绘画疗法——心理治疗的艺术途径

绘画疗法是以绘画作为治疗师和患者间的中介物来进行治疗的。目前,我国关于这一心理治疗方法的研究和应用都比较少。本文简单介绍了绘画疗法的理论基础、作用机理、实际操作、应用现状及疗效,并初步提出绘画疗法以后的研究方向。     

Satir's Therapeutically Oriented Educational Process: A Critical Appreciation

Virginia Satir, one of the most influential of the early family therapists, reached millions of people throughout the world through her writings, videotapes, workshops, and personal appearances. Yet the Satir model has never been fully accepted by the mainstream of the family therapy movement. This article introduces Satir and her work, and outlines the conceptual foundations of the model, organized in terms of presuppositions, basic constructs, therapeutic process, and methods, and offers some reasons for this lack of acceptance. The relation of theory to method and practice is the least developed aspect of the Satir model.     

Envy and Generosity Between Co-Therapists

This paper explores the dynamics of envy and generosity between co-therapists. Generally speaking, co-therapists can be drawn into the same social comparisons (overt and covert), competitiveness, and envy as their group members. The list of valued resources can include the group's affection, appreciation, and recognition, or, more generally, one's status, popularity, creativity, sensitivity, understanding, or parental functioning. The group in turn, will sometimes tend to divide the therapists into the good one and the bad one in order to serve its own developmental needs. This process can increase the tension between the therapists, and feed their envy. I present an argument for processing those feelings and assert that awareness of co-therapist envy can promote the expression of generosity and enhance the capacity of group members for similar experiences. Clinical material will be presented to demonstrate how this works.     

多元文化的心理咨询与治疗理论刍议

随着西方社会人口比例的改变,以及后现代文化思潮的冲击,西方传统心理咨询与治疗理论的局限性日益凸显。多元文化的咨询与治疗理论(MCT理论)就是在这种条件下产生的,它试图弥补传统咨询与治疗理论忽视文化因素的不足。MCT理论认为,应修正传统理论中的文化偏见,在咨询过程中增强文化敏感性。     

Collaboration,meaning‐making and therapy: What practitioners can learn from recent developments in qualitative research

Recent developments in qualitative research provide a rich resource of ideas and insights for counsellors and psychotherapists interested in postmodern approaches to theory and practice. The second edition of the landmark Handbook of Qualitative Research (Denzin and Lincoln, 2000) is discussed in terms of its potential value for therapists.     

Is how it is said important? The association between quality of therapist interventions and client processing

This study examined the association between the quality of therapist interventions and client in‐session processing using the York Therapist Process Measure (YTPM; Toukmanian and Armstrong, 1998). The instrument's three dimensions — attunement, tentativeness and meaning exploration — were tested separately for their impact on clients' manner of processing and depth of experiencing. For each of the 20 mild‐moderately depressed clients, treated in short‐term experiential therapy, a high and a low client‐process segment was isolated from a session that was judged by an experienced therapist to manifest the greatest amount of “good therapy moments”. Therapist interventions within these segments were then rated on the YTPM. Results revealed significant differences in the quality of therapist interventions between high and low segments. Attunement and tentativeness were associated significantly with greater complexity in manner of processing, and meaning exploration with greater depth in experiencing. The implications of these findings for psychotherapy research and practice are discussed.     

Cognitive behavior therapy in treatment-naive children and adolescents with obsessive-compulsive disorder: an open trial

This work aims is to evaluate the therapeutic efficacy of cognitive behavior therapy (CBT) in pediatric patients with obsessive-compulsive disorder (OCD) who had not previously been treated with either pharmacotherapy or psychotherapy and who remained medication-free during CBT. Sixteen OCD outpatients, 8-17 years of age, were treated in a 12-week open trial with manualized CBT. Target symptoms were rated at two-week intervals with the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), the National Institute of Mental Health Global Obsessive-Compulsive Scale (NIMH Global), the Clinical Global Impression Scale (CGI), and the Hamilton Anxiety Rating Scale (Ham-A). Statistical analyses showed a significant benefit for treatment. Ten patients experienced at least a 50% reduction in symptoms on the CY-BOCS; seven were asymptomatic on the NIMH Global. These results build on previous reports that CBT may be effective in the acute treatment of pediatric OCD. Further, the results of this study suggest that CBT can be efficacious in alleviating OCD symptoms in the absence of pharmacotherapy. These results must be considered preliminary, given the small sample size and open administration of treatment.     

Cross-Border Family Therapy: An Innovative Approach to Working with Latina Refugee Women in Therapy

In the era of transnationalism, family therapists working with immigrant women are provided with the space to be innovative in their search for alternatives to Eurocentric approaches. Doing so can help therapists to best serve working-class immigrants and refugees who arrive in North America to escape violence and poverty. The case presented in this article highlights the cross-border interconnectedness between a Salvadoran refugee woman in Canada and other people in her life. The woman's sources of resilience were her emotional and spiritual connections with her extended family and community members who lived in her country of origin and in the United States. Implications for practice are presented last.     

Cognitive–Behavioral-Interpersonal Scenarios: Interformulator Reliability and Convergent Validity

Although a clinical case formulation can help focus treatment, little is known about the reliability and convergent validity of independently generated, cognitive–behavioral or cognitive–interpersonal formulations. Using videotapes of a semi-structured interview, pairs of clinicians independently formulated 2–3 cognitive–behavioral–interpersonal scenarios (CBISs) on each of 4 women with mood or comorbid mood and anxiety disorders. Ten licensed psychologists then rated each CBIS on 15 dimensions involving cognition, affect, symptoms, and interpersonal functioning. Reliability of the mean ratings (aggregated over the 10 raters) was >.83 for all dimensions. The set of CBISs formulated by a clinician for a patient generally demonstrated good convergent (same patient/different formulator) and discriminant (different patient/same or different formulator) validity on three factor-analytically derived general dimensions of depression, anxiety, and interpersonal functioning. Within each of three patients, pairs of formulators generally agreed on the situational components of the CBISs and demonstrated adequate to very good convergent validity of corresponding CBIS content. These results contribute to accumulating evidence for the reliability and validity of clinical scenarios as an idiographic, situation-level case formulation. Such formulations can help identify multiple cognitive, behavioral, or interpersonal intervention points in the causal chain leading to distress or dysfunction.