应激的中介作用来负向预测心身症状; ②人际自立对心身症状的负向预测能力明显大于个人自立, 人际自立对人际性和个人性症状均有独立的预测能力, 个人自立则对人际性症状没有独立的预测能力; ③个人自立对应激的预测能力大于人际自立, 个人自立对人际和个人应激均有独立的预测能力, 人际自立则对个人应激没有独立的预测能力; ④修正后的自立人格的特质-应激-症状相符中介模型能够获得支持。总之, 本研究的结果显示：人际自立主要通过人际应激的中介作用负向预测心身症状总分; 个人自立则通过应激(包括人际与个人应激)的中介作用负向预测个人性症状。     

冲突图式对情绪的人际效应的调节

人际冲突中情绪人际效应通过情感反应和推断加工影响着人际冲突中的个体行为。这一效应受到了人际冲突图式的调节。人际冲突图式对于情绪人际效应的调节作用主要表现在两方面:1)冲突图式通过调节注意资源影响对于情绪的推断加工;2)冲突图式通过影响个体的认知动机和对情境的互依性知觉影响着情感反应、推断加工的相对力量。今后需要全面考察各种符合现实生活的情绪人际效应,同时加强本土化研究,进而建构更具解释力的整合模型。     

中学生核心自我评价,生活满意度和人际信任的关系研究

采用核心自我评价量表(CSES)、多维学生生活满意度量表(MSLSS)和人际信任量表(ITS)对400名中学生进行测量。回收有效问卷315份。结果发现:中学生核心自我评价能正向预测生活满意度;中学生核心自我评价能正向预测人际信任;中学生人际生活满意度能正向预测人际信任。     

人际关系互动中人际特质的环形模型探索

人际环是以水平轴亲和维度和垂直轴控制维度为核心,按照规定序列排列在一个环形的空间。研究目的:研究融合人际互动与人格特质两个心理学研究领域,探讨中国文化下人际互动中人际环状结构。研究方法:本研究以人际环为理论基础,设计三种不同关系类型:夫妻关系、同性好友关系和恋人关系,采用多元变量分析和随机化测验方法检验本土文化下人际互动中个体的人际特质结构。研究结果:显示互动中个体人际特质以两个基本维度(亲和维和控制维)为核心,这两个维度体现出人际关系互动中的两个重要信息:地位和爱。人际特质包含六个因子,分别是人际冷漠性、人际亲和性、人际开放性、人际退缩性、社会支配性和社会服从性。此六因子以水平轴亲和维度和垂直轴控制维度为核心,形成一个不规则的六边环形,并以规定序列排列成环形空间。     

贫困大学生社会支持与心理健康及其人格特征的相关研究

目的：探讨贫困大学生心理健康状况和社会支持状况及人格特征的关系。方法：选取学校贫困生125名为研究组,相对应的120名非贫困生为对照组,采用症状自评量表(SCL-90)、社会支持评定量表和艾森克人格问卷(EPQ)。结果：(1)贫困生在DSCL-90量表测量的总均分、躯体化水平、强迫症状、人际敏感、抑郁、焦虑、偏执、精神病性上的因子分显著高于非贫困生;(2)社会支持评定量表的主观支持和支持利用度得分贫困生普遍得分低于非贫困生;(3)社会支持各维度与SCL-90各因子负相关,与EPQ人格P和N维度呈显著负相关,而与人格E维度呈显著正相关。结论：社会支持对大学生心理健康和人格发展有重要影响,在高校心理健康教育中,要重视学生非智力因素的培养。     

学生感知的班级人际和谐及其与社会行为的关系

采用问卷调查法,对443名小学四、五年级和初一、二年级学生进行调查,探讨学生自我感知到的班级人际和谐状况及其与社会行为的关系。结果表明:(1)学生对班级人际和谐各维度的感知上存在显著的性别差异,而年级差异主要体现在班级组织上。(2)在男生组中,不同社会测量地位学生在班级人际和谐的同伴关系和班级组织上有显著的差异。而在女生组中,不同社会测量地位学生在班级人际和谐的各个维度上均无显著性差异。(3)学生感知到的班级人际和谐与亲社会行为之间存在显著正相关,学生感知到的人际和谐与攻击行为之间相关不显著,感知到的同伴人际和谐与儿童的羞怯-敏感性有显著负相关。     

