我什么时候说?
时间:2018年08月06日|743次浏览|1次赞

本文翻译自《The therapist's answer book》
Problem 2 When Do I Say It? (Diagnosis)
问题2 我什么时候说?(诊断)

After hearing people’s problems, you are faced with a choice: Should you intervene supportively or interpretively?
在听了人们的问题后,你要面对一个选择:你应该做的是支持还是解释?

SHORT ANSWER简短的回答

Use explanatory (interpretive) techniques (Problem 1) more or less exclusively when the following are intact:
当来访者以下功能完整的时候,多多少少的使用解释性(诠释性)技术:

理论

To try to explain people’s conflicts, they need
试图解释人们的冲突,他们需要具备

AIRS: Abstraction, Integration, Reality testing, Self-preservation
AIRS:抽象、整合、现实检验、自我保护

ARTS: Affect tolerance, Regulation of impulses, Trust, Superego(conscience)
ARTS:情感容忍、调节冲动、信任、超我(道德良心)

  • understanding symbolism (abstraction ability),
    理解象征化(抽象能力)
  • organization of thought (integration),
    思维的组织(整合)
  • relation to reality,
    现实关系
  • self-preservation (not harming themselves),
    自我保护(不会伤害自己)
  • emotional controls (“affect regulation”),
    情绪控制(情感调节)
  • capacity for trust (“object relations”), and
    信任能力(客体关系)
  • conscience (“superego”).
    良心(超我)

Use medication and/or supportive/relational techniques more or less exclusively when there are serious lapses in
当来访者的以下方面有严重缺陷时,多多少少使用药物/支持性的相关技术::

  • abstraction,
    抽象化
  • organization of thought,
    思维组织
  • reality functions,
    现实检验
  • capacity for trust, and/or
    信任的能力,和/或
  • capacities for
    以下能力
    • impulse control (like alcohol abuse or sexual addiction) and
      冲动控制(如酒精滥用或性瘾)以及
    • emotional control.
      情绪控制

Use cognitive-behavioral techniques for people’s problems with perspectives
使用以下认知技术为人正确看待人们的问题

  • about reality,
    关于现实
  • about themselves,
    关于他们自己
  • about the future,
    关于未来
  • about people with whom they are involved, and
    关于与他们有关的人,以及
  • factors that overwhelmed them with anxiety.
    让他们有压倒性焦虑的因素

TIP小技巧

  • Medicate deficits 药物治疗缺陷
  • Explain conflicts 解释冲突

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