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一例离异后抑郁女性的认知行为治疗案例报告

A Case Report of Cognitive Behavioral Therapy to a Female Depression after Divorce

心理咨询理论与实践 / 2021,3(5)：351-359  / 2021-05-20 660 2345

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• 作者： 赵香梅¹      刘稚颖²     
• 单位：

  １．苏州工业园区芒果心理咨询工作室；
  2．苏州大学大学生心理健康教育研究中心

• 关键词： 离异；抑郁；认知行为治疗
• Divorce; Female; Depression; Cognitive Behavioral Ther-apy
• 摘要： 本文结合一例离异后抑郁女性的认知行为治疗（CBT）案例，探讨针对离异后女性抑郁反应的案例解析和认知行为治疗过程。在对来访者进行完整详细的个案概念化基础上，针对来访者由于离异带来的消极认知的影响、自我贬低和社会歧视等问题开展了15 次的系统CBT 咨询。结果显示，来访者在《抑郁自评量表》评分由68 分减至38 分，《总体抑郁水平及干扰程度量表》评分由10 分减至5 分，最初的治疗目标已经达成。本案例报告提示，“苏格拉底式提问”“认知连续体”和“现实检验”等CBT 技术可以与其他技术如格式塔的空椅技术、系统式治疗的四角困境等联合使用，对缓解离异后女性的抑郁情绪以及应对现实困难具有良好的效果。
• This article presents a case of divorced woman with depres-sive disorder who accepted cognitive behavioral therapy. Based on case conceptualization, the therapist carried out systemic CBT of 15 cessions to improve the client’s problems and sufferings after di-vorce. The results showed that the client’s SDS score declined from 68 to 38,the Overall Depression Severity and Impairment Scale score declined from 10 to 5, the client had achieved most of the counseling goals. This case report demonstrated that CBT techniques such as Soc-rates’ questioning, cognitive- continum, and reality test can be com-bined with other methods such as Gestalt empty chair and Dilemma in the four corners Dilemma in the four corners to help the divorced woman coping with emotional dysfunctions and realistic difficulties more effectively.
• DOI： https://doi.org/10.35534/tppc.0305043
• 引用： 赵香梅，刘稚颖．一例离异后抑郁女性的认知行为治疗案例报告［J］．心理咨询理论与实践，2021，３（5）：351-359．