Chapter 4: From Hate to Healing

Summary

This case demonstrates the use of brief therapy with a young woman who experienced a vicious sexual assault within a dating relationship. Complex family of origin issues and prior history of problematic relationships, including a stalking episode, complicated her response. The recovery process is elaborated in terms of specific critical incidents within a feminist context.     

简短疗法：一种成人心理咨询与治疗的新技术

简短疗法是社会建构主义心理学的意识观在成人咨询与治疗领域的具体实践之一,它是一种以寻找解决问题的方法为核心的心理咨询与治疗技术。简短疗法从理论上消解病理心理的本体论地位,重新诠释了心理咨询与治疗过程,并提出重建成人来访者和治疗师的关系,提倡让成人来访者运用自己的能力及经验来改变自身的意识经验,达到问题的解决。     

Chapter 10: Saying Good-bye to the Guru

Summary

A young adult devotee of a High Demand Group (“cult”) was engaged in brief intermittent developmental (BID) therapy, initially aimed at assisting him to critically assess his cult involvement. Over a five-year period, BID therapy helped him cope with two subsequent post-cult crises. Successfully negotiating these crises allowed further consolidation of his identity, and facilitated continued development of autonomy.     

Chapter 2: Flight of the Appalachian Bumblebee

Summary

A 19-year-old single Appalachian Caucasian man presented with panic attacks related to a recently developed phobia of bees. Brief solution-oriented therapy, along with the tools of Rational Emotive Behavior Therapy (REBT), was employed successfully to treat this specific phobia. Cultural, familial, gender, and sexual identity issues were also addressed.     

诠释的现象学实践：叙事心理学及叙事治疗

人类心理有一种基本的叙事结构,它是揭示、表现人的存在意义的重要方式。自然科学的心理学仅仅是我们了解世界的一个方式。在我们的心理自我以及对世界的理解中,故事或叙事是第一位的。生活叙事应该是心理学研究的一个重要课题。基于现象学的叙事治疗着重于人们从生活经验中构建故事的方式;治疗是治疗师和当事人合作创作故事的一个过程。     

Chapter 15:The Runaway Client

Summary

The case of a male graduate student struggling with excessive interpersonal anxiety and promiscuous sexual behavior is presented. The interpersonal issues were addressed within the therapeutic relationship drawing parallels to and from relationships outside of therapy. During the fifteen sessions of interpersonally focused therapy, the client made significant progress in his ability to form and maintain healthy relationships.     

Chapter 12: A Runner's Journey

Summary

This case study illustrates the value of intermittent, brief psychotherapy applied over an extended period of time. The client, an undergraduate student athlete, presented with issues related to her athletic performance, claiming to “have lost my focus and desire.” Underlying that concern, however, were a host of other clinical concerns, including unresolved grief, family issues, individuation, and eating disordered behavior. The following case study traces the course of treatment while demonstrating the value of a staged pattern of therapeutic encounters.     

Chapter 16:Harm Reduction

Summary

Working with clients with both substance abuse and other Axis I mental health concerns is becoming more and more common on a college campus as well as in the general population. By utilizing both brief therapy techniques and a harm reduction approach, the therapist engages the client where the client is ready to begin in an attempt to motivate the client toward healthier choices. This case study examines the inter-relationship among alcohol abuse, attention-deficit disorder, anxiety, and depression.     

一出精心编码的变性传奇--《型世言》第三十七回叙事观念分析

《型世言》第三十七回叙述了一个非常奇特的明代变性故事。本通过对这一叙事本的细读，分析了该“故事”的人物组构方式及叙事主体的双重编码特征，进而指出，由于叙事的双重编码而导致了叙事本不可回避的叙事矛盾，揭示了中国古代民间叙事的独特风格。     

写作的心理治疗与辅导:功能、原理及其应用

写作具有宣泄、抚慰、重构认知功能,从而在心理治疗中发挥着独特的作用。写作治疗的基本原理包括:降低压力经验的通达性,减少闯入记忆;形成叙事连贯,达到因果认识与领悟;对事件整合和重构,建构另种生活故事;把问题外化。写作治疗与辅导中的治疗性写作主要包括了日记、信件、自传和主题写作等类型。     

.NET应用系统中超时问题的分析与解决

系统超时是由于Web Services引入Session状态管理机制所致.在分析Web Services两种会话状态管理基础之上,提出了客户端脚本控制和服务端以Session机制为基础的两种设计思路,并通过项目实践,为Web Services应用系统提供了可实现的设计方案.     

