焦虑障碍的系统式家庭治疗

焦虑障碍是最常见的心理障碍之一.其具有症状重、病程慢、复发率高、社会功能明显缺损等特点,给个人、家庭和社会造成了巨大的负担.家庭环境因素在焦虑障碍的发病、转归和预后方面都起到重要作用.本文介绍了国内外关于焦虑障碍患者家庭特点和家庭互动模式的研究结果.系统式家庭治疗作为一种家庭治疗模式,具有其独特的治疗理念和方法,国内外研究结果表明系统式家庭治疗用于焦虑障碍具有良好疗效.今后,还应该运用更加多元化的研究方法探讨中国焦虑症家庭动力学特点和家庭功能,并采用更加严格的随机对照设计,进一步证实系统式家庭治疗对焦虑障碍的治疗效果.     

焦虑障碍的系统式家庭治疗

焦虑障碍是最常见的心理障碍之一.其具有症状重、病程慢、复发率高、社会功能明显缺损等特点,给个人、家庭和社会造成了巨大的负担.家庭环境因素在焦虑障碍的发病、转归和预后方面都起到重要作用.本文介绍了国内外关于焦虑障碍患者家庭特点和家庭互动模式的研究结果.系统式家庭治疗作为一种家庭治疗模式,具有其独特的治疗理念和方法,国内外研究结果表明系统式家庭治疗用于焦虑障碍具有良好疗效.今后,还应该运用更加多元化的研究方法探讨中国焦虑症家庭动力学特点和家庭功能,并采用更加严格的随机对照设计,进一步证实系统式家庭治疗对焦虑障碍的治疗效果.     

结构式家庭治疗在精神分裂症患者中应用的研究概况

精神分裂症属于重性精神病,在世界人口中的患病率约为1％,其特点是病程迁延,治疗进展缓慢,且复发率以及病残率均相对较高.它是一类病因尚未完全明了的精神障碍,社会心理因素(尤其是家庭关系)在其发病、转归和预后方面具有重要作用.针对精神分裂症家庭特点的研究,推动了家庭治疗的发展,也增加了帮助患者全面康复的治疗手段.结构式家庭治疗假设家庭中被标定的个体的问题与家庭的动力和结构有着密切的联系,改变家庭的动力及其组织过程,可改变个人及家庭,可以应用于精神分裂症患者家庭中,并且具有良好的治疗效果.     

家庭早期的累积风险对青少年内化问题的影响

基于累积风险框架,检验个人素质和社会互动在家庭早期的累积风险影响青少内化问题上的相对贡献以及中介作用。751名青少年完成Achenbach青少年自评量表、自我效能感问卷、感恩问卷、个人主动性量表、领悟社会支持量表的测试以及累积家庭风险问卷。结果发现: (1)个人素质与社会互动在家庭早期的累积风险影响青少年内化问题过程中起着平行中介作用;(2)社会互动的间接效应大于个人素质的间接效应;(3)家庭早期的累积风险对内化问题存在直接影响。个人素质和社会互动在家庭早期风险影响内化问题的内在过程并非相互竞争,而是作为一种平行中介在运作。研究结果有助于揭示家庭早期的累积风险影响内化问题的内在作用。     

以后现代家庭治疗理论为视角的大学生人际交往工作坊方案设计研究

家庭在个人成长之中对于性格的形成和气质的养成都有着很重要的意义。后现代家庭治疗的理论引入中国之后也在青年团体的心理辅导中得到广泛使用。在此方案中,我们欲将后现代家庭治疗理论与大学生团体辅导相结合,促进大学生的人际交往和互动。这次活动主要包括时而个环节,通过内在原因、主观原因、客观原因三个方面进行的因素分析,再引入家庭治疗理论,希望通过后现代家庭治疗理论为背景的团体辅导来增强大学生的人际交往能力。     

“问题孩子”的家庭治疗

家庭治疗作为心理学上的一个理论分支，同时也是一种治疗方式．在西方经过80多年的研究和实践已相当成熟．而在我国刚刚起步，家庭治疗不同于个体治疗之处，在于治疗师不是把注意力放在发生症状的个人身上．而是放在整个家庭单位的功能失调上。在治疗过程中．要求整个家庭参与。     

箱庭疗法应用于家庭治疗的理论背景与临床实践

心理咨询与治疗领域出现了整合的趋势,将箱庭疗法应用于家庭治疗是这一趋势下的成功尝试。箱庭疗法应用于家庭治疗的理论背景是家庭治疗与游戏治疗的整合以及箱庭疗法在团体治疗中的应用。箱庭疗法应用于家庭治疗的临床实践包括家庭评估、家庭治疗、夫妻治疗、家庭治疗师督导,这些临床实践的开展为儿童青少年心理咨询与治疗方法的发展提供了有益的启示。     

家庭治疗在中国应用的本土化反思和建议:多元文化的视角

中西文化包括家庭文化的诸多差异和冲突,客观上对家庭治疗目标和手段方法提出了不同的要求,也使得源于西方文化的家庭治疗具有多元文化的特点。由于受到哲学解释学影响,加上家庭治疗在临床实践的迅速发展,也越来越使不同文化背景下的家庭治疗学家们在临床和研究中进行本土化的转向。对中国的家庭治疗师在临床实践中的效果和存在的问题进行文化层面的反思和总结,并提出在家庭治疗本土化过程中,中国的家庭治疗师需要对传统文化进行当代诠释,对自身文化的倾向性保持敏感与自觉,积极利用本土文化资源,中国家庭治疗师需要进行中西文化的契合性研究的建议。     

