This study examined the effects of mental imagery in the solution-focused approach by evaluating the impact of positive self-image about the future on emotional states using the time machine question (which is a quest...This study examined the effects of mental imagery in the solution-focused approach by evaluating the impact of positive self-image about the future on emotional states using the time machine question (which is a questioning technique used in the solution-focused approach). We compared the change in the emotional state of 270 participants, using the Japanese version of the Positive and Negative Affect Schedule (PANAS), before and after the intervention. The intervention conditions included: verbal description of one’s positive future on a worksheet (the language description condition), and imagining one’s positive future (the imagery condition). The results of the experiment showed that after the intervention, the scores of the imagery group on the positive and negative affect scales of the PANAS were significantly higher and lower, respectively, than those of the language description group. We also found that the amount of change in the scores of the positive and negative affect scales of the PANAS was significantly larger in the imagery group as compared to the language description group. These results indicate that interventions involving the imagining of one’s future via the time machine question of the solution-focused approach have a more direct impact on emotional states than interventions using a language description. This suggests that mental imagery plays an important role in interventions carried out within the framework of the solution-focused approach.展开更多
A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal bi...A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal binding force, the bonding component of the crucially important therapeutic alliance risks being compromised in the current practice of this approach. We further argue that the prioritization of the depiction of actions that accompany the emotion expressed by the client over the actual participation in this emotion by the therapist tends to superficialize therapeutic communication. This is especially likely to happen when the therapist lapses into a formulaic, action-soliciting interrogatory mode in response to the emotion expressed by the client. In addition, we claim that the incorporation of emotion- and body-based approaches into the solution-focused canon could remedy the affective lacuna referred to above. We note, however, that such a modification would most likely face stiff resistance from some of the gatekeepers of solution-faced therapy, in particular those who subscribe to the “surface-only” descriptive approach advocated by the philosopher Ludwig Wittgenstein. And yet, the effectiveness of depth-oriented therapies, such as sensorimotor psychotherapy and somatic experiencing, is supported by neurophysiological considerations. Finally, we suggest that these therapies, and even creativogenic elements of psychoanalysis, can actually synergize solution-focused brief therapy through the generation of affect-laden images, sensations and thoughts that lend themselves to the realization of outcomes desired by the client, which is the raison d’etre of solution-focused brief therapy. This paper pleads for the incorporation of the above-noted depth approaches into solution-focused brief therapy with a view to augmenting its effectiveness through a stronger therapeutic bond owing to an increased emotional engagement on the part of the therapist.展开更多
目的系统评价聚焦解决模式对脑卒中患者负性情绪及康复效果的影响。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台和维普数据库等,检索时间为从数据库建立到2023...目的系统评价聚焦解决模式对脑卒中患者负性情绪及康复效果的影响。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台和维普数据库等,检索时间为从数据库建立到2023年12月18日,根据Cochrane偏倚风险评估工具评估文献质量,采用RevMan 5.3软件进行系统评价。结果共纳入19项研究,2175例患者。Meta分析结果显示,与对照组相比,聚焦解决模式能降低脑卒中患者的焦虑[SMD=-1.34,95%CI(-1.87,-0.82),P<0.001]和抑郁评分[SMD=-1.20,95%CI(-1.52,-0.88),P<0.001],降低美国国立卫生研究院卒中量表(NIHSS)评分[SMD=-2.54,95%CI(-3.80,-1.28),P<0.001],增加患者Barthel指数量表(BI)的评分[SMD=1.56,95%CI(0.98,2.15),P<0.001]。根据干预时间行亚组分析,对脑卒中患者焦虑、抑郁评分干预12周的效果优于4周;对NIHSS评分干预12周的效果优于8周;对BI评分干预12周的效果优于4周、8周。结论聚焦解决模式可以改善脑卒中患者的焦虑、抑郁水平和神经功能缺损情况,提高患者的日常生活自理能力,但该结论仍需要更多大样本、高质量随机对照试验加以验证。展开更多
文摘This study examined the effects of mental imagery in the solution-focused approach by evaluating the impact of positive self-image about the future on emotional states using the time machine question (which is a questioning technique used in the solution-focused approach). We compared the change in the emotional state of 270 participants, using the Japanese version of the Positive and Negative Affect Schedule (PANAS), before and after the intervention. The intervention conditions included: verbal description of one’s positive future on a worksheet (the language description condition), and imagining one’s positive future (the imagery condition). The results of the experiment showed that after the intervention, the scores of the imagery group on the positive and negative affect scales of the PANAS were significantly higher and lower, respectively, than those of the language description group. We also found that the amount of change in the scores of the positive and negative affect scales of the PANAS was significantly larger in the imagery group as compared to the language description group. These results indicate that interventions involving the imagining of one’s future via the time machine question of the solution-focused approach have a more direct impact on emotional states than interventions using a language description. This suggests that mental imagery plays an important role in interventions carried out within the framework of the solution-focused approach.
文摘A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal binding force, the bonding component of the crucially important therapeutic alliance risks being compromised in the current practice of this approach. We further argue that the prioritization of the depiction of actions that accompany the emotion expressed by the client over the actual participation in this emotion by the therapist tends to superficialize therapeutic communication. This is especially likely to happen when the therapist lapses into a formulaic, action-soliciting interrogatory mode in response to the emotion expressed by the client. In addition, we claim that the incorporation of emotion- and body-based approaches into the solution-focused canon could remedy the affective lacuna referred to above. We note, however, that such a modification would most likely face stiff resistance from some of the gatekeepers of solution-faced therapy, in particular those who subscribe to the “surface-only” descriptive approach advocated by the philosopher Ludwig Wittgenstein. And yet, the effectiveness of depth-oriented therapies, such as sensorimotor psychotherapy and somatic experiencing, is supported by neurophysiological considerations. Finally, we suggest that these therapies, and even creativogenic elements of psychoanalysis, can actually synergize solution-focused brief therapy through the generation of affect-laden images, sensations and thoughts that lend themselves to the realization of outcomes desired by the client, which is the raison d’etre of solution-focused brief therapy. This paper pleads for the incorporation of the above-noted depth approaches into solution-focused brief therapy with a view to augmenting its effectiveness through a stronger therapeutic bond owing to an increased emotional engagement on the part of the therapist.
文摘目的系统评价聚焦解决模式对脑卒中患者负性情绪及康复效果的影响。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台和维普数据库等,检索时间为从数据库建立到2023年12月18日,根据Cochrane偏倚风险评估工具评估文献质量,采用RevMan 5.3软件进行系统评价。结果共纳入19项研究,2175例患者。Meta分析结果显示,与对照组相比,聚焦解决模式能降低脑卒中患者的焦虑[SMD=-1.34,95%CI(-1.87,-0.82),P<0.001]和抑郁评分[SMD=-1.20,95%CI(-1.52,-0.88),P<0.001],降低美国国立卫生研究院卒中量表(NIHSS)评分[SMD=-2.54,95%CI(-3.80,-1.28),P<0.001],增加患者Barthel指数量表(BI)的评分[SMD=1.56,95%CI(0.98,2.15),P<0.001]。根据干预时间行亚组分析,对脑卒中患者焦虑、抑郁评分干预12周的效果优于4周;对NIHSS评分干预12周的效果优于8周;对BI评分干预12周的效果优于4周、8周。结论聚焦解决模式可以改善脑卒中患者的焦虑、抑郁水平和神经功能缺损情况,提高患者的日常生活自理能力,但该结论仍需要更多大样本、高质量随机对照试验加以验证。
