Abstract：
Persons with dependent personality disorder (DPD) have difficulties describing their inner world, and in realizing their negative ideas about the self, such as being weak, unworthy or powerless are just ideas. As a consequence, they tend to over-rely on others and may lose control over their emotions. Treating these persons can gain benefits from including body-focused techniques as they can promote a) awareness of internal states, b) better emotion regulation, c) the capacity to consider their negative ideas about themselves as not necessarily true, and d) gain power of and agency. We will describe the therapist used body-focused techniques in the context of Metacognitive Interpersonal Therapy when treating Lia, a 40-year-old woman suffering from DPD who also suffered from generalized anxiety disorder and had difficulties in making autonomous choices. She had a romantic relationship with a man she described as distant and judgmental so she felt lonely and not entitled to express her discomfort or capable to break up. The therapist used body-focused techniques, together with behavioural exposure, mindfulness and guided imagery, to let Lia be more aware of her thoughts and feelings, and then to regulate affects and realize she had previously capacities. At therapy termination anxiety diminished and she could break up with the partner and start a new one where she felt free to express herself. We suggest how bodily-focused techniques can be used to enhance therapy effectiveness in DPD.
摘要：
患有依赖性人格障碍（DPD）的人难以描述他们的内心世界，在意识到他们对自我的负面想法时，比如软弱，不值得或无能为力只是想法。因此,他们倾向于过度依赖他人，并可能失去对自己情绪的控制。治疗这些人可以从包括以身体为中心的技术中获得好处，因为它们可以促进对内部状态的认识，b)更好的情绪调节，C)考虑他们对自己的负面想法不一定是真的的能力，和d)获得权力和代理。我们将描述治疗师在治疗Lia时，在元认知人际治疗的背景下使用以身体为中心的技术，一名患有DPD的40岁女性，她也患有广泛性焦虑症，难以做出自主选择。她和一个被她形容为遥远而有判断力的男人有一段浪漫的关系，所以她感到孤独，没有权利表达自己的不适或有能力分手。治疗师使用了专注于身体的技术，以及行为暴露，正念和引导图像，让莉娅更了解自己的想法和感受,然后调节影响，意识到她以前有能力。在治疗终止时，焦虑减轻了，她可以与伴侣分手，开始一个新的，她可以自由地表达自己。我们建议如何使用以身体为中心的技术来增强DPD的治疗效果。
