心理咨询与治疗中的领悟

不管哪种心理咨询和治疗流派,其最终目的都是促进来访者领悟,而领悟能不能出现,是治疗成功与否的咨询师应该为了领悟的出现,作好充分的准备,促进领悟的出现,巩固领悟的成果,取得心理治疗的圆满成功.     

工作同盟和领悟对咨询效果的影响

为了解短程咨询中工作同盟和领悟对咨询效果的影响,以12个个案94次会谈为对象,考察工作同盟、领悟分别与会谈效果、治疗效果的关系,并考察二者共同作用于效果的方式。结果表明,咨访双方评定的工作同盟都可以正向预测会谈效果,但不能预测治疗效果;领悟与会谈有效性正相关,领悟正向预测治疗效果;咨询师评定的同盟的三个维度以领悟为中介影响其对会谈效果的评价。     

领悟社会支持、应对效能和压力性生活事件对青少年学业成就的影响机制

为揭示领悟社会支持与青少年学业成就的关系,以及应对效能的中介效应和压力性生活事件的调节效应,采用领悟社会支持问卷、应对效能问卷、压力性生活事件量表和学业成就问卷对1687名青少年进行研究。结果显示：（1）领悟社会支持能够促进青少年的学业成就;（2）应对效能对领悟社会支持与学业成就的关系具有中介效应;（3）压力性生活事件能够调节应对效能的中介作用。因此,领悟社会支持对学业成就的影响是有调节的中介效应。     

强迫思维服刑人员的认识领悟疗法咨询个案报告

目的:初步探索认识领悟疗法在监内治疗强迫思维服刑人员的效果。方法:1例强迫思维服刑人员在监内接受连续5周,每周一次的认识领悟疗法治疗。采用SAS、SDS、耶鲁—布朗强迫症量表(Y-BOCS)对在干预前、干预后分别实施测评,并收集来访者、他人和治疗师的随访评价。结果:个案经认识领悟疗法治疗后三月随访,焦虑、抑郁水平下降,Y-BOCS减分率达58%,痊愈。结论:认识领悟疗法在监内治疗强迫思维服刑人员存在一定的效果,但未来仍需更多的实证研究来证实。     

当事人对领悟的看法：质化分析

为了从当事人的视角理解领悟, 采用协商一致的质化研究方法对15位当事人的访谈结果进行分析。结果发现7个与领悟有关的域：领悟的内容, 领悟的效果, 影响领悟产生的因素, 评估领悟质量的依据, 领悟出现时的反应, 领悟的来源和阻碍领悟发挥作用的因素。形成了领悟的概念界定：领悟是对自己和他人(主要是自己)的新认识, 对自己的认识内容包括, 自己的问题模式, 心理困扰或问题模式的原因、影响和解决办法, 以及自己内在的心理状态。     

心理咨询中的“领悟”概念辨析

心理咨询理论和对咨询会谈中重要事件的研究都肯定了领悟在咨询中的重要地位。主流理论取向对领悟的理解并不完全一致,在领悟的概念、领悟的内容、领悟的方式上都存在一些差异,但新联结的建立是公认的领悟的实质。对领悟的分类和实证研究中对领悟的操作性定义,有助于更清晰准确地把握领悟的概念。对心理咨询中的领悟还没有一个非常准确的界定,文中尝试性地定义为:当事人在治疗师的辅助下采取各种方式,对自己和自己的世界形成新的觉知,表现为在个人意义系统中建立新的联结。     

电影疗法的作用机制、干预流程及案例述评

电影疗法是近二十年来兴起的一种心理咨询模式,它是一个系统的干预或援助过程,是在良好的治疗关系的基础之上以影视或影视片段作为治疗媒介,结合其他有效的治疗技术,对来访者在观看影片过程中或之后所产生的内心体验以及治疗过程中所产生的动力关系进行分析、解读,促进来访者自我领悟或习得问题处理技能,从而达到治疗目的的一种治疗方法。文章从以往研究对电影疗法的定义、作用机制、治疗阶段等方面回顾了电影疗法的发展,并概述电影疗法的干预模型,述评经典案例,最后提出了对未来研究的展望。     

