心理治疗领域的本质论与社会建构论

本质论与社会建构论是心理治疗领域中两种对立倾向。本质论坚持了经验实证主义的传统,代表着心理治疗领域中的现代主义取向;这一取向把病理心理作为行为问题的本质,从个体的内部寻找产生病理心理的原因。社会建构论挑战经验实证主义科学观,认为病理心理并非一种“精神实在”,而是一种文化建构。它代表了心理治疗领域的后现代主义取向。作者认为,两种取向的对立短时间内难以消解,在目前的条件下,应开放和宽容,互补互惠。     

希望理论与认知心理治疗的整合

作为传统心理学与积极心理学之间的重要桥梁,希望可以被整合进入认知心理治疗中。咨询实践也证明,将希望理论与先前基于症状减少策略的认知疗法整合,心理治疗不仅可以减少患者的症状,而且能帮助其建立力量感并增加长期的生活满意度。通过界定希望的概念;将希望模型与相关模型进行比较,最后,提出在认知疗法的不同阶段运用希望理论的策略。     

Beliefs About Psychological Services (BAPS): development and psychometric properties

A scale to measure attitudes towards seeking psychological help was developed (Beliefs About Psychological Services [BAPS]) and evaluated. This scale was based on items gathered from students, colleagues, and the authors when asked about common positive and negative attitudes toward psychologists and their services. Items were also based on the Fischer and Turner (1970 Fischer, EH and Turner, JLeB. 1970. Orientations to seeking professional help: Development and research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35: 79–90. [Crossref], [PubMed], [Web of Science ®] [Google Scholar]) Attitudes Toward Seeking Professional Psychological Services (ATSPPH) measure. Three studies are reported describing the construction and evaluation of the psychometric properties of the BAPS. The BAPS is an 18-item measure consisting of three subscales: Intent, Stigma Tolerance, and Expertness. Support was found for the reliability and validity of the measure.     

在心理治疗中审视积极与消极情绪的关系及作用

心理治疗中长期存在两种倾向：力图减少消极情绪、认为这样可以自动增加积极情绪。该文分析并总结了有关积极与消极情绪的关系及作用的实证研究和综述,主要得出三个结论：1）积极与消极情绪有三种关系：负相关、相互独立、部分重合,具体表现出哪种关系要视实际情况而定。2）过多的积极情绪对认知、行为、健康有消极作用。3）适当的消极情绪对认知、行为、健康有积极作用。因此,在进行心理治疗或研究时,应根据实际情况．明确对象并选择正确方法。     

重视终末期肾病患者的心理治疗

心理治疗在终末期肾病(ESRD)治疗中的作用非常重要,不但可缓解患者的心理压力,还可改善患者的生理障碍、减少并发症,因此重视对ESRD患者的心理治疗,可使患者保持良好的生理、心理状态,并能提高患者的生活质量,改善预后。     

‘I don't want to be the mother of a paedophile’: the perspectives of mothers whose adolescent sons with learning disabilities sexually offend

The subject of sexual abuse is a major focus of professional and public concern. Sexual abuse of (and by) people with learning disabilities evokes even greater disquieting emotions, and makes severe demands on the social services, and the criminal justice system. The aims of the project were: 1) to determine whether group psychotherapy produced effective outcomes for adolescent boys with learning disabilities who exhibit sexually abusive behaviour, 2) to explore the perspectives of parents and other care-givers, and 3) to document the nature and extent of service support to families. This paper focuses solely on the mothers' perspectives. This was a three-year project with six boys (under 16) receiving group psychotherapy, using both quantitative and qualitative methods. Clinical measures were used to track changes throughout the course of psychotherapy. Semi-structured interviews (taped and transcribed) were held (separately) with the boys, their parents, paid care-givers and the therapists. The mothers tried hard to make sense of, and come to terms with, what was happening to their sons and to themselves, they struggled to reconcile their own confused and often conflicting emotions, and to maintain their own sense of identity. They felt almost totally unsupported by the services, both in the past and present, and could see little hope for the future. There is an urgent need for development of effective and sympathetic services for the parents of boys with learning disabilities who have been abused, and who are now showing abusive behaviour.     

An individual approach to psychotherapy with psychotic patients

In this paper I attempt to explore particular aspects of the therapeutic process, especially the unusual way in which the therapy of this 11-year-old girl, referred for possible or potential anorexia nervosa, came to a sudden end. The oedipal configuration provides a useful theoretical framework in which to consider the course and vicissitudes of treatment. The restoration of a link between the child and her father allowed a distance to be created between mother and daughter. The meaning of this is considered both in terms of external events and clinically within the transference relationship.     

Ethical Challenges in the Treatment of Individuals With Intellectual Disabilities

The effective provision of psychotherapy services to individuals with intellectual disability requires consideration of ethical issues related to clinical competence, access to services, obligations to multiple parties, guardianship, and appropriate assessment practices. This article provides an overview of major ethical considerations with guidance for clarifying and resolving common ethical concerns. Psychologists are encouraged to expand access to psychotherapy services for this population while maintaining awareness of potential modifications, training needs, and boundaries of professional competence. The authors provide recommendations and resources for effective and ethical treatment of psychotherapy clients with intellectual disabilities.     

Linking Metaphor and Dreams in Clinical Practice

Abstract

This paper is an attempt to weave together selected aspects from the theoretical domains of metaphor and dreams. With respect to dreams, the paper draws on theorists who argue for the continuity hypothesis of dreaming. Of particular interest is the symbolic value that may be placed on the manifest dream. Establishing the significance of the manifest dream is an important step toward linking its imagery with our daytime figurative language in a meaningful way. Further, the notion that dreams symbolically capture our self-state lends support to the idea that there may be thematic correspondence between our dreams and metaphors. This may be most apparent when we compare dominant metaphors with recurring dreams.