抽动症儿童的箱庭治疗个案研究

探讨箱庭治疗对抽动症儿童的有效性和作用机制。对一名抽动症儿童进行15次箱庭治疗,综合使用作品分析、访谈法和问卷法对治疗的过程及效果进行评估,结果发现个案的变化经过问题呈现、转变和自性三个阶段,箱庭治疗所提供的自由受保护的空间、矫正性的情绪体验以及良好的咨访关系等能够帮助个案减少抽动症状,提高情绪调节能力和人际交往能力。     

Integrated Behavior Therapy for Selective Mutism: A randomized controlled pilot study

Objective

To evaluate the feasibility, acceptability, and preliminary efficacy of a novel behavioral intervention for reducing symptoms of selective mutism and increasing functional speech.

Method

A total of 21 children ages 4 to 8 with primary selective mutism were randomized to 24 weeks of Integrated Behavior Therapy for Selective Mutism (IBTSM) or a 12-week Waitlist control. Clinical outcomes were assessed using blind independent evaluators, parent-, and teacher-report, and an objective behavioral measure. Treatment recipients completed a three-month follow-up to assess durability of treatment gains.

Results

Data indicated increased functional speaking behavior post-treatment as rated by parents and teachers, with a high rate of treatment responders as rated by blind independent evaluators (75%). Conversely, children in the Waitlist comparison group did not experience significant improvements in speaking behaviors. Children who received IBTSM also demonstrated significant improvements in number of words spoken at school compared to baseline, however, significant group differences did not emerge. Treatment recipients also experienced significant reductions in social anxiety per parent, but not teacher, report. Clinical gains were maintained over 3 month follow-up.

Conclusion

IBTSM appears to be a promising new intervention that is efficacious in increasing functional speaking behaviors, feasible, and acceptable to parents and teachers.     

Combining Ericksonian and Sandplay Approaches to Therapy with Children who Manifest Depression as a Developmental Barrier

This study reports on the use of the Ericksonian approach combined with sandplay therapy to assist children who present with depression, a troublesome developmental barrier. Participants were six children and/or adolescents with depression (two males and four females; age range 7 to 18; ethnicity: five white and one black). The intervention occurred once a week over a two-month period (eight 60-minute sessions in total). Outcome data were collected using qualitative interview and thematically analyzed. The Ericksonian approach to sandplay therapy had an overall positive effect on children who experienced depression as a developmental barrier.     

大学生孤独人群箱庭作品特征研究

对通过UCLA孤独量表选出的具有孤独症候群倾向的14名大学生28个箱庭作品的分析,发现其箱庭作品表现出以下特征：①缺乏生机活力;②对良好人际关系的渴望和对交流对象的挑剔之间的矛盾;③对自我认识的迷茫;④对曾有过的精神家园的留恋和对营造现阶段精神世界的追求。研究还发现,箱庭作品不仅反映人的心理状态,而且还在一定程度上反映人的心理特质。     

儿童箱庭作品的基础研究

箱庭满足了儿童心理发展的需要，箱庭疗法对儿童心理临床具有重要意义。本研究选取6～10岁小学儿童共12名，每人制作一个箱庭作品，发现其呈现以下特征：箱庭的主要导人形式为“见证人的言语引导”；平均制作时间半小时以上，制作过程谨慎；玩具移动频繁，为了表达主题，追求美观和表达动态的场景；玩具种类主要为动物和建筑；动沙的次数增多，力度增强；空间使用以“占满”为主，但围绕主题摆放；作品主题明确丰富，包括“生活场景类”、“动物世界类”、“战争场面”和“其他类”；儿童与见证人间的互动是为了询问制作规则，寻求帮助和求得认可。     

箱庭疗法缓解初中生考试焦虑的有效性

以18名考试焦虑初中生为被试,采用等组前后测设计,以考察箱庭疗法缓解考试焦虑的效果,并与放松训练进行比较。结果表明:箱庭疗法与放松训练一样能够有效地缓解初中生的考试焦虑情绪,但其干预效果的保持性要优于放松训练。     

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。     

A Case Study of Solution-Focused Brief Family Therapy

Abstract

Solution-focused brief therapy (SFBT) was developed as a form of family therapy. Recently, these features have blurred. This case study explores how Insoo Kim Berg interacts with multiple family members in SFBT. The results indicate that she used a circular procedure to ensure that all the family members were involved in the process. The analysis demonstrates the importance of purposeful use of language and the influence of systems theory in SFBT. SFBT provides a useful framework that enables a family therapist to work together with families to help them make the changes they want with their own strengths and resources.     

团体箱庭干预大学生学习倦怠的效果

对401名大学生施测《学习倦怠量表》,挑选60名学习倦怠高分者,将其中实验组30名等分为5个团体,分别参加8次、每次2小时的团体箱庭干预,运用等组前后测实验设计,以探讨团体箱庭干预大学生学习倦怠的有效性。结果表明,与控制组相比较,团体箱庭干预组《学习倦怠量表》得分显著降低,其学习倦怠的情绪低落、成就感低两方面得到有效改善,但去个性化行为的改变不明显。