Changes in Attachment Representation in Psychotherapy: Is Reflective Functioning the Crucial Factor?

被引：13

作者：

Tmej, Anna ^{[1
]}

Fischer-Kern, Melitta ^{[1
]}

Doering, Stephan ^{[1
]}

Alexopoulos, Johanna ^{[1
]}

Buchheim, Anna ^{[2
]}

机构：

[1] Med Univ Vienna, Dept Psychoanal & Psychotherapy, Vienna, Austria

[2] Univ Innsbruck, Inst Psychol, Innsbruck, Austria

来源：

ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE | 2018年 / 64卷 / 03期

关键词：

Attachment; Mentalization; Borderline Personality Disorder; Moderator; Treatment Outcome; BORDERLINE PERSONALITY-DISORDER; TRANSFERENCE-FOCUSED PSYCHOTHERAPY; MENTALIZATION; VALIDITY; PATTERNS; TRIAL; CHILD;

D O I：

10.13109/zptm.2018.64.3.222

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objectives: The study analyzed the interdependence of change in attachment representation and reflective functioning (RF) in psychotherapy. Methods: RF data from 63 female borderline personality disorder (BPD) patients were analyzed with respect to change of attachment representation (from insecure to secure and from unresolved to resolved) from three angles: (1) RF as a moderator variable, (2) RF as an outcome variable, and (3) RF changes over one year of treatment. Results: Patients who changed to a resolved attachment classification showed higher RF before treatment and at follow-up than patients who remained unresolved (RF = 3.0 vs. RF = 2.14, p = 0.039; and RF = 3.4 vs. RF = 2.36, p = 0.002). Similar results were found for changes from insecure to secure. Conclusion: A higher RF level before psychotherapy proved to be a moderator for change in attachment representation. Patients with unresolved attachment and low-level RF at the outset had the least chance for representational change during the first year of psychotherapy.

引用

页码：222 / 236

页数：15

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