抗疫心理援助热线服务的伦理议题

文章提出了抗击新型冠状病毒肺炎疫情心理援助热线服务的相关伦理问题,根据危机心理援助热线的短时、远程、应急、匿名特点,结合心理咨询与心理治疗中常见伦理问题,提出在热线服务中知情同意、专业关系、胜任力三个议题需要注意的方面。     

专业学术组织在抗疫心理援助中的工作范式——以临床心理学注册工作委员会为例

新型冠状病毒肺炎疫情发生以来,各专业组织以及专业人员积极投入到心理援助的工作中。文章探讨和总结了中国心理学会临床心理学注册工作委员会作为专业学术组织在抗疫心理援助中的工作实践,主要包括做好顶层设计,找准抗疫工作定位,搭建组织框架,确立工作模式,整合资源整体性运作,利用专家资源就抗疫心理援助向国家政府建言献策,制定和发布...     

新冠肺炎疫情中的个体叙事分析

新型冠状病毒肺炎疫情引发的公共危机背景下,涌现出大量个体叙事。从叙事学、叙事医学、医学人类学等学科领域的视角出发,对个体叙事特征进行梳理:叙事者身份与被叙维度的多元化,对疫情体验不确定性的回应,叙事命题的情感价值,人性基本需要与现实构成的矛盾等。在特定时代背景下,个体叙事作品的传播增强了医学相关主体之间的关系,同时这些作品彰显的价值观也与医学人文教育的目标相契合。开放、包容,充满反思精神的叙事行为与路径,有助于人们于灾难降临时寻找生命意义,创建身份归属。     

困境与希望：新冠肺炎疫情下的医学叙事

数月以来,新冠肺炎疫情之下的中国医务人员及患者在这场抗疫之战中形成了许多独具特色的医学叙事,其中的文本意义既具有深刻的社会属性,亦具有极强的个人属性。采用参与式观察法,收集、记录自然条件下不同的患者在疫情期间前来医院就诊的疾病故事,共计29个案例,并根据患者就诊中的不同心态将这些案例分为恐慌、无奈和乐观三类,最后尝试以医者的视角,通过三个医务人员的平行病历对疫情之下这三类不同的患者心态进行解读,借此重新审视特殊时代背景之下医者的责任和医学的意义,旨在为后疫情时期的医患关系研究提供一些理论基础和思考空间。     

自我的社会建构观与叙事辅导

叙事辅导以自我在话语中形成的社会建构主义观点为理论基础,认为人类依据故事而生活;强势故事和强势话语塑造着人们的生活;生活是不断超越旧我走向新我的非等同圆运动的过程。叙事辅导通过引导当事人解构旧的生活故事,重写新的生活故事而达到对问题的解决。     

武汉“心心语”心理热线2020年2月4日-2月24日来电趋势分析

目的:通过对2020年2月4日到2月24日武汉市精神卫生中心“心心语”心理热线来电咨询的数据及资料进行分析,总结新型冠状病毒肺炎疫情期间群众的心理变化特点。方法:通过咨询信息登记表收集数据,采用量化方法进行分析。结果:共纳入2653份资料进行分析。来电者中焦虑症状占33.5%,抑郁症状占10.9%;担心被感染的54.3...     

国际心理传记学研究述评

心理传记学是采用心理学的理论和方法来研究非凡人物生命故事的一门学问。文章对百余年来国际心理传记学的发展状况进行了回顾,将其发展分为三个阶段：案例研究阶段、理论探索阶段和学科发展阶段。该学科在传主资料的筛选与处理方法、解释模型等理论研究方面已获得了较丰富的成果,并已形成三个稳定的研究领域。在我国开展心理传记学研究,要避免人物研究的病理化倾向和艺术式的纯质化道路,并加强应用探讨以及着手进行中国杰出心理学家的心理传记研究。     

