排便图式及其在便秘治疗中的转换与构建

Transformation and construction of a new defecation schema for treatment of constipation

从皮亚杰的平衡化建构理论出发探讨便秘患者心理变化,认为排便心理障碍的根本原因是由于患者的排便图式中同化与顺应之间自动调节的平衡机制出现障碍,从而提出"认知协调-建构"的排便心理治疗模式,以帮助患者构建适合自己的排便图式,提高便秘治疗的近期和远期疗效.

This paper investigated psychological changes in patients with constipation based on J.Piagetian congnitive constructivism and held that psychological disturbance of defecation was attributable to the disorder of auto-regulation＇ s equilibrium mechanism between assimilation and accommodation. And this paper thereby proposed the psychotherapy model of ＂cognition- coordination-construction＂ to help patients establish a new defecation schema to achieve both short-term and long-term therapeutic effects.