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认知疗法对投射性认同处理的技术(Cognitive therapy techniques for projective identity processing)
Cognitive therapy techniques for projective identity processing
Meng Chao Li
Many of the techniques of cognitive therapy can be said to deal with projective identification.
The 88 cognitive techniques listed in Leahys book the cognitive therapy techniques practitioner guide are now briefly described in terms of how these techniques deal with projective identification.
These techniques can be divided into the following categories:
The first category: clarification of realistic technology
Such techniques are available in Leahys Manual
1) distinguish ideas from facts (P11)
2) assess the probability of occurrence (P25)
3) define the terms (P40)
4) review the evidence (P46)
5) check the quality of evidence (P48)
6) examine whether ideas can be tested (P125)
Such techniques are similar to the Kernbergs contradictory interpretations of projective identity. Its technical effect is the same as Kleins analysis of fantasy.
The second category: dealing with primitive defense techniques such as splitting and projective identity
Such techniques are available in Leahys Manual
1) classifying mental distortions (P19): most of the 17 cognitive distortions listed in cognitive therapy are related to primitive defenses. A mind reading is actually the projection, polarization thinking and judgment of focus is synonymous with split. Over generalization, blame, selectivity, negative attention, and underestimation of positive information are all manifestations of primitive idealization and primitive depreciation.
2) self fulfilling prophecy (P129): self fulfilling prophecy is a form of projective identity.
3) deny the question (P136)
4) acceptance (P139): this technique is actually to improve the patients ability to tolerate themselves.
5) challenge the wrong polarized thinking (P177)
6) in the sixth chapter of the Leahy Handbook, look at things in a comprehensive way, all 11 techniques are simultaneously used
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