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一例无法与人对视的社交焦虑大学生的认知行为咨询案例报告

A Cognitive Behavioral Counseling Case Report of a College Student With Social Anxiety Who Could Not Make Eye Contact

心理咨询理论与实践 / 2022,4(2)：97-105 / 2022-03-01 1077 751

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• 作者： 陈瑞婕      訾非     
• 单位：

  北京林业大学心理系，北京
  

• 关键词： 大学生；社交焦虑障碍；认知行为疗法；动机访谈；案例报告
• College students; Social anxiety disorder; Cognitive behavioral therapy; Motivational interview; Case reports
• 摘要： 社交焦虑障碍是当今社会普遍存在且严重妨碍来访者正常生活的心理障碍。目前，个体认知行为疗法（CBT）被认为是最有效的疗法之一。本文以社交焦虑障碍的认知行为模型为理论背景，结合动机访谈技术，期望通过大学生社交焦虑障碍的个案咨询，初步探索针对大学生社交焦虑障碍的案例解析和咨询过程。在对来访者进行完整详细的个案概念化基础上，开展了为期 8 次的动机访谈与 CBT 相结合的咨询。结果显示来访者Liebowitz 社交焦虑量表（LSAS）分由 48 分减至 26 分，最初的咨询目标已达成。本案例报告提示 “动机访谈”“认知重建”和“暴露疗法”结合的咨询策略可以用于咨询社交焦虑障碍。
• Social anxiety disorder is a common psychological disorder that seriously hinders the normal life of patients in today’s society. At present, individual cognitive behavioral therapy (CBT) is considered to be one of the most effective therapies. Taking the cognitive behavior model of social anxiety disorder as the theoretical background, combined with motivational interview technology, this paper expects to preliminarily explore the case analysis and consultation process for college students’ social anxiety disorder through the case consultation of College Students’ social anxiety disorder. On the basis of a complete and detailed case conceptualization of the patients, eight sessions of motivational interviewing combined with CBT were conducted. The results showed that the Liebowitz Social Anxiety Scale (LSAS) score decreased from 48 to 26, indicating that the initial counseling goal had been achieved. This case report suggests that a combination of motivational interviewing, cognitive reconstruction, and exposure therapy can be used in counseling for social anxiety disorder.
• DOI： https://doi.org/10.35534/tppc.0402013
• 引用： 陈瑞婕，訾非．一例无法与人对视的社交焦虑大学生的认知行为咨询案例报告［J］．心理咨询理论与实践，2022，4（2）： 97-105．