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題名 | Change of Core Conflicts of Schizophrenic Patients Who Received Brief Psychodynmic Psychotherapy: A Pilot Study in Taiwan=精神分裂症患者接受短期動力心理治療前後之核心衝突變化:一項臺灣地區之先趨性研究 |
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作者 | 李俊毅; 劉時寧; 張娟鳳; 文榮光; Lee, Chun-yi; Liu, Shih-ning; Chang, Chuan-feng; Wen, Jung-kwang; |
期刊 | 長庚醫學 |
出版日期 | 20000800 |
卷期 | 23:8 2000.08[民89.08] |
頁次 | 頁458-466 |
分類號 | 415.983 |
語文 | eng |
關鍵詞 | 精神分裂症; 短期動力心理治療; 核心衝突關係主題法; Schizophrenia; Brief psychodynamic psychotherapy; BPP; Core conflictual relationship theme; CCRT; |
英文摘要 | BACKGROUND: This study examined the change of core conflicts of schizophrenic patients who received brief psychodynamic psychotherapy (BPP). METHODS: The change of core conflicts and relationship patterns over dynamic psychotherapy sessions were assessed by the core conflictual relationship theme (CCRT) method. Patients were enrolled either from the psychiatric outpatient department or day hospital in a medical center. Transcripts of psychotherapy sessions were used for CCRT analysis. In each extracted transcript, 3 components, i.e., wishes, responses from others and responses of self, were identified and were used to formulate the CCRT. CCRT pervasiveness was calculated to compare the change of each component from early to late sessions. RESULTS: The main other person most frequently mentioned was the family member. The changes of positive and negative responses of self were found to be statistically significant. Wishes were not so pervasive as those of non-psychotic patients. A high drop-out rate characterized the schizophrenic patients. CONCLUSION: Self-understanding and self-control may well explain the significant change in responses of self, even in patients with essentially poor ego strength like schizophrenics. |
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