一例强迫症患者的心理动力学诊断与治疗

本文以主要症状为强迫性并以具有典型强迫性人格特征的一名大学生为例,主要运用心理动力学的方法分析症状的成因,促成其情感的领悟和行为的改变。咨询目标不仅在于缓解或消除症状,也试图促进其健康人格的发展。另外,本案例也注意了认知改变、行为训练、与家庭辅导等方法的综合运用。运用各种方法尽快减少症状的影响,及时恢复其社会功能,并最大可能促进其人格的健康发展对于人生发展关键期的大学生有特别的意义。     

Assessing personality change in psychotherapy with the SWAP-200: a case study

Many studies document the efficacy of psychotherapy for acute syndromes such as depression, but less is known about personality change in patients treated for personality pathology. The Shedler-Westen Assessment Procedure (SWAP-200; Westen & Shedler, 1999a, 1999b) is an assessment tool that measures a broad spectrum of personality constructs and is designed to bridge the gap between the clinical and empirical traditions in personality assessment. In this article, we demonstrate the use of the SWAP-200 as a measure of change in a case study of a patient diagnosed with borderline personality disorder. We collected assessment data at the start of treatment and after 2 years of psychotherapy. The findings illustrate the personality processes targeted in intensive psychotherapy for borderline personality.     

Reliability of personality disorder symptoms and personality traits in substance-dependent inpatients

The authors compared the internal consistency, 1-year temporal stability, and self-informant agreement of ratings of personality trait (NEO Five-Factor Inventory; NEO-FFI; P. T. Costa & R. R. McCrae, 1992) and personality disorder symptom severity (Structured Clinical Interview for DSM-III-R Personality Disorders Questionnaire; SCID-II-Q; R. L. Spitzer, J. B. W. Williams, M. Gibbon, & M. First, 1990) in 131 substance-dependent inpatients. Internal consistency coefficients were acceptable to very good for most NEO-FFI and SCID-II-Q scales, and temporal stability correlations were significant for all measures. Agreement between patient and informant ratings was more modest. Substance abuse and depression symptom severity moderated the temporal stability and self-informant agreement of several personality trait and disorder ratings. The authors did not find that the five factors were more reliable than the Axis II symptoms. Issues related to the reliability of personality assessment in multiply diagnosed patients are discussed.     

Borderline personality disorder level predicts change in depressiveness after short‐term group psychotherapy: A study in a daily psychiatric clinic

The project examined the comorbidity between depression symptoms and the level of borderline personality organisation among patients admitted for group psychotherapy (Study 1). It also aimed to analyse how the level of borderline personality organisation relates to the reduction in depression symptoms after short‐term psychotherapy (Study 2). The study was conducted in a day clinic where patients were receiving psychotherapy for emotional problems affecting their functioning (N = 57). The study used the Borderline Personality Inventory (BPI) and the Patient Health Questionnaire. The analysis showed that BPI was positively related to depression symptoms. The higher borderline personality organisation patients presented when entering group psychotherapy, the greater was the decrease in depression symptoms after 3 months of psychotherapy. We discuss the results in relation to the notion that the presence of depression could be a positive prognostic indicator for patients with borderline personality.     

Integrative Therapie von narzisstisch gestörten Patienten

The psychotherapy of patients with a narcissistic personality disorder continues to be a psychotherapeutic challenge. There is still no psychotherapeutic program for the treatment of these patients which integrates different psychotherapeutic methods and strategies. Therefore the therapy of narcissistic patients remains difficult and only few psychotherapists voluntarily meet the challenge of treating such patients. In this article an integrative psychotherapeutic concept for the treatment of narcissistic patients using psychotherapeutic methods of different psychotherapeutic schools is presented. This integrative concept includes basic strategies such as working with the therapeutic alliance, schema work and activation of resources. On the other hand specific modules for different core symptoms of these patients are proposed. With this article the authors hope to contribute to a new conceptualization of the psychotherapy of narcissistic patients.     

