面质技术在临床工作中的应用

The Application of Confrontation Technique in Medical Practice

面质是一个重要的心理治疗技术,也适用于医疗临床工作。面质需要医生更多带入其个人观点、立场,有时有较强的情绪色彩。适当应用面质技术可能为治疗和医患关系开启新的起点。特别在面对一些阻力较强的患者时,用面质去促动紊乱或僵化的医患关系可能是必需的工作。在应用面质技术时,需以治疗和患者获益为目的,在充分共情的基础上,做好更多投入的准备,持续适当程度进行面质。医生还需要有自我觉察,警惕将面质变为宣泄对患者的反移情的手段。

Confrontation is an important technique in psychotherapy. It is also useful in medical practice. More personal views and attitudes of the doctors are brought to interaction with patients. Sometimes confrontation can be intensely emotional. The application of confrontation technique may open new starting points for therapy and doctor-patient relationship. It may even be necessary in some patients with high resistance. Confrontation should be done on the self- awareness of benefiting the therapy and patient and on the basis of empathy and a preparation of more engagement. Doctors should also keep reminding themselves of not misusing confrontation as a catharsis of counter-transference.