辩证行为疗法治疗边缘人格障碍案例分析

辩证行为疗法（dialectical behavior therapy,DBT）是在传统认知行为疗法基础上发展而来的一种新型认知行为心理治疗方法,由美国华盛顿州立大学教授玛莎·莱恩汉（Mar-sha M Linehan）博士于20世纪90年代初创立,它以辩证法的基本原则为理论基础,强调病患与治疗师之间,理性与感性之间,接受与改变之间的辩证训练和策略的应用。该疗法的治疗策略主要包括辩证法策略、合理化认同策略和啦啦队鼓励策略等,辩证法的策略贯穿于整个治疗过程。文章以一边缘人格障碍患者为例,具体说明辩证行为治疗策略的应用。     

Writing Effectively as Counseling Center Directors and Administrators: Lessons Learned From a 2-Minute Speech

Administrative writing is a crucial skill needed for the counseling center professional to be able to transmit knowledge and values for the rest of the campus community. This article highlights both conceptual and technical aspects of effective writing.     

Psychotherapy Services Provided by a College Counseling Center

Abstract

This study compared the delivery of psychological services at a university counseling center after an interval of almost 40 years in a partial replication of an earlier study at the same center. The results indicate that the changes that have occurred in service delivery reflect more the transitions in the culture of the university than trends in mental health treatment.     

The Dose-Response Relationship at a College Counseling Center

Abstract

Most college counseling centers have adopted session limits for their psychotherapy clients though little evidence exists to support such cutoff points. In the past eight years, a few studies have been published using survival analysis statistics for investigating the speed of recovery in psychotherapy. The outcome of clients at a university counseling center was studied to assess change across time, on a session-by-session basis. The analysis of these data showed that 14 sessions of psychotherapy were required for 51% of clients to meet criteria for clinically significant change. Results were interpreted as suggesting that limiting psychotherapy at college counseling centers may result in improvements that are not clinically meaningful for the majority of clients receiving services.     

College Psychotherapy at a Qatari/American Counseling Center

Abstract

The current study assessed how previous experience with therapy impacted college students' perception of a clinician displaying symptoms of burnout. One hundred forty-seven undergraduate students viewed a videotaped therapy vignette depicting segments of three consecutive psychotherapy sessions. The therapist displayed symptoms of burnout (e.g., fatigue, clock watching) in one of the sessions. Participants rated the therapist on the following variables: liking, competence, level of concern, dedication to the field, and whether the client should continue to be treated by that therapist. As predicted, participants who indicated that they had been in therapy in the past rated the therapist significantly lower on four of these dimensions compared with subjects who had no prior experience in therapy. The results suggest that students who have previously been in therapy are more critical of a fatigued and distracted therapist.     

A Multi-Institution Look at College Students Seeking Counseling: Nature and Severity of Concerns

This study provides information about students seeking counseling (N = 3,844) at 9 institutions of higher education. The K-PIRS, an empirically validated measure, was used to assess 7 problem areas (mood difficulties, learning problems, food concerns, interpersonal conflicts, career uncertainties, self-harm indicators, and addiction issues). Forty-two percent of students presented with multiple problems, and most reported that their concerns interfered with their academic (87%) and social (90%) functioning. A majority of students (61%) were in a stage of contemplation when seeking counseling. Only 24% were in a stage of action. There were small differences in problem scores by participants' gender, ethnicity, year in school, type of residence, work status, previous treatment, and use of psychiatric medication. Implications are discussed for counseling practitioners working with college students.     

Psychiatry Resident Rotations in University and College Counseling Centers: A Pilot Study of Rotation Types and Challenges

With an increased demand for mental health services, perceived increased severity of students presenting for services, and increased number of students prescribed psychotropic medications, university and college counseling center directors have had to increasingly identify psychiatric service options. Psychiatry residents can potentially help fill these needs. To better understand the role of psychiatry residents in university and college counseling programs, we conducted a web-based survey of United States psychiatry residency program directors. This study describes clinical activities and rotation characteristics of psychiatric residents working in counseling centers. Of the 48 residency programs that responded, 27 provide rotations at university or college counseling centers, and of those with rotations, 100% report that the residents rate these as very good or excellent. Expanding psychiatry residency rotations at college counseling centers may be mutually beneficial both to the centers and to psychiatric residents.     

Assessment and Treatment of Patients with Borderline Personality Disorder in the College and University Population

The assessment and treatment of students with borderline personality traits or disorders poses specific challenges for clinicians at college and university mental health centers complicated, frequently, by a model of brief treatment frameworks and high patient volumes. Students with borderline pathology will be well represented in student health centers and will likely generate unusually complex and concerning situations for clinicians and administrators. Accurate diagnosis of borderline pathology, avoidance of iatrogenic complications related to misdiagnosis, and referral to informed and evidence-based interventions can guide clinicians’ management. Risk management concerns are best addressed by a clear and realistic understanding of the borderline pathology. The author proposes a variety of interventions for college and university mental health clinicians with the goal of accurate diagnosis of borderline personality, management focusing on safety for both students and clinicians, and targeted referrals for both borderline symptomatology and co-occurring conditions.     

