ABSTRACT

The authors present a theoretical integrative model of pain-dynamics for the categorization and transformation of emotional pain in person-centered and experiential psychotherapies. Integrating data from research literature and clinical work, the model distinguishes between three types of emotional pain: basic emotional pain, relational pain, and self-pain. The authors show how each type of emotional pain has not only distinct developmental etiology and evolutionary function, but also how each type requires a fundamentally different transformational process to be healed. Though clients experience all three types of pain in their life, usually one particular pain is dominant in the session. The model provides markers for identifying the active pain in the session, directing the therapist to one of three transformational paths. It thus provides a focus for the work, but also leaves plenty of room for intuitive moment-to-moment tracking of emerging experience. Although this new conceptual model emerged from the integration of the authors’ AEDP practice with EFT principles, pain dynamics can help to systematically select interventions and techniques from a variety of experiential models. Conceptualizing the active pain in the session combines the advantages of case conceptualization and moment to moment work of process formulation.

摘要

作者提出了疼痛动力学的理论综合模型用于以人为本和体验式心理治疗中情绪痛苦的分类和转化。该模型整合了来自研究文献和临床工作的数据，区分了三种类型的情绪痛苦：基本情绪痛苦、关系痛苦和自我痛苦。作者展示了每种类型的情绪痛苦不仅具有不同的发展病因和进化功能，而且每种类型都需要一个根本不同的转化过程才能得到治愈。尽管客户在他们的生活中经历了所有三种类型的痛苦，但通常一种特定的痛苦在治疗中占主导地位。该模型提供了用于识别会话中主动疼痛的标记，将治疗师引导至三个转化路径之一。因此，它为工作提供了一个重点，但也为直观的即时跟踪新兴体验留下了充足的空间。尽管这个新的概念模型源于作者的 AEDP 实践与 EFT 原则的整合，疼痛动力学可以帮助系统地从各种体验模型中选择干预措施和技术。概念化会议中的主动痛苦结合了案例概念化和流程制定的即时工作的优势。