后现代叙事心理治疗探幽

近15年来国际心理治疗界出现一种由科学隐喻向叙事隐喻转变的潮流。它突出了心理问题的多维性和生活方式的多样性,强调整体联系的视角,与中国文化中的“大人”思想相契合。对叙事心理治疗做探讨,分为三个部分:什么是叙事心理治疗,介绍对叙事心理治疗的整体理解;叙事心理治疗的哲学渊源,介绍叙事心理治疗的理论基础;伦理问题,探讨叙事心理治疗在组织实施过程中权力关系与责任分布。     

后现代叙事心理治疗探幽

近15年来国际心理治疗界出现一种由科学隐喻向叙事隐喻转变的潮流.它突出了心理问题的多维性和生活方式的多样性,强调整体联系的视角,与中国文化中的"大人"思想相契合.对叙事心理治疗做探讨,分为三个部分:什么是叙事心理治疗,介绍对叙事心理治疗的整体理解;叙事心理治疗的哲学渊源,介绍叙事心理治疗的理论基础;伦理问题,探讨叙事心理治疗在组织实施过程中权力关系与责任分布.     

后现代视野中的心理治疗及其思考

现代心理治疗与后现代心理治疗在关于认识论、知识的性质、标准、构造以及语言的作用等方面存在诸多差异。前者是对客观与理性的探寻．后者是对主观建构的追求。尽管人们对后现代心理治疗尚有诸多争论,但却能引发人们在扩展对心理治疗性质之认识、推进心理治疗本土化、克服心理治疗中的非人格化倾向等方面的有益思考。     

浸润后现代精神的心理治疗模式--焦点解决短期疗法述评

焦点解决短期治疗是近20年逐步发展成熟的心理治疗模式,在西方社会得到了广泛的应用.主要从焦点解决短期治疗的产生背景、基本理念、应用价值及其局限性这三个方面对这种新兴的心理治疗模式作出简单的述评.     

叙事心理治疗的特征及其与中国文化的契合

基于后现代文化理念的叙事心理治疗,其主要特征与中国文化的契合体现在:问题外化的治疗手段顺应中国人的面子心理和辩证的思维方式;关系取向的治疗立场更适合具有关系自我观的中国人;关注差异的治疗模式与中医的个体化治疗模式不谋而合;重视来访者的内在力量可充分发挥中国人善于自律和反思的特长。     

叙事心理治疗的特征及其与中国文化的契合

基于后现代文化理念的叙事心理治疗,其主要特征与中国文化的契合体现在:问题外化的治疗手段顺应中国人的面子心理和辩证的思维方式;关系取向的治疗立场更适合具有关系自我观的中国人;关注差异的治疗模式与中医的个体化治疗模式不谋而合;重视来访者的内在力量可充分发挥中国人善于自律和反思的特长.     

后现代心理治疗及其伦理问题思考

文章通过论述后现代对现代认识论和思维模式的质疑与超越,分析了后现代语境下心理治疗与现代心理治疗的差异,并关注在后现代这一新的思维模式下,心理治疗领域可能产生的伦理问题。作者指出,后现代心理治疗的不确定性、价值干预和文化介入,使心理治疗的伦理挑战被进一步复杂化,对治疗师也提出了更高要求。     

心理治疗领域的本质论与社会建构论

本质论与社会建构论是心理治疗领域中两种对立倾向。本质论坚持了经验实证主义的传统,代表着心理治疗领域中的现代主义取向;这一取向把病理心理作为行为问题的本质,从个体的内部寻找产生病理心理的原因。社会建构论挑战经验实证主义科学观,认为病理心理并非一种“精神实在”,而是一种文化建构。它代表了心理治疗领域的后现代主义取向。作者认为,两种取向的对立短时间内难以消解,在目前的条件下,应开放和宽容,互补互惠。     

试析后现代心理学影响下的心理治疗与咨询

后现代心理学强调心理现象的建构特性和心理学知识的文化相对性。后现代背景下的心理治疗和咨询接受社会建构主义的认识论主张,认为病理心理是语言的社会建构,并没有客观的意义。所有的治疗和咨询理论都是一种“建构”或“叙事”,而不是所谓的“真理”。承认这一点,将有助于在后现代多元化的基础上,实现各种治疗和咨询理论的整合。     

