Abstract:
The psychotherapy field has a long history of integration to improve treatment effectiveness. One type, assimilative integration, offers innovative opportunities to family therapy to incorporate the clinical and research contributions of different approaches. This paper contributes to the literature on integration by exploring how Eye Movement Desensitization and Reprocessing (EMDR) can be assimilated into Attachment-Based Family Therapy (ABFT) for youth in residential psychiatric treatment. ABFT seeks to improve attachment security to parental figures by asking adolescents and young adults to discuss attachment ruptures. This process, specially designed for patients with internalizing disorders, can provoke anxiety, particularly for a patient population that commonly has a history of trauma and adverse life experiences. EMDR is a first-line therapy for post-traumatic stress disorder and has the potential to be effective in treating various other mental health conditions. When patient emotional withdrawal or dysregulation due to breaches in trust between child and parent emerges in ABFT, EMDR may help desensitize associated memories and bolster the family therapy process. The authors provide an overview of both models, and a detailed case study as an example. The paper concludes with a discussion on implications, integration efforts, and limitations.
摘要:
心理治疗领域具有整合以提高治疗有效性的悠久历史。一种类型,同化融合,为家庭治疗提供创新的机会,以纳入不同方法的临床和研究贡献。本文通过探索如何将眼动脱敏和再处理(EMDR)同化为住院精神病治疗青年的基于依恋的家庭治疗(ABFT),为整合文献做出了贡献。ABFT旨在通过要求青少年和年轻人讨论依恋破裂来提高对父母形象的依恋安全性。这个过程,专为内化障碍患者设计,会引起焦虑,特别是对于通常有创伤史和不良生活经历的患者群体。EMDR是创伤后应激障碍的一线疗法,有可能有效治疗各种其他精神健康状况。当由于孩子和父母之间的信任破裂而导致患者情绪退缩或失调时,EMDR可以帮助脱敏相关的记忆和支持家庭治疗过程。作者提供了这两种模型的概述,和一个详细的案例研究作为例子。本文最后讨论了其含义,整合努力,和限制。