口述历史与叙事心理学

叙事心理学与口述历史有着方法论上的渊源联系。它表现在历史总是叙事的产物,历史叙事具有重构性,口述历史具有对意识的了解与建构功能。因此,作为口述历史的怀旧对人的心理具有治疗作用。     

Narrative therapy with an adolescent who self-cuts: a case example

The National Institute for Clinical Excellence identifies educational psychologists as appropriate specialists to deliver interventions to promote the emotional well-being of children and families. A role for practitioner educational psychologists in providing specific therapeutic interventions has also been proposed by commentators. The present study reports an evaluative case study of a narrative therapy intervention with a young person who self-harms. The analysis of data suggests that the narrative therapy intervention was effectively implemented and resulted in attributable gains in emotional well-being, resilience and behaviour for the young person. The authors discuss the role of the educational psychologist in delivering specific therapeutic interventions within a local authority context and school-based setting. Consideration is also made of the development of the evidence base for the effectiveness of narrative therapy intervention with young people who self-harm.     

多途径治疗肩关节半脱位疗效观察

目的探讨利用多种途径综合治疗肩关节半脱位的疗效。方法将57例脑卒中偏瘫患者进行随机分组2组,康复组25人,对照组32人,康复组在进行常规药物治疗的基础上进行良肢位的摆放、运动治疗及护肩带的使用等多途径的治疗;对照组进行常规的药物治疗。结果康复组对于肩关节半脱位的疗效明显好于对照组,提高了患者的ADL能力。     

叙事治疗及其在高校心理咨询中的应用

“叙事治疗”注重社会文化与环境因素、注重对问题和经验的资源整合,治疗师与来访者以平等身份共同探索。高校心理咨询可以叙事治疗的外化问题为纲要,借鉴其干预的若干技术,并注意以下问题：提问更多是为了引导体验,而非搜集信息;不能忽略对方曾经的付出和努力;对问题的影响力要有充分预估。     

Using Narrative Therapy to Assist College‐Age Latino Immigrants

Latinos represent a large percentage of the immigrant population currently entering the United States. These immigrants may face mental health issues related to their immigration and acculturation experiences, leading to a need for counseling. The authors introduce narrative therapy as an appropriate treatment modality for college‐age Latino students.     

Dissertation as Life Chapter: Managing Emotions,Relationships, and Time

The published psychological literature on the developmental milestone that is the doctoral dissertation emphasizes either psychological interpretations or practical strategies as ways to help, each often failing to note the critical importance of the other. Clinicians need to understand underlying psychological issues that may complicate the dissertation-writing process, including particular difficulties that can arise for first-generation college students and other nontraditional students. Interpretation of unconscious conflicts is possible and sometimes critical even in brief treatments. Conversely, pragmatic techniques can help move students from paralysis into constructive action when interpretations do not. Case examples are offered throughout.     

从“叙事探究”到“叙事行动研究”

本专题除了对主题的介绍性论文,还收录了三篇一线教师的叙事,均来自北京教科院德育中心举办的、为期一年的第三期教育行动研究工作坊中的叙事行动研究班。作为指导教师,笔者目睹了一大批教师在做叙事行动研究中的专业成长,这三篇文章就是其中的代表。本文意在介绍为什么将叙事探究转换为叙事行动研究,这两种路径有什么区别,教师们在叙事行动研究中获得了什么成长以及这种成长的发生需要什么条件。通过分析教师的参与过程和研究结果发现,相比叙事探究,叙事行动研究在教师公开发声、改变心智模式的基础之上,还需要触及学校场域中人们惯习的改变,其风险和挑战更大。通过本次工作坊的初步尝试,教师对叙事主题的认识更加准确,对主题的反思更加深刻,减少了自己的自责和内疚感,而且能够采取行动改变现状。促使教师如此成长的条件包括教师敢于暴露自己的"顽症",创设安全、开放的学习氛围,及时分享相关理论,形成相互支持的学习共同体以及获得学校的理解和支持。教育行政部门和教育研究者应关注教师的专业成长,为诸如叙事行动研究之类的教师专业发展活动提供更加有力的支持。     

Social Work Education on Mental Health: Postmodern Discourse and the Medical Model

This article provides a pedagogical approach to presenting alternatives along with the traditional medical model in the context of mental health treatment and service provision. Given the current influence of the medical model in community mental health, this article outlines a rationale for challenging the model and considering alternative models and/or interpretations of severely disordered behavior. The first premise of this approach, that social workers need to avoid having the deficit-based, problem-saturated, and pathologizing language of the medical (or any other) model dominate their practice, is inherent in all strengths-based approaches to practice. The second premise, that one can utilize the postmodern language of narrative therapy to constructively discuss alternative approaches, expands on previous social work contributions in this area.