人格障碍(PD)不仅基于对自我和他人的适应不良观念,它们还基于对人际压力源的行为和反应的具体模式。人们对与身体和通过身体合作越来越感兴趣,以解决导致痛苦和功能失调的社会行动的自动化问题。在本期《临床心理学杂志:会期》中,对这些患者的艺术和精神运动疗法的使用进行了七个不同的临床观点的探讨。描述的患者表现出不同的PD和相关症状。人格障碍治疗中使用的艺术和精神运动疗法是:(视觉)艺术疗法,音乐疗法,戏剧治疗,舞蹈(运动)疗法,精神运动疗法利用不同的心理治疗方式:艺术,音乐,玩,角色扮演,性能,即兴创作,舞蹈,身体意识和运动。干预提供动觉,感官,感性的,以及邀请其他意义创造模式的象征性机会,获取自己的需求和愿望,并将它们传达给他人。在这篇评论中,我们总结了临床论文涵盖的一些不同主题,包括艺术和精神运动疗法的工作机制,自下而上的情绪调节过程的重要性,如何在PD面前治疗创伤,如何将艺术和精神运动疗法整合在一个细粒度的配方中,以及如何理解变化的过程。虽然还需要更多的实证研究,我们希望这个问题提供了一个可靠的案例,即临床医生在治疗全方位PD时可以有效地包括艺术和精神运动疗法。
Personality disorders (PD) are based not just on maladaptive ideas about self and others, they also are grounded on embodied patterns of behaviors and reactions to interpersonal stressors. There is growing interest in working with the body and through the body so to address automatisms that lead to suffering and dysfunctional social action. In this issue of the Journal of Clinical Psychology: In-Session the use of art and psychomotor therapies for these patients was explored by seven different clinical perspectives. Patients described presented with different PD and associated symptoms. The arts and psychomotor therapies deployed in personality disorder treatment are: (visual) art therapy, music therapy, drama therapy, dance (movement) therapy, and psychomotor therapy making psychotherapeutic use of the different modalities: art, music, play, role-play, performance, improvisation, dance, body awareness and movement. Interventions provide kinesthetic, sensory, perceptual, and symbolic opportunities to invite alternative modes of meaning-making, accessing own needs and wishes, and communicating them to others. In this commentary we summarize some of the different topics covered by the clinical-based papers, including working mechanisms of arts and psychomotor therapies, the importance of bottom-up emotion regulation processes, how to treat trauma in the presence of a PD, how to integrate art and psychomotor therapies in a fine-grained formulation and how to understand the process of change. Although there is a need for more empirical research, we hope this issue makes a solid case that clinicians can effectively include art and psychomotor therapies when treating the full range of PD.