新型冠状病毒肺炎定点医院医护人员心理状况调查分析

为了解定点收治新型冠状病毒肺炎患者的医院中医护人员心理状况,从而针对性地进行心理护理,采用便利抽样法,应用《医护人员心理健康调查表》对3所定点收治新型冠状病毒肺炎患者的医院中1 266名医护人员进行问卷调查。结果显示,定点医院医护人员中,27.5%存在抑郁,26.3%存在焦虑,26.0%存在孤独。女性、已婚、传染科、发热门诊、监护室相比男性、未婚、普通门诊更容易抑郁;传染科、监护室相比普通门诊更容易焦虑。因此,医院应加强对这类群体的心理疏导和人文关怀,以减轻心理压力,提高工作效率。     

新冠肺炎疫情下积极社会心理的建设与培育

以新型冠状病毒肺炎（coronavirus disease 2019,COVID-19）为背景,总结归纳出此次疫情下各类人群个体心理反应的特点。COVID-19疫情事件对个体的心理影响因素较多,为深入了解,应从个体心理应激的角度、群体心理对个体的影响以及个体心理与群体心理交互作用等多个层次进行分析。针对疫情下个体和社会心理的特点,积极社会心理培育应从重视全民心理健康教育、注重舆论引导、发挥文化的软实力作用及构建社会心理的舆情数据库等方面开展工作。     

生命健康视野下的叙事闭锁

从弗里曼的叙事闭锁理论出发,将“叙事闭锁”重新定义为“将自己禁锢在停滞的故事空间里,无法吸纳推动叙事进程向前发展的生命状态”,并将其进一步分为职业型、创伤型、疑虑型和老年型四种类型。叙事闭锁不仅在老年人群中高发,在其他年龄阶段人群中也不少见,以至于人生故事提前进入结束状态或者处于无法更新的停滞状态。对叙事闭锁者开展叙事介入可以帮助他们提升叙事素养,重启再次体验和阐释人生的按钮,赋予他们由内而外突破闭锁的能量。当人处于一种叙事稳定性和叙事开放性的平衡状态之中时,主体经历的就是一种健康和谐的生命进程。     

新冠肺炎疫情期间心理热线服务的相关问题思考

通过系统分析心理咨询和心理热线服务的相关研究,探讨新冠肺炎疫情期间开展心理热线服务的优势与伦理问题。心理热线服务与传统的面对面咨询方式相比,具有受众范围广、保密性强、容易获得、来访者在咨询过程中注意力和控制感更强以及安全性更高等优势。疫情期间开展的心理热线服务的相关问题,主要包括四个方面:心理热线咨询师的资质认证;心理热线中的知情同意;心理热线的保密问题;心理热线的适用性。只有遵守伦理守则,才能更好地通过心理热线服务帮助他人。     

Associations between COVID-19-related disruptions and psychological adjustment in a sample of young adults

We examined the relations between disruptions experienced by young adults in the US during the COVID-19 pandemic and their psychological adjustment. An online sample (N = 180, M_age = 24.8) reported on the impact of the pandemic on their living arrangements, work status, and finances; their psychological adjustment overall and with specific reference to the pandemic; and whether they lived alone and, if living with others, there were children in the home. Results indicated a moderate association between financial strain and poor overall adjustment and a small association between job-related problems and sleep disruption. Women experienced negative effects of pandemic-related disruptions on their adjustment. Men were particularly vulnerable to the negative effects of financial strain. The results show the negative psychological effects of disruptions brought about by the COVID-19 pandemic on young adults' mental health.     

COVID-19 Vaccination Acceptance: A Case of Interplay Between Political and Health Dimensions

Vaccines are essential for the eradication of diseases. Yet for many reasons, individuals do not embrace them completely. In the COVID-19 pandemic and with the possibility of the Brazilian population's immunization against the disease, both political and health-related dimensions might have had a role in individual COVID-19 vaccination acceptance. In two studies (n = 974), we tested the hypothesis that participants' vaccination acceptance is related to their past vote in the 2018 Brazilian presidential election (being or not being a Jair Bolsonaro voter) and their different levels of perceived vulnerability to disease (PVD). We further tested whether Bolsonaro's opposition or ambiguous messages towards vaccination (vs. control) increased vaccination rejection among those who have (vs. have not) voted for him and who are low (vs. high) in PVD. Results show that Bolsonaro (vs. non-Bolsonaro) voters accepted less vaccination, with higher rejection rates when participants expressed low (vs. high) PVD. Also, when primed either with Bolsonaro's opposed or ambiguous messages towards COVID-19 vaccination, such participants accepted less vaccines (vs. participants primed with neutral information). These findings are the first to show that the COVID-19 vaccine acceptance is related to their past vote and leadership influence but also different levels of perceived vulnerability to disease.     

