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Termination in 16-session accelerated experiential dynamic psychotherapy (AEDP): Together in how we say goodbye.
Psychotherapy ( IF 2.6 ) Pub Date : 2020-09-10 , DOI: 10.1037/pst0000343
Richard L. Harrison

This article explores key aspects of the termination process in a 16-session treatment protocol of accelerated experiential dynamic psychotherapy (AEDP). AEDP theory and its empirical support are described; interventions used throughout termination are demonstrated with verbatim clinical exchanges; and potential challenges faced during termination are addressed. Congruent with AEDP's healing orientation, termination is reframed as completion and launching: Although treatment ends, the change process begun in therapy can continue, as does the therapist's care for the patient. AEDP interventions during termination include (a) relational strategies to foster connection and undo aloneness; (b) the highlighting of patient resilience and the celebration of growth; (c) affirmative work with defenses around loss; (d) coregulation of patient's emotional experience; (e) experiential, bodily-rooted affective strategies to process and transform negative emotions; and (f) thorough exploration and processing of ensuing, vitalizing positive emotions and in-session experiences of change-for-the-better (i.e., metatherapeutic processing), to expand these and promote enhanced well-being and flourishing. Therapists aim to (a) elicit and process emotions related to the completion of treatment; (b) celebrate patients' affective achievements; and (c) convey trust and confidence in an ongoing transformational process, predicted to yield not only diminishment of symptoms and suffering but also upward spirals of flourishing. AEDP suggests that in providing patients a new, positive attachment experience of togetherness as therapy ends, termination offers a unique opportunity to disconfirm patients' earlier attachment-based expectations, revise inner working models, and help patients grow in self-confidence as they face, accept, and thrive in the wake of loss. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

在16节课时中止加速体验式动态心理治疗(AEDP):一起说再见。

本文探讨了加速体验式动态心理疗法(AEDP)的16个疗程的治疗方案中终止过程的关键方面。描述了AEDP理论及其经验支持。逐字逐句的临床交流证明了终止期间使用的干预措施;解决了终止期间面临的潜在挑战。与AEDP的治疗方向一致,终止被重新定义为完成和发布:尽管治疗结束,但是治疗中开始的变更过程可以继续进行,治疗师对患者的护理也可以继续进行。终止合同期间的AEDP干预措施包括:(a)促进联系和消除孤独感的关系策略;(b)强调患者的应变能力并庆祝增长;(c)与损失有关的防御措施的平权工作;(d)调节病人的' 情感经历;(e)处理和转变负面情绪的经验性,根植于身体的情感策略;(f)彻底探索和处理随之而来的生命力,并朝着更好的改变(即,元治疗过程)的过程中的生气勃勃发展,以促进这些改变并促进幸福感和繁荣。治疗师的目的是(a)引发和处理与治疗完成有关的情绪;(b)庆祝患者的情感成就;(c)在正在进行的转型过程中传递信任和信心,预计这种转型不仅会减轻症状和痛苦,而且还会使繁荣的螺旋式上升。AEDP建议,随着治疗的结束,为患者提供新的,积极的团结感,终止治疗可以提供一个难得的机会,可以使患者早日基于依恋的期望得到证实,修改内部工作模型,并帮助患者在面对损失后面对,接受并壮成长时充满自信。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。
更新日期:2020-09-10
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