本文關(guān)鍵詞： 動(dòng)力性心理治療 精神分析 過(guò)程研究 質(zhì)性研究 質(zhì)性內(nèi)容分析 敘說(shuō)分析 個(gè)案研究　出處：《中南大學(xué)》2014年博士論文　論文類型：學(xué)位論文

【摘要】：目的： 本研究旨在描記、分析、解釋動(dòng)力性心理治療過(guò)程中來(lái)訪者發(fā)生治療性變化的主題內(nèi)容及其變化機(jī)制,并探索與來(lái)訪者發(fā)生改變的內(nèi)容主題相關(guān)的言語(yǔ)和非言語(yǔ)信息交流形式的特點(diǎn)。 方法： 本研究基于質(zhì)性傾向、以個(gè)案研究為總設(shè)計(jì)策略、以多種質(zhì)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(yīng)激障礙來(lái)訪者,進(jìn)行為期2個(gè)月(2013年8月-2013年9月)、總計(jì)25次的短時(shí)程動(dòng)力性心理治療。 1以個(gè)案的全程25次動(dòng)力性心理治療錄像及每次治療后來(lái)訪者和治療師分別填寫的事件報(bào)告單(共計(jì)50份)為材料,制作成文字轉(zhuǎn)錄稿。通過(guò)預(yù)設(shè)的動(dòng)力性心理治療來(lái)訪者變化的6個(gè)主題,進(jìn)行材料篩檢。將檢出的質(zhì)性數(shù)據(jù),通過(guò)敘說(shuō)分析法,以動(dòng)力性演變的視角,對(duì)來(lái)訪者發(fā)生治療性改變的主題內(nèi)容及其變化機(jī)制進(jìn)行細(xì)節(jié)描記和機(jī)制闡述。 2探索來(lái)訪者在治療過(guò)程中信息交流(即言語(yǔ)交流和非言語(yǔ)交流)形式的特點(diǎn)和變化。從上述文字轉(zhuǎn)錄稿篩選出包含引用、象征、典故、比喻、類比等5種特殊言語(yǔ)形式的片段。分析各個(gè)特殊語(yǔ)言片段的內(nèi)涵和功能,并給出相應(yīng)的心理動(dòng)力學(xué)理論解釋。 收集和分析來(lái)訪者在治療過(guò)程中非言語(yǔ)信息的特點(diǎn)和變化。以McNeill姿勢(shì)語(yǔ)言模型和Ekman面部表情神經(jīng)文化模型共同組成的非言語(yǔ)信息矩陣作為篩檢工具。找出伴隨來(lái)訪者發(fā)生治療性改變的過(guò)程中,非言語(yǔ)交流形式的特點(diǎn)和變化。 結(jié)果： 1來(lái)訪者變化分為6個(gè)主題,分別為主題1中心情感變化、主題2防御機(jī)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(guān)系模式變化、主題6病態(tài)信念變化。每一個(gè)主題中,來(lái)訪者創(chuàng)傷所致相關(guān)問(wèn)題解決路徑、治療師介入路徑、動(dòng)力性心理治療技術(shù)應(yīng)用等相互作用,促使各個(gè)主題發(fā)生具有治療意義的變化。 2與來(lái)訪者變化相關(guān)的27個(gè)特殊語(yǔ)言片段呈現(xiàn)出5種特殊言語(yǔ)形式,分別為引用、象征、典故、比喻、類比。與來(lái)訪者變化相關(guān)的姿勢(shì)語(yǔ)言分為形象姿勢(shì)、隱喻姿勢(shì)、節(jié)奏姿勢(shì)、指示姿勢(shì)、象征姿勢(shì)等5類,共計(jì)5650個(gè)。其中2997個(gè)姿勢(shì)語(yǔ)言攜帶快樂(lè)、悲傷、憤怒、恐懼、厭惡和驚訝等6種情緒意義。 結(jié)論： 1本案來(lái)訪者在動(dòng)力性心理治療會(huì)談中發(fā)生的治療性改變及其機(jī)制與來(lái)訪者信息交流形式有密切關(guān)系。 2動(dòng)力性心理治療過(guò)程中的言語(yǔ)交流方式和非言語(yǔ)交流方式均能提供具有治療意義的信息,應(yīng)在實(shí)踐和研究中予以重視。 3質(zhì)性研究工具的配伍使用,能挖掘心理治療過(guò)程中重要卻易被忽略的信息,從而將個(gè)案價(jià)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(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2014
【分類號(hào)】：B849

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相關(guān)博士學(xué)位論文 前1條

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本文編號(hào)：1459863