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一例整合模式下的强迫症心理咨询个案报告

An Integrative Model for counseling a student with Obsessive-Compulsive Disorder: A case study

心理咨询理论与实践 / 2019,1(3)：160-173 / 2019-05-27 7210 9356

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• 作者： 易丹     
• 单位：

  长江大学，学生心理健康教育中心，434023

• 关键词： Obsessive-Compulsive Disorder; Integrative Model; Case study
• 强迫症；整合模式；个案研究
• 摘要： 以一例强迫症大学生为对象，从生物学、认知行为、精神分析和以人为中心四大理论模型分析、解释其强迫症状的发生、发展和维持机制。基于此并结合实际情况，制定了药物治疗和心理咨询相结合的干预方案，开展了13次咨询实践。用以人为中心建立工作同盟，采用放松训练、正念冥想和理性情绪疗法等方法进行干预，以精神分析的视角辅以解释。结果显示，来访者强迫症状减轻，情绪痛苦程度下降，自我满意程度上升，社会功能恢复。结果提示，多种理论取向整合模式能有效指导强迫症的个案概念化和咨询实践。
• Taking the perspectives of Biological, Cognitive-behavioral, Psychoanalytical, and Client-Centered approaches, this case study examines the occurrence, development, and maintainance of a college student with Obsessive-Compulsive Disorder. The intervention incorporates both medication and 13 counseling sessions. The Client-Centered approach is utilized to build working alliance with the student. Mindfulness training and Rational Emotional Therapy are applied in dealing with student’s obsessive thoughts and compulsive behaviors. The Psychoanalytical approach is applied in assisting the student to understand the source of the stress. The result shows reductions in Obsessive Compulsive Disorder symptoms and level of emotional pain while increasing self satisfaction and social functioning. It suggests a potential effective approach when applying the Integrative Model for counseling students with Obsessive- Compulsive Disorder.
• DOI： https://doi.org/10.35534/tppc/0103015
• 引用：

  易丹 . 一例整合模式下的强迫症心理咨询个案报告［J］. 心理咨询理论与实践，2019，1（3）：160-173.

  https://doi.org/10.35534/tppc/0103015