Research concerning the influence of core interpersonal patterns related to childhood trauma on the therapeutic process is scarce. We investigated interpersonal patterns at the start of treatment, changes in interpersonal patterns as treatment progressed, and the change process in a mixed-methods single case study of a supportive-expressive psychodynamic psychotherapy with a 33-year-old female with a history of childhood trauma. The patient showed a pervasive inability to open up towards others throughout the entire treatment, which is closely associated with others’ actual or anticipated rejection, disrespect and disinterest. Excessive use of expressive interventions, which target interpersonal change, initially led to a worsening of the patient’s condition. Via supportive and general interventions, symptom stabilization was achieved. The findings of this study suggest a thorough understanding of dominant interpersonal patterns is necessary to recognize their influence on the therapy process.

中文翻译：

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一例童年创伤案例中人际关系模式对治疗过程的影响

关于与童年创伤相关的核心人际关系模式对治疗过程的影响的研究很少。我们调查了治疗开始时的人际交往模式、随着治疗的进展人际交往模式的变化，以及对一名 33 岁有童年病史的女性进行支持-表达心理动力学心理治疗的混合方法单一案例研究中的变化过程创伤。在整个治疗过程中，患者普遍无法向他人敞开心扉，这与他人实际或预期的拒绝、不尊重和不感兴趣密切相关。过度使用针对人际变化的表达干预，最初导致患者病情恶化。通过支持性和一般性干预，症状得以稳定。