Abstracts
Résumé
Le fonctionnement réflexif (FR) est un concept relativement nouveau et renvoie à la capacité d’un individu d’interpréter les comportements humains et les réactions interpersonnelles en termes d’intentions sous-jacentes et d’états mentaux. Il est particulièrement important dans le processus de régulation des affects et de la gestion des relations interpersonnelles difficiles. Comparativement à la thérapie comportementale dialectique (DBT) et les thérapies de soutien, la thérapie focalisée sur le transfert (TFP) a l’unique avantage de produire des changements au niveau du FR des patients limites. Dans le présent article, nous adoptons une perspective développementale pour expliquer les changements au niveau du FR induit par la TFP. Nous proposons un certain nombre de mécanismes d’action thérapeutiques par lesquels la TFP agirait chez des patients limites et plus particulièrement dans l’interprétation du transfert..
Abstract
Reflective functioning is a relatively new concept which broadly speaking, refers to the capacity to interpret human behaviours and interpersonal reactions in terms of underlying intentions and mental state motivations. This capacity is particularly important in the regulation of affects and the management of challenging interpersonal relations. In comparison to dialectical behavioural therapy (DBT) and supportive therapies, transference focused psychotherapy (TFP) has been shown to have unique advantages in terms of producing improvements in RF of borderline patients. In the present article, we propose a developmental perspective for understanding how TFP produces these changes in RF. Using this perspective, we identify a number of therapeutic mechanisms through which TFP facilitate the development of RF and specifically transference interpretations.
Resumen
El funcionamiento reflexivo (FR) es un concepto relativamente nuevo y se refiere a la capacidad de un individuo de interpretar los comportamientos humanos y las reacciones interpersonales en términos de las intenciones subyacentes y los estados mentales. Es particularmente importante en el proceso de regulación de los afectos y la gestión de las relaciones interpersonales difíciles. Comparativamente a la terapia comportamental dialéctica (DBT) y las terapias de apoyo, la terapia centrada en la transferencia (TFP) tiene la única ventaja de producir los cambios a nivel del FR de los pacientes límite. En este artículo, adoptamos una perspectiva de desarrollo para explicar los cambios a nivel del FR inducido por la TFP. Proponemos un cierto número de mecanismos de acción terapéutica por medio de los cuales la TFP actuaría en los pacientes límite.
Resumo
O funcionamento reflexivo (FR) é um conceito relativamente novo e refere-se à capacidade de um indivíduo de interpretar os comportamentos humanos e as reações interpessoais em termos de intenções subjacentes e estados mentais. Ele é particularmente importante no processo de regulação dos afetos e da gestão das relações interpessoais difíceis. Em comparação à terapia comportamental dialética (DBT) e as terapias de apoio, a terapia focada na transferência (TFP) tem a única vantagem de produzir mudanças ao nível do FR dos pacientes borderline. No presente artigo, adotamos uma perspectiva do desenvolvimento para explicar as mudanças ao nível do FR induzido pela TFP. Propomos um certo número de mecanismos de ação terapêutica pelos quais a TFP agiria nos pacientes borderline.
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Appendices
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