关键词: personality disorders psychodynamic psychosomatic medicine see mental health care/service delivery systems psychotherapy

来  源:   DOI:10.1176/appi.psychotherapy.20240003

Abstract:
There is an inevitable limit to understanding the internal experience of patients with whom therapists work in psychotherapy. The farther their experience is from that of their therapist, the more challenging this endeavor can be. Accepting that therapists cannot exactly know a patient\'s internal experience invites them to explore novel ways of appreciating another person\'s way of perceiving relationships, deriving meaning from them, and using their experience to motivate behavior. The concept of umwelt can be used as a metaphor to help therapists imagine the internal world of their patients, as shaped by patients\' developmental, interpersonal, and traumatic experiences. Umwelt refers to the unique worldview created by a species\' idiosyncratic perceptual organs and survival strategies. This first Psychotherapy Musings describes the concept of umwelt, applies it to the case of a patient with difficult-to-treat mental health problems, and explicates the benefit of this novel perspective.
摘要:
了解治疗师在心理治疗中工作的患者的内部经验是不可避免的限制。他们的经验与治疗师的经验越远,这项工作越具有挑战性。接受治疗师无法确切地了解患者的内部经验,邀请他们探索新的方式来欣赏另一个人感知关系的方式,从中获得意义,并利用他们的经验来激励行为。umwelt的概念可以用作隐喻,帮助治疗师想象患者的内部世界,由患者发育形成,人际关系,和创伤经历。Umwelt指的是由物种特有的知觉器官和生存策略创造的独特世界观。第一次心理治疗Musings描述了umwelt的概念,将其应用于患有难以治疗的心理健康问题的患者的情况,并说明了这种新颖视角的好处。
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