本文關鍵詞： 動力性心理治療 精神分析 過程研究 質性研究 質性內容分析 敘說分析 個案研究　出處：《中南大學》2014年博士論文　論文類型：學位論文

【摘要】：目的： 本研究旨在描記、分析、解釋動力性心理治療過程中來訪者發(fā)生治療性變化的主題內容及其變化機制,并探索與來訪者發(fā)生改變的內容主題相關的言語和非言語信息交流形式的特點。 方法： 本研究基于質性傾向、以個案研究為總設計策略、以多種質性工具組合為研究方法。采取目的性抽樣,選取一位創(chuàng)傷后應激障礙來訪者,進行為期2個月(2013年8月-2013年9月)、總計25次的短時程動力性心理治療。 1以個案的全程25次動力性心理治療錄像及每次治療后來訪者和治療師分別填寫的事件報告單(共計50份)為材料,制作成文字轉錄稿。通過預設的動力性心理治療來訪者變化的6個主題,進行材料篩檢。將檢出的質性數(shù)據(jù),通過敘說分析法,以動力性演變的視角,對來訪者發(fā)生治療性改變的主題內容及其變化機制進行細節(jié)描記和機制闡述。 2探索來訪者在治療過程中信息交流(即言語交流和非言語交流)形式的特點和變化。從上述文字轉錄稿篩選出包含引用、象征、典故、比喻、類比等5種特殊言語形式的片段。分析各個特殊語言片段的內涵和功能,并給出相應的心理動力學理論解釋。 收集和分析來訪者在治療過程中非言語信息的特點和變化。以McNeill姿勢語言模型和Ekman面部表情神經文化模型共同組成的非言語信息矩陣作為篩檢工具。找出伴隨來訪者發(fā)生治療性改變的過程中,非言語交流形式的特點和變化。 結果： 1來訪者變化分為6個主題,分別為主題1中心情感變化、主題2防御機制變化、主題3自尊變化、主題4依戀模式變化、主題5人際關系模式變化、主題6病態(tài)信念變化。每一個主題中,來訪者創(chuàng)傷所致相關問題解決路徑、治療師介入路徑、動力性心理治療技術應用等相互作用,促使各個主題發(fā)生具有治療意義的變化。 2與來訪者變化相關的27個特殊語言片段呈現(xiàn)出5種特殊言語形式,分別為引用、象征、典故、比喻、類比。與來訪者變化相關的姿勢語言分為形象姿勢、隱喻姿勢、節(jié)奏姿勢、指示姿勢、象征姿勢等5類,共計5650個。其中2997個姿勢語言攜帶快樂、悲傷、憤怒、恐懼、厭惡和驚訝等6種情緒意義。 結論： 1本案來訪者在動力性心理治療會談中發(fā)生的治療性改變及其機制與來訪者信息交流形式有密切關系。 2動力性心理治療過程中的言語交流方式和非言語交流方式均能提供具有治療意義的信息,應在實踐和研究中予以重視。 3質性研究工具的配伍使用,能挖掘心理治療過程中重要卻易被忽略的信息,從而將個案價值最大化。
[Abstract]:Objective: The purpose of this study is to record, analyze and explain the subject content and mechanism of the therapeutic changes in the process of dynamic psychotherapy. And explore the characteristics of verbal and non-verbal information communication related to the subject matter of the change of the visitor. Methods: This study is based on qualitative tendency, case study as the overall design strategy, with a variety of qualitative tool combinations as the research method, take a purposeful sampling, select a post-traumatic stress disorder visitor. A total of 25 short-term dynamic psychotherapy was performed for 2 months (August 2013-September 2013). 1 based on the video of 25 times of dynamic psychotherapy in the whole course of the case and the incident report form (50 copies in total) completed by visitors and therapists respectively after each treatment. Through the design of dynamic psychotherapy visitors change of 6 themes, screening materials. The qualitative data will be detected through narrative analysis, with the perspective of dynamic evolution. The theme and mechanism of the therapeutic change were described in detail. (2) to explore the characteristics and changes of the forms of information exchange (i.e. verbal communication and non-verbal communication) in the course of treatment. The transcripts of the above texts were selected to contain references, symbols, allusions and metaphors. The meaning and function of each special language fragment are analyzed and the corresponding psychodynamics theory is given. To collect and analyze the characteristics and changes of non-verbal information in the course of treatment. A nonverbal information matrix composed of McNeill postural language model and Ekman facial expression neurocultural model was used. For screening tools. Identify the course of therapeutic changes that accompany visitors. The characteristics and changes of non-verbal communication. Results: The changes of visitors were divided into six themes, namely, theme 1, theme 2, defense mechanism, theme 3, self-esteem, attachment mode, and interpersonal relationship model, respectively. Topic 6 changes in pathological beliefs. In each topic, the interaction between the client's trauma related problem solving pathway, the therapist's intervention path, and the application of dynamic psychotherapy techniques. To bring about therapeutic changes in each theme. (2) the 27 special language fragments related to the changes of the visitors showed five special speech forms, namely, citation, symbolism, allusions, metaphors, analogy. The postural language related to the changes of the visitors was divided into image postures. There are 5 categories of metaphorical postures, rhythmic postures, indicative postures, symbolic postures, among which 2,997 postures have six emotional meanings: happiness, sadness, anger, fear, disgust and surprise. Conclusion: (1) the therapeutic change and its mechanism occurred during the dynamic psychotherapy talks were closely related to the form of information exchange between the visitors. (2) both verbal and nonverbal communication in the process of dynamic psychotherapy can provide information of therapeutic significance, which should be paid more attention to in practice and research. The compatibility of qualitative research tools can excavate the important but neglected information in the process of psychotherapy, thus maximizing the value of individual cases.
【學位授予單位】：中南大學
【學位級別】：博士
【學位授予年份】：2014
【分類號】：B849

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相關博士學位論文 前1條

1 侯言彬;腎移植患者心理體驗的研究[D];中南大學;2013年

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本文編號：1459863