Dergi Ara >>
Yıl:1986; Cilt: 1; Sayı: 6>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 1986;1(6):35-42
Kişilik Bozukluklarında Davranış Tedavisi
A Özlü
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi
Kişilik bozukluklannın spesifik tedavisinde
davranış tedavisi uygulanması psikiyatri
literatüründe sınırlı bir ilgi görmüştür. Diğer
taraftan büyük bir araş tırma gurubu endişe hallerinin
düzeltilmesi ve nörozlann davranış tedavisi
için değişik usullerin geliştirilmesi konusunda
çalışmalar yapmıştır. Davranış teknikleri
ile fobilerin ve obsessif-kompülsif saplant ılann
hafifletilmesine yönelik geni ş bildiriler yapılmış
pek çok araştırma mevcuttur. Kişilik bozukluklannda
davramş tedavilerinin kullanımı ve etkinliği
ile doğrudan do ğruya iliş kili araştırmalar çok
az olmakla beraber başka teş hislerin yapıldığı
hastaların değişik kişilik bozukluklarının karakteristik
semptomlarma kar şı davranış tekniklerinin
uygulanması gittikçe artmaktad ır.
Davranış tedavisi yapan ki şi, tüm psikiyatrik
bozukluklara, uygunsuz davranışların öğrenilerek
kazanıldığı ve bu nedenle unutulabilece ği veya
tekrar ö ğrenilebilece ği prensibinden hareket ederek
yaklaşımda bulunur. Tedavi için spesifik
davranışın değiş tirilmesine a ğırlık verilir. Fakat
bunun kaynağı veya sembolik anlamı ile ilgilenilmez.
Bu teorik esasa dayanarak ara ştırma bulgulanm
bir teşhis kategorisinden diğerine yaygınlaştırarak,
değiştirilecek davranışın her ikisinde
de aynı olması şartı ile hareket edilmektedir. Bu
nedenle DSM-III tarafından tarif edilen kişilik
bozuklukları spesifik teşhislerden çok, spesifik
semptomlar veya uygunsuz davranışlar olarak
düşünülecektir.
The Behavioral therapist approaches
all psychiatric disorders from the premise
that maladaptive behavior is learned, and is, there
fore, subject to the possibility of unlearning or
relearning. Treatment interventions are focused
on the specific behavior to be changed and am
not concerned with its origins or symbolic meaning.
As a result on this theoretical position, it
is reasonable to extend research finding from one
'diagnostic category to another, as long as the behavior
being modified is commoii to both personality
Disorders, as defined by DSMIII, will, therefore
be considered in term of specific symptomatology
on maladaptive behaviors rather than
by specific diagnoses.

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