治疗中的门把手炸弹：最后期限、大脑和为什么应该准时结束

English | ISBN: 1324052597 | 2024 | 240 pages | True EPUB | 912 KB

What should a therapist do when a patient reveals critical information at the end of a session? It’s a near-universal experience among mental health practitioners: a patient drops a bombshell―a critical disclosure that moves the treatment forward―on their way out, with a hand on the doorknob. This “doorknob moment” creates a stressful dilemma for clinicians, especially when the patient is distraught. Should the clinician end the session on time, or run over and be late for the next patient? Here, seasoned psychiatrist Daniela V. Gitlin provides clinicians with a clear, evidence-based answer. By conceptualizing the functional differences between patient and therapist in the treatment relationship as a metaphor for the functional differences between right and left cerebral hemispheres, Gitlin’s argument yields a comprehensive explanation for why doorknob moments occur, why they are necessary to prevent treatment stagnation, and why ending on time makes patients feel safer to deliver them.

心理治疗师在疗程结束时，患者透露关键信息时应该怎么做？ 这是精神健康从业者普遍的经历：患者在离开诊室前抛出一个重磅炸弹——一个关键性的披露，推动治疗向前发展。此时患者的手放在门把上。这种“门把手时刻”给临床医生带来巨大的压力困境，尤其是当患者情绪低落的时候。治疗师是应该准时结束疗程，还是提前结束并让下一位患者迟到？ 在此，资深精神科医生Daniela V. Gitlin为临床医生提供了明确的、基于证据的答案。通过将患者的治疗关系与大脑右半球和左半球的功能差异这一比喻进行概念化，Gitlin的观点得出了一整套解释为什么会出现门把手时刻的原因，为什么它们是防止治疗停滞所必需的关键因素，以及为何提前结束能让患者感觉更安全地传达这些信息。

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