叙事心理辅导中的舞蹈治疗

舞蹈能够通过身体语言表达人们内心深处的情感,并由此处理个人心理困扰而成为心理治疗与辅导的方式。舞蹈治疗在现代舞蹈的基础上发展而来。其基本原理包括了身心相互影响,内在冲突外化,经验重构,关系协调。舞蹈治疗的方法在于身体与心智并重、语言与非语言兼用。它凭借其动作性、想象性、节律性而在心理辅导与治疗中发挥着独特的作用。     

音乐疗法在学校心理辅导中的作用

音乐疗法是学校心理辅导和心理健康教育的重要手段。音乐疗法适合学校的教育情境,对于预防和治疗学生的身心疾病,调适学生的不良情绪,培养学生的健康情感和协作精神,促进学生的自我表达,开发学生的创新思维和创新能力等,具有非常重要的作用。     

高职院校学生就业指导工作探讨

高职院校大学生就业指导工作的重要性日益突出,它不仅直接关系到学生自身的成长和发展,也关系到学校在市场经济中的生存和发展.本文拟从高职院校学生就业的思想状况分析人手,探讨就业指导工作存在的问题,提出就业指导工作的对策.     

团体辅导在大学生职业生涯发展规划教育中的效果研究

根据自愿报名选取大一12名学生作为研究对象,实施3周共6次团体辅导,探讨在大学生职业生涯规划教育中团体辅导的方式及效果。用《团体单元回馈表》、《团体成员回馈表》和《大学生职业生涯发展问卷》对团体辅导进行评估。团体成员对辅导干预内容的有效性、团体的满意度等方面都给予肯定。干预后学生在就业信心、职业认知、自我认识、规划认知、总体评价方面有显著提高。这说明团体辅导对大学生职业生涯发展规划教育效果显著。     

团体咨询技术在高校心理健康教育中的作用

团体咨询技术是一种在团体情境中提供心理帮助与指导的心理治疗形式,具有比个别心理咨询影响广泛、咨询效率高、效果明显易巩固的优点,特别适应高校心理健康教育发展的需要,能够缓解高校专业心理咨询人员相对不足,解除学生对个别咨询的顾虑。团体咨询以其高效性和对高校心理健康教育的推动作用将具有极大的发展前景。     

Counseling Center Intake Checklists at Academically Selective Institutions: Practice and Measurement Implications

Psychometric evaluation of presenting problem checklists is vital, given increasing clinical severity among college students. However, checklist research has focused on students at public universities and utilized inappropriate methodologies when doing so. It is unclear whether checklists used at academically selective universities reliably and comprehensively assess the potentially unique presenting problems of their students. Exploratory and confirmatory factor analyses with independent samples examined the checklist used at an academically selective university's counseling center. A six-factor model best fit the data, suggesting that this checklist reliably and comprehensively assesses presenting problems at this university. This model holds detailed assessment, outreach, and policy implications for counseling centers.     

高职院校职业技能校培训中心发展定位研究

为地方经济建设和社会发展培养与培训高素质技术型应用性人才是高职院校职业技能培训教育的主要职责,面对迅速变化的市场需求,分析市场环境,研究经济发展与职业技能培训的互动关系,把握区域经济的特色要求,从而找准培训中心的发展定位和发展重点,才能使高职院校的培训中心健康可持续地发展。     

团体辅导在大学生团队意识培养上的应用

当代大学生缺乏团队意识,表现为看中个人发展、轻视社会合作,集体凝聚力不强、同学友谊不深厚等,原因是受成长环境影响、团队精神培养缺失、社会不良现象的冲击等,需要从对象选择和团队建立、活动内容设计、辅导后的总结和分享等方面进行团体辅导,并注意结合学生性格因素制定计划、教师发挥示范作用。     

团体辅导技术应用于大学德育课教学的探索

团体辅导具有教育功能,将团体辅导技术应用于大学思想品德课的教学是一种探索,力图解决灌输式教学方法的不足,提高教学效果。     

论箱庭疗法在高校心理咨询工作中的应用

当前,心理咨询辅导日益成为高校思想政治工作的重要方法之一。广大思政工作者迫切需要一套行之有效的心理咨询辅导方法。本文通过对箱庭疗法理论基础、基本功能和作用机制的分析。希望为广大高校心理咨询工作者提供一套有效的心理咨询辅导理论和方法。