新冠疫情对安宁疗护工作的影响及应对策略

通过对新冠疫情期间安宁疗护实践经验的总结和国内外相关文献的研究,分析和梳理新冠疫情对临终患者和家属身心健康的影响,及新冠疫情期间安宁疗护团队工作模式发生的转变和团队成员面临的身心压力,并对此背景下安宁疗护实施过程中涉及的伦理问题进行思考,总结安宁疗护团队在疫情期间采取的临床应对策略及在生理支持、心理支持、人文关怀和哀伤辅导等方面发挥的作用,强调了在我国普及安宁疗护的重要性和必要性,为今后安宁疗护的发展提供参考。     

The Short-Term Psychological Impact of the COVID-19 Pandemic in Psychiatric Patients: Evidence for Differential Emotion and Symptom Trajectories in Belgium

The spread of COVID-19 and the implementation of various containment strategies across the world have seriously disrupted people’s everyday life, and it is especially uncertain what the psychological impact of this pandemic will be for vulnerable individuals, such as psychiatric (ex-)patients. Governments fear that this virus outbreak may prelude a major mental health crisis, and psychiatrists launch critical calls to flatten an upcoming mental ill-health surge. Here, we aim to add nuance to the idea that we are heading towards a mental health pandemic and that psychiatric populations will unavoidably (re)develop psychopathology. Despite being subjected to the same challenges posed by COVID-19, we argue that people with a history of psychiatric illness will psychologically deal with this adversity in different ways. To showcase the short-term differential impact of COVID-19 on patients’ mental health, we present the day-to-day emotion and symptom trajectories of different psychiatric patients that took part in an experience sampling study before, during, and after the start of the first wave of the COVID-19 pandemic in March 2020 and associated lockdown measures in Belgium. Piecewise regression models show that not all patients’ psychological well-being is affected to a similar degree. As such, we argue that emphasizing human resilience, also among the more vulnerable in society, may be opportune in these unsettling times.     

Cognitive Processing Therapy With an Older Woman Veteran During COVID-19: A Case Study

With advances in technology, telehealth has become an acceptable way of conducting psychotherapy. During the COVID-19 pandemic, telehealth and ways to modify treatments for delivery via telehealth have become increasingly important. Researchers and clinicians have issued recommendations on providing telehealth-based care in response to the COVID-19 global pandemic. However, recommendations are limited for audio only telephone-based care, which may be the only option for specific clients. This is a case study of an older adult who completed Cognitive Processing Therapy (CPT) for military sexual trauma. Halfway through her treatment, COVID-19 resulted in transitioning from in-person services to a virtual format. Client X did not have video capabilities aside from her cell phone, and it was determined she would complete treatment via telephone-based sessions. Client X’s outcome data is presented, and the reductions in her PTSD and depressive symptoms provide preliminary support suggesting that telephone-based care may be an acceptable method of receiving CPT. Recommendations for telephone-based CPT are provided.     

新冠肺炎疫情影响下的死亡心理质性探究

在新型冠状病毒威胁下,人们不得不思考一些终极的存在问题,比如生命与死亡。本研究采用扎根理论,探索新冠肺炎疫情影响下人们面对死亡威胁时的心理机制。抽取18名成年被试进行深入访谈,对资料依次进行开放式编码、主轴编码和选择性编码。结果发现,随着时间发展死亡心理分为疫情前的平静期,疫情爆发后的死亡威胁期以及应对期。从物理现实、社会现实和精神现实层面,死亡威胁带给人们的影响有控制感丧失、关系断裂以及意义危机三个方面,应对策略为控制感应对、关系应对及意义应对。