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
The present study aims to examine the effectiveness of the combination of solution-focused therapy and narrative therapy in marital adjustment of incompatible women. This research is a pretest-posttest quasi-experimen...The present study aims to examine the effectiveness of the combination of solution-focused therapy and narrative therapy in marital adjustment of incompatible women. This research is a pretest-posttest quasi-experimental study design with a nonequivalent control group. The statistical population comprises all the incompatible women who referred to the counseling clinics of Neyshabour in May 2016 (1500 admission per month). The research sample consists of 24 incompatible women who were selected through Randomand available sampling method. For data collection, Marital Adjustment Scale by Spinner was applied. The data were analyzed using the analysis of covariance test and with the aid of SPSS-22 software. The findings demonstrated that the combination of solution-focused therapy and narrative therapy is significantly effective in marital adjustment of incompatible women (P < 0.05). Thus, it can be stated that the combination of solution-focused therapy and narrative therapy can help to promote adjustment among incompatible women.展开更多
背景失眠障碍是一种常见的精神疾病,给患者的生活和健康带来严重的负面影响。传统的认知行为疗法(CBT-I)是一种有效的非药物治疗方法,但其操作复杂、耗时长、依从性低等缺点限制了其在真实世界的应用。简版行为疗法(BBT-I)是一种基于CB...背景失眠障碍是一种常见的精神疾病,给患者的生活和健康带来严重的负面影响。传统的认知行为疗法(CBT-I)是一种有效的非药物治疗方法,但其操作复杂、耗时长、依从性低等缺点限制了其在真实世界的应用。简版行为疗法(BBT-I)是一种基于CBT-I的简化治疗方法,其疗效与CBT-I相当,更适合在真实世界中推广。然而,BBT-I是否适用于中国失眠障碍人群暂不明确,而通过线上方式进行BBT-I的研究更是缺乏。目的本研究旨在探讨通过微信小程序进行的在线BBT-I(eBBT-I)对中国失眠障碍患者失眠改善的疗效,以及其对患者睡眠信念和态度的影响。方法本研究采用前瞻性非随机对照研究的设计,将2023年2—11月来自暨南大学附属第一医院精神医学科睡眠门诊的失眠障碍患者设为干预组,将线上和线下招募的失眠障碍志愿者设为对照组,干预组接受为期2周的eBBT-I治疗,对照组接受精神卫生教育的伪干预。在干预前后分别测量患者的失眠严重程度指数量表(ISI)和简版睡眠信念与态度问卷(DBAS-16)得分,以评估干预效果。结果研究最终共纳入35例干预组患者和30例对照组患者。主要结局指标:组别与时间对ISI得分存在交互作用(P<0.05);组别与时间分别对ISI得分主效应显著(P<0.05)。干预前3d(基线)两组ISI得分比较,差异无统计学意义(P>0.05);干预后14d干预组ISI得分低于对照组(P<0.05);干预组干预后14 d ISI得分低于组内干预前(P<0.05)。次要结局指标:组别与时间对DBAS-16得分不存在交互作用(P>0.05);时间对DBAS-16得分主效应显著(P<0.05);组别对DBAS-16得分主效应不显著(P>0.05)。干预前3 d(基线)、干预后14 d两组DBAS-16得分比较,差异无统计学意义(P>0.05);干预组干预后14 d DBAS-16得分高于组内干预前(P<0.05)。结论eBBT-I有效地改善了失眠障碍患者的失眠症状和负面影响,但对睡眠信念与态度的改善效果仍有待提升。本研究支持了eBBT-I在中国失眠障碍患者失眠治疗中的可行性和有效性。展开更多
目的 :评价聚焦解决模式对初产妇负性情绪及分娩结局的影响。方法:计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、WebofScience、CochraneLibrary和CINAHL等数据库,采用RevMan 5.4软件进行Meta分析。结果:...目的 :评价聚焦解决模式对初产妇负性情绪及分娩结局的影响。方法:计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、WebofScience、CochraneLibrary和CINAHL等数据库,采用RevMan 5.4软件进行Meta分析。结果:纳入26篇文献,共计3527例初产妇。与常规护理相比,聚焦解决模式能够减轻初产妇的焦虑、抑郁情绪,聚焦解决模式组的自然分娩率和新生儿1 min Apgar评分显著高于对照组,其新生儿窒息率低于对照组,尚不能认为该模式可改善初产妇产后出血的情况。结论:聚焦解决模式能够减轻初产妇的焦虑、抑郁情绪,提高自然分娩率、新生儿1 min Apgar评分,降低新生儿窒息率,暂未发现可改善产后出血情况,有待多中心、大样本、设计严谨的研究去验证。展开更多
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The present study aims to examine the effectiveness of the combination of solution-focused therapy and narrative therapy in marital adjustment of incompatible women. This research is a pretest-posttest quasi-experimental study design with a nonequivalent control group. The statistical population comprises all the incompatible women who referred to the counseling clinics of Neyshabour in May 2016 (1500 admission per month). The research sample consists of 24 incompatible women who were selected through Randomand available sampling method. For data collection, Marital Adjustment Scale by Spinner was applied. The data were analyzed using the analysis of covariance test and with the aid of SPSS-22 software. The findings demonstrated that the combination of solution-focused therapy and narrative therapy is significantly effective in marital adjustment of incompatible women (P < 0.05). Thus, it can be stated that the combination of solution-focused therapy and narrative therapy can help to promote adjustment among incompatible women.