Evaluating NEO Personality Inventory-Revised profiles in veterans with personality disorders

Fifty-one psychiatric, veteran outpatients were assessed for personality disorders on the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II; First, Gibbon, Spitzer, Williams, & Benjamin, 1997a) and were also administered the NEO Personality Inventory-Revised (NEO-PI-R; Costa & McCrae, 1992). Results were compared to Trull and Widiger's (1997) hypotheses about the profiles of such patients and similar past studies. Correlations between NEO-PI-R facets and SCID-II personality disorder symptom clusters generally occurred in the expected direction. Facets hypothesized to be associated with a given personality disorder were able to predict variance in their respective SCID-II personality disorder scores for seven of ten personality disorders. In general, results support the facet-level conceptualizations of these disorders, except for Obsessive-Compulsive Personality Disorder.     

Personality change and personality as predictor of change in psychotherapy: A longitudinal study in a community mental health clinic

Research suggests that personality may change due to important life events, such as psychotherapy, and that personality and attitudes may predict treatment progress. Longitudinal data in a community mental health clinic showed positive changes in Emotional Stability, Hope, Gratitude, and Motivation during the course of psychotherapy. The static approach relating baseline personality and attitudes to treatment progress did not yield fruitful results. The dynamic approach was more effective, in which we treated personality and attitudes as malleable and used changes in these variables as predictors of progress. Treatment progress correlated with an increase in Emotional Stability. Positive changes in general life attitudes (Hope, Gratitude, Quality of Life) more so than therapy-specific attitudes (Motivation, Working Alliance) predicted symptom reduction.     

Monitoring the effects of adult psychotherapy in routine practice in Switzerland: A feasibility trial

Background: Several studies have been published on the effects of psychotherapy in routine practice. Complementing traditional views summarised as ‘dose‐effect models’, Stiles et al. put forward data consistent with the responsive regulation model underlining the importance of the client's active participant role in defining length of treatment. One may ask what level of change reached by a patient is considered to be the ‘good enough level’ (GEL) and if it is related to the duration of psychotherapy. Aims: The main objective of the present feasibility trial was to monitor the patient's session‐by‐session evolution using a self‐report questionnaire in order to define the GEL, i.e. the number of sessions necessary for the patient to reach significant change. Method: A total of N=13 patients undergoing psychotherapy in routine practice participated in the study, completing the Outcome Questionnaire – 45.2 (OQ‐45), which assesses the symptom level, interpersonal relationships and social role after every psychotherapy session. The data was analysed using multi‐level analyses (HLMs). Results: High feasibility of fine‐grained assessment of effects of psychotherapy in routine practice in Switzerland was shown; response rates being acceptable; however, detailed analysis of the GEL was not feasible within the short study time‐frame. Conclusions: Reflections on the political context of monitoring in the specific case of routine psychiatric practice in Switzerland are discussed.     

Interpersonal problems and personality: using three factor solutions

Attempting to bridge the gap between psychotherapy research on interpersonal discord and personality research on factors of normal and abnormal personality, the present study uses personality factors to predict interpersonal problems. Eysenck's P-E-N (Psychoticism-Extraversion-Neuroticism) model of personality and its correspondent index, the Eysenck Personality Questionnaire-Revised is used as a schema from which to conceptualize and measure personality. Horowitz's Inventory of Interpersonal Problems, which includes six problems commonly reported by psychotherapy patients at intake (hard to be assertive, hard to be submissive, hard to be intimate, hard to be sociable, too controlling, and too responsible), was used as an index of interpersonal distress. Hierarchical multiple regression, in which the most significant predictor was entered into the equation first, indicate significant prediction of various problems by the personality factors considered here. Results are discussed in the context of interpersonal theory.     

„Cognitive Behavioral Analysis System of Psychotherapy“

There are a number of evidence-based methods of psychotherapy for the treatment of depression but most treatment approaches have shown low or moderate success in the subgroup of chronic depression (duration >?2 years) as compared to episodic depression. This could be related to a higher rate of early trauma and specific deficits in cognitive and interpersonal functioning within this group of patients. James McCullough has developed a psychotherapeutic approach known as cognitive behavioral analysis system of psychotherapy (CBASP) specifically for chronic depression to overcome these deficits. In CBASP early negative experiences are associated with current interpersonal problems and a systematic relearning process is initiated. The approach integrates behavioral, cognitive and interpersonal strategies. The CBASP approach is empirically supported by study results and has shown to be effective in both inpatient and outpatient settings. This article presents the development of the approach and therapeutic strategies as well as techniques of CBASP are described.