Some Practical Implications of Integrating Narrative and Humanistic/Existential Approaches to Psychotherapy

Although the humanistic/existential and the narrative approaches to psychotherapy are clearly distinct perspectives with some marked differences at the level of metatheory, they also show very important similarities in their conceptualization of the human condition and the processes involved in living adaptively (Richert, 1999). These similarities make these two approaches reasonable candidates for integration. The present paper examines five specific points of integration at the level of strategy and techniques (Neimeyer, 1993b): Interplay of experiential meanings and narrative structure in developing client meaning, use of existential themes in client narratives, deconstruction as a means of dealing with existential guilt, contextualization of wishes as a means of mobilizing will, and reflexivity as a way of developing the I–Thou relationship. A brief theoretical rationale is offered for each of these points of integration, and each is illustrated with clinical examples.     

Some Thoughts on the Integration of Narrative and Humanistic/Existential Approaches to Psychotherapy

Although humanistic and narrative approaches to psychotherapy make some different assumptions about the nature of the human condition and emphasize different aspects of human functioning in their therapeutic endeavors, I argue here that the underlying assumptions of these two approaches reflect a common view of humanness, thus making these two approaches candidates for attempts at integration. Four areas of commonality are discussed in detail: (a) life as a process of continual development, (b) the nature of experience and the process of meaning creation, (c) the nature of psychological dysfunction, and (d) the nature and importance of human relationships. The implications of these commonalities for the practice of therapy from an integrated perspective are explored in an extended case example.     

Halachic Judaism's Influence on the Practice of Psychotherapy

This paper enumerates and discusses some halachic principles and values which are exerting increasing influence on the practice of psychotherapy. This trend is linked to the resurgence of spiritual values and content in mainstream psychology and therapy, and to the changing concepts of the philosophy of science. The cultural roots of psychotherapy, specifically the contrast between the Greek and Jewish approaches to freedom are also briefly analyzed. The Jewish stand is viewed as imposing a set of values which has as its core enormous respect for the person and his/her ability to choose. Another factor regarded as pivotal is that Jewish teachings foster esteem for objectivity as opposed to the rampant subjectivity seen in some contemporary psychotherapeutic methods. An additional factor discussed is the relation of character traits to therapy. Finally, some facets of the unconscious are analyzed as to their relation to psychotherapy and Judaism.     

Therapist Role in Narrative Group Psychotherapy

With its assumptions about the interpersonal origins of individual learning, narrative theory suggests certain leadership functions for group therapists: providing a perspective on how multiple meanings may be constructed about experience; leading the process of deconstructing individual narratives through careful questioning to distinguish persons from problems; enlisting participants in active awareness and engagement with group dynamics and group process; and enabling the co-creation of a group narrative through the development of a new community of conversations.     

Special Issues in Psychotherapy with Minority Deaf Women

Abstract

Minority Deaf women have been traditionally underserved by mental health professionals, and specifically, therapists are unaware of issues unique to this population. It would be highly unlikely for a minority Deaf woman to have a therapist who matches her in racial background, hearing status, and communication mode. Therefore, the therapy process will be completely cross-cultural. Therapists who provide psychotherapy services to minority Deaf women need to be aware that their clients are members of a community where deafness is a culture and not a disability. Minority Deaf women are also likely to report feeling forced to choose between competing identities in order to get important needs met. In the following article, case examples are provided which illustrate some of the major issues that are likely to arise in therapy with minority Deaf women. These issues include: access to important information; communication, support and level of involvement with biological families; competing cultural demands; health concerns; and coping with chronic mental illness.     

An Overview of Directions in Psychotherapy Integration Research

In general, empirical research in psychotherapy integration has lagged behind the growing theoretical and clinical interest in the field. Even though many of the theoretically integrative treatment models currently available are based on empirical findings and clinical observations, the models themselves remain, for the most part, untested. Rigorous examination of integrative psychological theories and therapeutic programs is a necessary and useful way to increase our understanding of the process of psychotherapy and establish the efficacy and effectiveness of integrative therapies. The present article explores five different research areas in the field of psychotherapy integration, discussing several published studies in each area. The utility of this research for practicing clinicians is also discussed. Additional investigations in these areas and others are encouraged, with the goals of greater understanding of psychotherapy, as well as the further development and acceptance of integrative approaches.