文摘目的探讨焦点解决短期治疗(Solution-focused brief therapy,SFBT)联合叙事护理对实施安宁疗护晚期癌症患者焦虑抑郁及生活质量的影响。方法选取2022年8月至2023年5月晚期癌症安宁疗护患者作为研究对象,入院时采用医院焦虑抑郁量表(Hospital anxiety and de-pression scale,HADS)进行调查,筛选评分≥8分的患者纳入本研究(n=110),按照随机数字表法分为对照组(n=55)和试验组(n=55)。对照组采用安宁疗护常规护理,试验组在对照组的基础上采用焦点解决短期治疗联合叙事护理进行干预。比较两组干预前后焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)和癌症治疗功能评价量表(Functional assessment of cancer therapy,FACT-G)评分的差异,评价干预效果。结果因病情变化或死亡,试验组完成52例,对照组完成53例。干预前,试验组和对照组SAS、SDS、FACT-G评分比较差异均无统计学意义(P>0.05);干预后,试验组SAS、SDS、FACT-G评分分别为(42.52±2.30)分、(57.63±3.80)分、(67.54±2.52)分,对照组SAS、SDS、FACT-G评分分别为(47.29±2.73)分、(62.25±2.87)分、(64.39±3.08)分,两组比较差异均有统计学意义(P<0.05)。结论SFBT联合叙事护理干预,可降低晚期癌症患者的负面情绪,缓解抑郁焦虑,提高其生活质量。
文摘背景失眠障碍是一种常见的精神疾病,给患者的生活和健康带来严重的负面影响。传统的认知行为疗法(CBT-I)是一种有效的非药物治疗方法,但其操作复杂、耗时长、依从性低等缺点限制了其在真实世界的应用。简版行为疗法(BBT-I)是一种基于CBT-I的简化治疗方法,其疗效与CBT-I相当,更适合在真实世界中推广。然而,BBT-I是否适用于中国失眠障碍人群暂不明确,而通过线上方式进行BBT-I的研究更是缺乏。目的本研究旨在探讨通过微信小程序进行的在线BBT-I(eBBT-I)对中国失眠障碍患者失眠改善的疗效,以及其对患者睡眠信念和态度的影响。方法本研究采用前瞻性非随机对照研究的设计,将2023年2—11月来自暨南大学附属第一医院精神医学科睡眠门诊的失眠障碍患者设为干预组,将线上和线下招募的失眠障碍志愿者设为对照组,干预组接受为期2周的eBBT-I治疗,对照组接受精神卫生教育的伪干预。在干预前后分别测量患者的失眠严重程度指数量表(ISI)和简版睡眠信念与态度问卷(DBAS-16)得分,以评估干预效果。结果研究最终共纳入35例干预组患者和30例对照组患者。主要结局指标:组别与时间对ISI得分存在交互作用(P<0.05);组别与时间分别对ISI得分主效应显著(P<0.05)。干预前3d(基线)两组ISI得分比较,差异无统计学意义(P>0.05);干预后14d干预组ISI得分低于对照组(P<0.05);干预组干预后14 d ISI得分低于组内干预前(P<0.05)。次要结局指标:组别与时间对DBAS-16得分不存在交互作用(P>0.05);时间对DBAS-16得分主效应显著(P<0.05);组别对DBAS-16得分主效应不显著(P>0.05)。干预前3 d(基线)、干预后14 d两组DBAS-16得分比较,差异无统计学意义(P>0.05);干预组干预后14 d DBAS-16得分高于组内干预前(P<0.05)。结论eBBT-I有效地改善了失眠障碍患者的失眠症状和负面影响,但对睡眠信念与态度的改善效果仍有待提升。本研究支持了eBBT-I在中国失眠障碍患者失眠治疗中的可行性和有效性。
文摘目的 :评价聚焦解决模式对初产妇负性情绪及分娩结局的影响。方法:计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、WebofScience、CochraneLibrary和CINAHL等数据库,采用RevMan 5.4软件进行Meta分析。结果:纳入26篇文献,共计3527例初产妇。与常规护理相比,聚焦解决模式能够减轻初产妇的焦虑、抑郁情绪,聚焦解决模式组的自然分娩率和新生儿1 min Apgar评分显著高于对照组,其新生儿窒息率低于对照组,尚不能认为该模式可改善初产妇产后出血的情况。结论:聚焦解决模式能够减轻初产妇的焦虑、抑郁情绪,提高自然分娩率、新生儿1 min Apgar评分,降低新生儿窒息率,暂未发现可改善产后出血情况,有待多中心、大样本、设计严谨的研究去验证。
