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一例有整容执念的心理咨询案例 ——以心理动力学为咨询取向

A Case of Psychological Consultation Obsessing with Cosmetic Surgery：A Psychodynamic Approach to Counseling

心理咨询理论与实践 / 2019,1(1)：42-54 / 2019-05-20 6911 10307

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• 作者： 沈丹     
• 单位：

  中南林业科技大学心理中心，湖南长沙，410004

• 关键词： 整容；自尊；镜映；关系
• Cosmetic Surgery；Self-esteem；Mirroring；Relationship
• 摘要： 来访者常因自己不漂亮而深感自卑，人际被动、情绪抑郁，并因强烈的整容执念主动前来咨询。其核心问题为自体受损，这其中涉及来访者与他人的关系以及在关系中的自我状态。咨询师帮助来访者识别自尊调节方式、人际模式，澄清深层次的无意识情感；为来访者提供一种新的稳定的关系，即与咨询师的关系，以帮助其形成健康的关系模板提供基础；鼓励来访者形成理想化目标，使其减少利用他人来促进自尊的渴求；咨询师作为一个理想化的客体适时适当地提供镜映，修正其内在的自我意象，使之逐渐与真实的状态相呼应。
• The client used to feel inferior because she was not beautiful，and she was passive and depressed. She came to consult for obsessing with cosmetic surgery. The core issue of the case is self harm，which involves the relationship between the client and others and the ego state in relationships. In consultation，the counselor helped the client identify Self-respect regulation，interpersonal patterns，and clarified deep unconscious emotions. The consulor provided a new stable relationship for the client，that is，the relationship with the consulor，so as to help her form a healthy relationship template. The consulor encouraged the client to form idealized goals，so that she could reduce the desire to use others to promote self-esteem. The consulor， as an idealized object，mirrorred her timely and appropriately，revising her inner self-image and gradually echoeing with the real state.
• DOI： https://doi.org/10.35534/tppc/0101004
• 引用： 沈丹．一例有整容执念的心理咨询案例——以心理动力学为咨询取向［J］. 心理咨询理论与实践，2019，1（1）：42-54.
  https://doi.org/10.35534/tppc/0101004