Individuals experiencing avoidant personality disorder (AvPD) tend to make sense of social interactions via maladaptive self‐and other attributions. They also experience difficulties in recognizing emotions. A further feature of AvPD psychopathology is the tendency to resort to maladaptive coping strategies, such as behavioral avoidance and perfectionism. Despite its impact, psychological treatments for AvPD remains poorly investigated. Herein, we describe the first five sessions of Metacognitive Interpersonal Therapy with a 28‐year‐old woman, whose treatment goal was to reduce social avoidance. We describe how this goal was achieved through a combination of working through the therapeutic relationship, alongside experiential techniques such as guided imagery, rescripting, and bodily work. Through this treatment configuration, the patient was able to increase self‐awareness of her own emotions, enabling her to realize that she was guided by rigid schemas; specifically seeing herself as inadequate and others as judgmental. Finally, implications for the treatment of AvPD are discussed.

中文翻译：

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在回避型人格障碍的心理治疗的早期阶段建立联盟并使用体验式技术

经历回避型人格障碍 (AvPD) 的个体倾向于通过适应不良的自我和其他归因来理解社交互动。他们在识别情绪方面也遇到困难。AvPD 精神病理学的另一个特征是倾向于诉诸适应不良的应对策略，例如行为回避和完美主义。尽管有影响，但对 AvPD 的心理治疗仍然缺乏研究。在此，我们描述了一位 28 岁女性的元认知人际关系治疗的前五次，其治疗目标是减少社交回避。我们描述了这一目标是如何通过治疗关系与体验技术（如引导图像、重写和身体工作）相结合来实现的。通过这种治疗配置，患者能够提高对自己情绪的自我意识，使她意识到自己受到严格图式的指导；尤其是认为自己不够好，而其他人则具有判断力。最后，讨论了对 AvPD 治疗的影响。