国际中文开源期刊平台

宫颈癌患者心理创伤的箱庭疗法案例研究——基于创伤后成长的视角

A Case Study of Sandplay Therapy for Cervical Cancer Patients with Psychological Trauma —Based on a Post-traumatic Growth Perspective

心理咨询理论与实践 / 2022,4(10)：593-619 / 2022-11-09 360 392

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• 作者： 郑晴      张日昇     
• 单位：

  北京师范大学发展心理研究院，北京
  

• 关键词： 心理创伤；创伤后成长；癌症患者；箱庭疗法
• Psychological Trauma; Post-traumatic Growth; Cancer Patients; Sandplay Therapy
• 摘要： 本研究旨在发展心理创伤的干预方式，使用个案研究法，探究创伤后成长视角下箱庭疗法心理创伤咨询的过程和效果。对一位术后康复期宫颈癌患者进行共计20次箱庭咨询。咨询前后，来访者创伤后应激障碍检查表—平民版总分由33分降低到21分，创伤后成长量表总分由24分提升为67分；箱庭过程经历了四个阶段：呈现与准备、内省与抗争、回归与联结以及成长与整合阶段；此外，对箱庭作品的主题内容、人物像和时间线索的变化进行归纳分析。结果表明接受箱庭疗法的心理咨询后，来访者由低水平的创伤后成长发展为较高水平的创伤后成长，创伤后应激症状得到缓解。整体而言咨询效果良好且箱庭疗法在此过 程中表现出独特的作用机制。
• The purpose of this study was to develop an intervention approach of trauma therapy. A case study method was used to explore the process and effects of sandplay therapy for psychological trauma counseling from a posttraumatic growth perspective. A total of 20 sandplay sessions were conducted with a postoperative cervical cancer patient in recovery. After the counseling sessions, the client’s score on the PCL-C decreased from 33 to 21, and the score on the PTGI increased from 24 to 67. The sandplay process went through four stages: presentation and preparation, introspection and resistance, regression and connection, and growth and integration. Meanwhile, an inductive analysis was conducted on the changes of thematic, character portraits and time clues of the sandplay works. The results showed that after receiving sandplay therapy, the client has developed from low level of post-traumatic growth to higher level of post-traumatic growth and the post-traumatic stress symptoms were relieved. In conclusion, the counseling was effective and sandplay therapy showed particular mechanisms in this process.
• DOI： https://doi.org/10.35534/tppc.0410062
• 引用： 郑晴，张日昇．宫颈癌患者心理创伤的箱庭治疗法案例研究——基于创伤后成长的视角［J］．心理咨询理论与实践，2022，4（10）：593-619．