心理治疗的循证实践与循效施治

循证实践与循效施治是当前国外心理治疗的两种相互补充的模式,二者在理论假设、获取证据的来源、操作流程等方面存在着明显不同。从影响来看,循证实践的影响力超过了循效施治,它被美国提升推广为一种心理学运动,它的倡导昭示着目前临床心理治疗的一个关键性改革。然而,在心理治疗中要真正实施循证实践存在着很多困难和挑战,循效施治是解决这些困难和问题的方法之一。我国心理治疗的专业化水平不高,藉美国心理治疗循证实践提供的理念和方法去思考中国心理治疗的问题,我们亦可获得有益于中国心理治疗发展的思路。     

In The Theater of Confusion: Mourning and Its Consequences for a Four-Year-Old Child

Abstract

Hyrck M. Inner Objects and the Christian Images of God. Int Forum Psychoanal 1997;6:41-43. Stockholm, ISSN 0803-706X.

Religion can be viewed very differently by different individuals. For some people it forms the basis of emotional safety while others regard it as the main obstacle to true humanity. One reason for this wide variance of opinion lies in the different ways that God can be perceived even within the same religious tradition. He can, for example, appear as a cosmic sadist torturing men eternally or as the vicariously suffering Christ sharing and containing the evils of mankins.

These and other images of God are analyzed by a systematic psychoanalytic instrument constructed upon the object relations theory. It describes five inner objects created by different partial drives or aspects of these drives. The inner objects are regarded as unconscious phantasies in the Kleinian sense. Five corresponding analoguous emotional images of God are abstracted from the Christian tradition.     

Comparing competencies of a psychotherapist with those of a psychologist specialising in psychotherapy

This paper contributes to a recent call for dialogue between the different professional groups representing psychotherapy in Europe. At present, two core psychotherapy groups exist in Europe, namely the EAP, representing psychotherapy, and EFPA, representing psychologists specialising in psychotherapy. This article compares and contrasts two competency frameworks representative of these bodies, which capture the skills, knowledge, reasoning and values of the respective professions. The shared and divergent competencies are identified and discussed, followed by suggestions for potential changes in future European competency frameworks. By doing this, we not only respond to the recent call for dialogue but also promote collaboration and discussion between the professional groups representing psychotherapeutic practice both in Europe and beyond.     

Towards trans-cultural histories of psychotherapies

Abstract

Psychotherapy is a regulated form of verbal interaction, which necessarily incorporates broader shared cultural assumptions and narrative templates. Like any form of verbal interaction, it is fluid, adaptable and malleable, particularly when it enters new cultural domains. The increasing global penetration of psychotherapeutic techniques calls for an analysis of the changes, modifications, and innovations of its techniques and accompanying theories. This will eventually allow scholars to view European and North American forms of psychotherapy as variations tied to specific locations and cultures. Tracing the trans-national and trans-cultural dissemination of psychotherapeutic theories and techniques allows historians to chart their inherent variability, test limits, and analyse the broader social and political uses of psychotherapy within different national and cultural contexts. In addition to investigating psychotherapy in its various manifestations, historians should continue to inquire about its personal, social and political uses.     

Positive evidence for neonatal imitation: A general response,adaptive engagement

The study employed four gestural models using frame‐by‐frame microanalytic methods, and followed how the behaviours unfolded over time. Forty‐two human newborns (0–3 days) were examined for their imitation of tongue protrusion, ‘head tilt with looking up’, three‐finger and two‐finger gestures. The results showed that all three gesture groups were imitated. Results of the temporal analyses revealed an early and a later, second stage of responses. Later responses were characterized by a suppression of similar, but non‐matching movements. Perinatal imitation is not a phenomenon served by a single underlying mechanism; it has at least two different stages. An early phase is followed by voluntary matching behaviour by the neonatal infant.     

Psychotherapy: Definitions, Mechanisms of Action, and Relationship to Etiological Models

In this paper, we define psychotherapy as a modality of treatment in which the therapist and patient(s) work together to ameliorate psychopathologic conditions and functional impairment through focus on the therapeutic relationship; the patient's attitudes, thoughts, affect, and behavior; and social context and development. The possible mechanisms of action and active ingredients of psychotherapy in children and adolescents are discussed, with an emphasis on the above-noted domains. The adult psychotherapy literature strongly supports the central roles of the therapeutic relationship and therapeutic empathy; this has been much less intensively explored in the child and adolescent psychotherapy literature. Similarly, there have been few studies examining the mediation of treatment effects by impact on specific domains. Ideally, treatment studies should gather data that can be informative about the impact of putative mediating and moderating psychosocial and biological variables on outcome and course. The results of such studies can aid further refinements in both theories of etiology and improvement in treatments for children and adolescents.     

心理治疗之道：用中国道家太极理论统合现代心理治疗流派

本文指出现代心理治疗学的核心是阴阳转变,心理治疗的基本策略是顺势策略（阴阳顺时针转变）和逆势策略（阴阳逆时针转变）,现代心理治疗流派的整体结构是一个太极阴阳结构。本文同时指出太极阴阳理论不但能统合现代心理治疗学,同时解决了现代心理治疗学在处理生理问题时的无能,因为太极阴阳理论在中医上的丰硕成果足以提供现代心理治疗学解决生理问题的丰富资讯．     

Période périnatale et Rorschach : normes,indicateurs, mentalisation et perspectives théorico-cliniques

ObjectiveThe perinatal period is a maturation phase characterised by the appearance of a radical psychological and identity crisis, little studied by projective methods, in particular the Rorschach inkblot test. The objective of this article is to offer a list of Rorschach norms and indicators adapted to the perinatal population. This is to comprehend the psychological modifications occurring during pregnancy.Materials and methodThe projective Rorschach inkblot test was presented to a representative sample of 54 pregnant primiparous French women. Based on the scoring and analysis methods of the Parisian School, the quantitative norms from the analysis of the psychogram, the chosen cards, and the mentalization indicators were compared to those of the general population.ResultsWith the exception of F +% and H%, all the normative data for the perinatal population are significantly different from those related to the general population (p .005). On a qualitative level, the interpretation of the data highlights the presence of major inhibition mechanisms, associated with a preconscious functioning stasis.ConclusionThe normative data in Rorschach of the perinatal population should be specifically used for the study and psychological support devoted to this population. It also allows a better understanding of the feminine psychologic modifications during pregnancy.