心理咨询中领悟质量的评定依据——当事人和咨询师的视角

为获得当事人和咨询师对心理咨询中领悟质量的评定依据,采用协商一致的质性研究方法分别对13位当事人和15位咨询师的访谈材料进行分析。结果：当事人的评定依据包括影响力和特性;而咨询师的评定依据包括影响力、特性、类型、产生方式以及当事人对领悟的接纳程度。结论：领悟的影响力和领悟的特性是评定领悟质量的重要依据。     

心理咨询中领悟质量的评定依据——当事人和咨询师的视角

为获得当事人和咨询师对心理咨询中领悟质量的评定依据,采用协商一致的质性研究方法分别对13位当事人和15位咨询师的访谈材料进行分析。结果：当事人的评定依据包括影响力和特性;而咨询师的评定依据包括影响力、特性、类型、产生方式以及当事人对领悟的接纳程度。结论：领悟的影响力和领悟的特性是评定领悟质量的重要依据。     

音乐心理治疗问题

一、音乐心理治疗的一般概念科学家很早就注意到音乐对人体能产生明显的生理心理作用。所谓音乐心理治疗,就是有意识地、主动地运用音乐的力量和手段,治疗疾病,减轻病人的痛苦,促进治疗效果。它主要治疗功能性障碍,身心(生理、心理)和大脑障碍,神经官能症,精神病和病态癖好等疾病。接受音乐心理治疗的病人按年龄分组,治疗方法主要有感受式和主动式两种。听音乐是感受式治疗的重点,使病患者心理上产生自我调节的作用,或让病人去领悟音乐所产生的各种反应等。主动式疗法是让病人创造性地参与音乐活动,即让病人单独或集体同治疗人员     

Depending on My Mood: Mood-Driven Influences on Text Comprehension

Reading comprehension is a critical component of success in educational settings. To date, research on text processing in educational and cognitive psychological domains has focused predominantly on cognitive influences on comprehension, and in particular, those influences that might be derived from particular tasks or strategies. However, there is growing interest in documenting the influences of emotional factors on the processes and products of text comprehension, because these factors are less likely to be associated with explicit reading strategies. The present study examines this issue by evaluating the degree to which mood can influence readers' processing of text. Participants in control, happy-induced, or sad-induced groups thought aloud while reading expository texts. Happy, sad, and neutral moods influenced the degree to which readers engaged in particular types of coherence-building processes in the service of comprehension. Although reading strategies clearly influence processing, understudied factors that are less explicitly goal-driven, such as mood, can similarly impact comprehension activity. These findings have important implications for the role of mood on reading instruction and evaluation.     

眼动分析技术在句子理解研究中的应用*

句子理解是阅读研究中的一个重要部分。研究者采用了不同的手段和任务对这一问题进行了长期的研究,其中,眼动分析技术是一种行之有效的手段。本文从句子理解的三个阶段(视觉信息的提取,句子中的词汇识别和句子整合),探讨了眼动分析技术在句子理解研究中的优势作用。在此基础之上,提出了未来使用眼动分析技术进行句子理解研究需要注意的几个问题。     

人文关怀在消除IVF—ET患者心理压力中的作用

近年我国不少生殖医学中心在如何提高体外受精一胚胎移植（IVF—ET）治疗成功率问题上,都将注意力集中在临床用药的研究、控制性超促排卵方案的改进以及实验室条件的改善上,大多忽视IVF—ET患者心理方面的治疗。有研究表明：IVF—ET治疗的成功,不仅与患者自身的病理及生理状况有关,更与患者在治疗过程中产生的心理压力有关。因此,建议医护人员在给不孕症患者实施IVF-ET助孕治疗的全过程中,应给予患者更多人文关怀,这样不仅能够减少IVF—ET患者心理健康问题的发生,而且可以改善患者的身心状态和应对治疗能力,从而提高IVF—ET治疗成功率。     

Does severity predict distress? The relationship between subjective and objective measures of appearance and psychological adjustment,during treatment for facial lipoatrophy

The intuitive or lay belief that the severity of a disfiguring condition predicts psychological distress is not demonstrated in clinical practice, nor in research studies. This within group study used standardised measures repeated at six month intervals, to investigate the relationship between subjective and objective measures of appearance and psychological adjustment in 51 patients undergoing treatment for facial lipoatrophy using a synthetic filler, Newfill^®. Results demonstrate a dissociation between objective and subjective measures with only subjective assessment predicting psychological outcomes. It is recommended that Moss's (2005) hypothesis of discrete group membership (normal/not normal) should be adapted to include an internal standard for comparison, and that all evaluations of treatment modifying disfigurement should include a standardised subjective measure of appearance.     