萨提尔家庭治疗模式评析

萨提尔家庭治疗模式是建立在经验人本理论基础之上的。她认为人类本身具有成长改变的能量,症状行为是对误入歧途的适应性努力,而不是人的固有的个性特征。为此,她逐渐拓展了自我价值、家庭系统的内涵,形成了沟通姿态、转化历程等核心理念,并开发出一系列生动实用的干预技术。萨提尔家庭治疗模式具有独特的优越性。     

青少年精神分裂症患者家庭功能的质性研究

探索青少年精神分裂症患者的家庭功能特征,为青少年精神分裂症患者的家庭治疗及进一步的研究提供参考。选取4组青少年患者家庭进行深入的半结构式访谈,同时对4组家庭观察员进行半结构式访谈,收集有关的家庭功能信息,进行编码和主题分析。发现青少年精神分裂症患者家庭功能呈现出家庭关系联结疏离-缠结化,家庭互动情境矛盾化,家庭预后被动性的特点。表明家庭功能影响着青少年精神分裂症的疾病历程,疾病反过来影响着家庭功能,在临床实践中需对患者的家庭功能状态进行干预,促进患者的康复。     

Family Therapy in Chinese Culture and Context: Lessons from Supervising Therapists-in-Training in China

Systemic family therapy as an essential paradigm for treating couples and families has gone global since its initial rise to popularity. According to researchers, China has signaled a strong desire for training in systemic family therapy. Even though this mode of mental health service is a foreign import to China, the surge in interest for Western psychotherapy for individuals and families grows by leaps and bounds. However there has been evolving conversations about the transportability of systemic family therapy from the West to the East. Using a qualitative focus group format, this study explored the experiences of sixteen Chinese couple and family therapists on their perspectives in adapting systemic family therapy concepts to the local Chinese context. Results reveal the interplay between the systems of the changing Chinese family structure and of the application of family therapy models that originated from the West must work harmoniously in order to enhance the goodness of the familial system within the evolving Chinese society in the 21st century.     

"Enmeshment" and the Too Richly Cross-Joined System

This paper traces out a connection between Minuchin's concept of an "enmeshed" family and Ashby's discussion of the problems inherent in a system in which all the parts are tightly interlocked. Adaptiveness to change in such a system will depend on the possibility for the joins between parts to become temporarily inactive. This observation supports maneuvers in family therapy that emphasize the creation of boundaries between subsystems, differentiating individuals from one another, and blocking customary sequences of interaction.     

Structural Family Therapy and Autism Spectrum Disorder: Bridging the Disciplinary Divide

ABSTRACT

Applied Behavior Analysis (ABA) is an evidence-based practice approach for the treatment of individuals with autism. The systemic effects of autism suggest that family therapy would considerably enhance the treatment of individuals with autism. Marriage and family therapy (MFT) training does not routinely include exposure to autism beyond the associated diagnostic criteria. Structural Family Therapy (SFT) is a systemic model that is familiar to those trained in family therapy and appropriate for the needs of families affected by autism. Therefore, the authors have used SFT as a foundation for supervising MFT trainees working in an autism treatment setting.     

The Adult Attachment Interview and observed couple interaction: implications for an intergenerational perspective on couple therapy

One of the assumptions of intergenerational family therapy is that how a person thinks and talks about family-of-origin experiences has important implications for current family relationships. The Adult Attachment Interview (AAI) is a measure of attachment security based on how coherently the person can discuss attachment experiences in childhood. This study examined the relationship between attachment security, as measured by the AAI, and couple interaction, as measured by the Georgia Marriage Q-Sort (GMQ), in a sample of 28 couples in therapy for relationship problems. During a conflict resolution discussion, those individuals who were less coherent in discussing their family of origin expressed more negative affect, less respect, less openness, more avoidance, and less willingness to negotiate when interacting with their partner. No evidence of intra-couple effects or "buffering" was found. The findings support a key assumption of intergenerational approaches to family therapy and suggest that applying attachment theory is a promising direction for refining and developing new interventions for couples.     

A developmental perspective on the use of metaphors in family therapy

Because families generally consist of individuals at various developmental levels, family therapists require interventions that are effective regardless of an individual's developmental status. Although metaphor has proven particularly beneficial in therapy, it may be ineffective in families with preschool children who have yet developed sufficient cognitive capacities and knowledge for understanding metaphors. Previewing, a prospective technique derived from interaction between parent and infant, may be used for communicating metaphors about future change to individuals regardless of developmental level. Previewing provides knowledge about development and stimulates the cognitive skills necessary for viewing the present as a metaphor for the future.     

A Place at the Table: Integrating Diet and Nutrition into Family Therapy Practice

Most schools of family therapy directly or indirectly recognize that personal qualities of the therapist influence therapy process. If personal qualities of therapists are associated with therapy process, it seems plausible that there would be some interaction between their personal relationships and therapy process. The present study examines the relationship between emotion management at home and emotion management at work to job satisfaction and marital satisfaction of marriage and family therapists. Results suggest that men and women experience a different interaction between emotion management, relationship satisfaction, and job satisfaction.