Relational problems and psychiatric symptoms in couple therapy

This article describes couples attending family counselling in Sweden. The study group is compared with clinical groups and non-clinical groups. Self-rating instruments were com-pleted by 317 women and 312 men to evaluate the following: marital satisfaction (DAS), expressed emotion (QAFM), family climate (FC), psychiatric symptoms (SCL-90) and sense of coherence (SOC). This group had several problems: marital relationships, disrupted family functioning, dyadic interactions characterised by criticism and open arguments, and multiple psychological symptoms. The women were espe-cially discontent in the relationship, and they exhibited higher symptom strain and lower sense of coherence than the men did. Compared with non-clinical populations, this group was severely distressed and was similar to in-patient families in child psychiatric clinics. The low sense of coherence of the individuals in the group under study means that their sense of having a meaningful life and their ability to comprehend and manage problems were severely compromised. Adequate and comprehensive treatment within the framework of social pro-grammes should be made available to these couples and others in a similar situation.     

怀特海后现代理论与心理治疗

介绍了怀特海关于文明的理论,这一理论关注表象与实在的区别以及文明的五种特质——艺术、真、美、探险、安宁。认为这些观念可以作为桥梁性原理连接对怀特海一般理论的整合与扩充。认为怀特海思想能够给心理治疗的性质和过程提供重要洞见。     

Integrating Dream Analysis with Intersubjectivity in Group Psychotherapy

The author discusses her application of Daniel Stern's theories of intersubjectivity to group psychotherapy. The group members were women presenting with issues regarding childhood molestation and/or abuse. From her case notes, she examines the dreams the women discussed in the group treatment setting and illustrates how the group members mutually constructed life narratives, which ultimately created new meanings regarding their lives. Through mutual construction of these narratives, her clients ultimately organized new senses of self, affecting them both interpersonally and intrapsychically.     

老子的心理学思想在心理治疗三要素中的价值

心理治疗有三个共同因素即:治疗者、来访者和治疗过程。针对这三个方面可展现老子的心理治疗思想:老子的理想人格思想是对治疗者的最高要求;自我内求思想是来访者的治疗目标;无为自化思想是治疗过程的最佳体现。     

Containing Violence: A Case Study Illustration of Bion's Container-Contained Model as Applied to Mother–Infant Intervention

Secure Beginnings is a program of psychotherapy for pregnant women with potential problems in the formation of the parent–child relationship including, in the extreme, infant maltreatment. The core of the therapeutic process is to help the mother recognize and think through unbearable thoughts and feelings rather than project expectations of abandonment, hate, helplessness or ridicule into her infant. Case material, from 18 months of treatment, is used to illustrate the Secure Beginnings approach. The case is a mother with psychosis and addiction who lost nine previous children to foster care.     

《道德经》的心理调治方法初探

<道德经>中的修身养性思想,从心理调治的角度看,可归纳为返朴归真法、层层超越法、忘我静修法.返朴归真法是通过解除外界时自我本性的异化、恢复自我的真朴本性来调治行为主体的心理问题或心理疾病;层层超越法是运用<道德经>中的辩证法思想去超越万事万物,以一种"无执"的心境来调治行为主体的心理问题或心理疾病;忘我静修法是通过淡化、自我意识来调治行为主体的心理问题或心理疾病.     

社会工作的机遇与挑战：精神病人社区康复过程中的社会服务介入

精神病康复是随着西方非院舍化和社区照顾运动而产生的一种新的服务框架,目的是帮助精神病人在社区日常生活环境中增强积极管理自己病症的能力,改善精神病人的社会支持,提高精神病人的社会生活功能.精神病康复服务中所蕴含的宗旨与社会工作的基本原则非常相似,为社会工作的发展提供了巨大的空间.同时,也使社会工作面临无可回避的挑战:如何在坚持社会工作自己的价值理念基础上发展社会工作独特的服务方式.中国大陆精神病康复服务的发展需要社会工作者的积极介入,但服务介入的方式与西方社会工作不同,在家庭责任关系中理解精神病人及其家庭成员的日常生活愿望,整合发展和治疗、内部心理调适和外部社会支持,以家庭为服务介入的对象,在日常生活中发展专业化的服务方式.     

The Millhill

This study reports on discharged patients' experiences of care at a therapeutic community - The Millhill. Data were collected by means of a questionnaire and interviews. The focus of the study is on the former patients' own experiences of The Millhill and their present state. The majority report positive changes when they compare how they feel today with how they felt just prior to admission and just after discharge. Eighty-five percent claim that the major problem which led them to seek treatment is less serious today than it was when they were admitted to The Millhill. Compared with other inpatient care, the interviews showed that treatment at The Millhill was based on long-term individual treatment plans and that those undergoing treatment were treated as "individuals", whereas treatment in the psychiatric wards was more like "storage" and medication and those undergoing treatment were treated as "patients".     

The Selfobject in the Age of Technology

The author considers self-psychology concepts including the selfobject and influences on self-esteem in the observation and exploration of the significance patients assigned to their cellular telephones, computers, and other electronic communication devices. The intrusion of these devices in sessions and their presence in the patients lives is explored.     

Therapeutic Forgiveness: Developing a Model for Empowering Victims of Sexual Abuse

Forgiveness is increasingly popular in therapy as a way to facilitate healing, but there are definitional discrepancies and confusion regarding the degree to which it is conceptualized as either an interpersonal/relational or an independent/self-enhancing process. In this article forgiveness is conceptualized as an interpersonal process linked to apology or contrition on the part of the offender. Yet it is also independent. A model is described that was developed for the benefit of abuse victims whose offenders will not or cannot apologize. Using the model, victims can accomplish for themselves what would be accomplished for them through an apology.