Restoring Trust for People With Psychosis Through Psychotherapy

被引:4
作者
Ridenour, Jeremy M. [1 ]
Hamm, Jay A. [2 ,3 ]
Wiesepape, Courtney N. [4 ]
Buck, Benjamin [5 ]
机构
[1] Austen Riggs Ctr Inc, Erikson Inst Educ Res & Advocacy, Stockbridge, MA USA
[2] Eskenazi Hlth, Sandra Eskenazi Mental Hlth Ctr, Indianapolis, IN USA
[3] Purdue Univ, Coll Pharm, W Lafayette, IN USA
[4] Indiana Univ Sch Med, Dept Psychiat, Indianapolis, IN USA
[5] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA USA
关键词
Trust; psychosis; recovery; psychotherapy; metacognition; PERSECUTORY DELUSIONS; SCHIZOPHRENIA; EXPERIENCES; CHALLENGES; RECOVERY; IDENTITY;
D O I
10.1097/NMD.0000000000001757
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Mistrust is a significant problem for people with psychosis and can interfere with their capacity to engage in psychosocial treatment. In this article, the developmental trajectory of mistrust is outlined, including the impact that attachment disruption, childhood trauma, attributional biases, internalized stigma, and discrimination can have on the person's capacity to form trusting bonds with others. After this review, three elements are described that may allow for the restoration of trust: the therapist's openness to understanding the patient's experience and agenda for therapy, the therapist's effort to honestly disclose their thoughts to encourage dialogue and mutual reflection, and therapist's attempt to promote metacognition through helping the patient develop more complex representations of the minds of others. These elements are framed in the context of metacognitive reflection and insight therapy, an integrative therapy that is well suited to address mistrust through its explicit focus on metacognition and intersubjectivity.
引用
收藏
页码:228 / 234
页数:7
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