心理隐喻的变迁与心理治疗模式的转换

心理治疗模式的转换始终伴随着心理隐喻的变迁,每一种心理治疗模式都蕴涵着一个独特的心理隐喻,支撑着研究领域的共同理解。揭示这些治疗模式内蕴的心理隐喻,梳理心理隐喻的变迁轨迹,有助于我们更好地理解心理治疗模式的转换规律,展望心理治疗的发展前景。     

Psychology in the public sector: addressing the psychological effects of combat in the U.S. Navy

The response of military psychology in times of war or other great public crises may presage the success of the profession in less perilous times. The ability of public-sector psychologists to provide assistance and improve the common welfare during conflict or turmoil is generally followed by an increased demand for psychological services. This likely reflects the success of the psychological response during those crises, and it underscores the fact that psychological consequences of war or disaster require both immediate clinical attention and long-term policy development. The U.S. Navy serves as a model for public-sector psychological service provision. A brief history of Navy psychology is provided, followed by an examination of how Navy psychologists are responding to the issues raised by the current conflict in the Middle East and the problems associated with stigma in the treatment of posttraumatic stress disorder.     

Development of comprehension of sentences with “because” or “if”

The comprehension of sentences with “because” or “if” was investigated in children aged 2;9–11;11. Imitation, comprehension (choosing one of two picture sequences to go with a sentence), recognition (judging sentences with connective or structure differences as heard before or not), and synonymy (judging equivalence of meaning in sentences with different connectives or structures) tasks were administered, along with logical ordering, reversibility, and classification tasks. Above-chance responding in the comprehension task occurred by age 8, and in recognition and synonymy by age 10. Cognitive performance predicted 28.4% of the variance in the linguistic scores and cognitive success was concurrent with or preceded linguistic success. Comprehension of “because” and “if” appears to develop gradually, and is related to the development of certain operative rules.     

FOURTH GRADERS' PERFORMANCE ON A STATE-MANDATED ASSESSMENT INVOLVING TWO DIFFERENT MEASURES OF READING COMPREHENSION

This study examined fourth graders' performance on two reading comprehension measures, involving a question-answering format and a cloze format, which were part of a state-mandated assessment. Word-level reading skills and oral language comprehension were important to success on both formats, but word accuracy had a stronger relationship to the cloze than to the question-answering measure. Language comprehension related strongly to both formats. The cognitive profiles associated with poor reading comprehension varied, but most often involved a specific difficulty in accuracy of pseudoword decoding. The results suggest that test format should be considered in interpreting reading comprehension performance and underscore the need to assess specific component abilities in reading.     

Text Comprehension Training for Disabled Readers: An Evaluation of Reciprocal Teaching and Text Analysis Training Programs

Forty-six reading disabled adolescents were randomly assigned to one of three 25-hr instructional programs. Two programs provided training in expository text comprehension, and a third offered training in academic problem solving and organizational and study skills (an alternative treatment control). One reading comprehension program was designed to remediate a deficient knowledge base, forcing disabled readers to elaborate and further process new text knowledge, focusing on both specific informational content in a text and knowledge of text structure per se. The second program was patterned after the Palincsar and Brown (1984) reciprocal teaching techniques and focused on training four text comprehension strategies used by skilled comprehenders. Both the “knowledge-base” and the “strategy” training approaches were associated with significant improvement in disabled readers' comprehension skills, although training effects did not generalize across all aspects of reading comprehension performance. Strategy-trained readers applied the trained strategies with equal success on instructed and uninstructed text materials, providing strong evidence of transfer of learning. Knowledge-base readers also demonstrated successful transfer of specifically trained procedures (semantic mapping, text analysis) to unfamiliar text. In both programs, the best outcomes were obtained when specific strategies and operations were targeted for training.