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中文题名:

 情绪聚焦疗法干预恋爱焦虑的个案研究    

姓名:

 朱瑞珩    

保密级别:

 公开    

论文语种:

 中文    

学科代码:

 045400    

学科专业:

 应用心理    

学生类型:

 硕士    

学位:

 应用心理硕士    

学位类型:

 专业学位    

学位年度:

 2022    

校区:

 北京校区培养    

学院:

 心理学部    

研究方向:

 临床与咨询心理    

第一导师姓名:

 蔺秀云    

第一导师单位:

 北京师范大学心理学部    

提交日期:

 2022-06-27    

答辩日期:

 2022-06-27    

外文题名:

 EMOTION-FOUCSED THERAPY INTERVENTION FOR RELATIONSHIP ANIXETY: A CASE STUDY    

中文关键词:

 恋爱焦虑 ; 情绪聚焦疗法 ; 个案研究    

中文摘要:
绝大部分个体在成长发展的过程中会有恋爱经历,但部分个体在面对恋爱时并不能充分享受和体验其中的美好,取而代之的是因恋爱而产生的焦虑感。恋爱焦虑产生的原因多种多样,尤其是情侣之间存在不良的的互动模式,让其中一方或双方体验到不适应,或在关系中存在被压抑的情绪和无法被满足的需求,容易使个体产生焦虑感和失望情绪,对伴侣产生怀疑,对感情产生不确定感,进而对亲密关系产生负面影响,这无疑是对当代年轻人亲密关系的巨大挑战。因此,增加学界和大众对于成年早期个体恋爱焦虑的认识,探讨解决恋爱焦虑的有效方法具有现实意义。
情绪聚焦疗法是一种后现代人本主义和经验实证取向的短程心理咨询方法,许多已有研究都证明,情绪聚焦疗法对亲密关系问题有良好的改善作用,但是在国内对于恋爱焦虑问题,以往研究者更多从理性认知角度解决问题,而非对亲密关系中功能更为复杂重要的情绪工作。因此,我们设计了本次个案研究,以期验证情绪聚焦疗法的干预模式可以从情绪的角度,为来访者的议题呈现一定咨询效果。咨询师采用个体取向的情绪聚焦疗法,通过增加来访者对关系中情绪体验的接纳和觉察,理解其在亲密关系中的互动模式,帮助来访可以更加接受自己情感上的需要,减少其在关系中的焦虑、自责和无价值感,表现出更具适应性的情绪图式,更良好的自我以及对于亲密关系的信心。
本个案研究呈现的是一位因伴侣与自己的互动方式让自己感到不被重视,而产生恋爱焦虑的成年女性前来寻求个体咨询的案例。被试来访32岁,咨询开始时处在自己的第三段亲密关系中已经数月,来访通过北师大心理咨询中心招募推送得知咨询,并填写量表招募进组。主诉为在当前的恋爱中,男友经常忽视自己的需求,并且会向自己表达强烈的负面情绪,与自己对男友的最初期待不符而感到十分焦虑。希望可以通过咨询调整自己的情绪,并且和男友有更充分的交流互动。
咨询师收集来访背景信息并对其精神状态进行了细致评估,结合恋爱焦虑量表和焦虑自评量表等测评结果,为被试来访进行相应的理解和个案概念化,总结认为,来访恋爱焦虑产生的原因包括个体本身存在重复的、不具适应性的人际模式,让来访在亲密关系中扮演 “照顾者”的角色,承担过多不必要责任的同时,压抑自己的情绪表达和被照顾、被爱、被接纳等情感需求。来访过于为对方着想的行为模式满足了来访的自我价值体验,同时造成了关系中伴侣的失能,导致对方更加无力满足来访自身的需要,不断陷入负性循环,导致来访在关系中不断体验到焦虑的感受。咨询师与来访回顾在恋爱过程中的关键事件、情绪体验、对来访的影响,讨论确定了咨询目标,并基于个案概念化,咨询师与来访进行了每周1次,每次50分钟,共12次个体心理咨询,咨询结束后4周后进行回访。
来访者表现出如下积极变化。客观层面,来访者恋爱焦虑量表总平均分从3.95下降至2.87分,各维度分数均有下降,恋爱焦虑感有所降低;焦虑自评量表标准分从62分下降至47分,焦虑情绪从临床诊断中度水平下降至正常范围,焦虑症状消除。主观层面,来访认为自己具备更佳的情绪调节能力,可以更具适应性地觉察和调整自身情绪;对具有的亲密关系模式产生更多理解和觉察,更有信心在关系中表达自己需要,采取行动寻求满足;产生更加良好的自我价值认同;经历亲密关系结束之后,展现较强的心理弹性和复原力,可以充分利用咨询和其他社会支持进行调节。在咨询结束4周后回访时,来访在情绪和人际模式认知上的改善得以维持,总体达到咨询目标。这说明情绪聚焦疗法在本个案中对于干预恋爱焦虑是有效且适用的。
研究结果表明,情绪聚焦疗法对于恋爱焦虑的个体产生了良好的干预效果。本研究验证了情绪聚焦疗法干预恋爱焦虑问题的有效性,拓展了从情绪层面对该问题的干预思路和实践,并且观察总结了情绪聚焦疗法用于恋爱焦虑问题的临床咨询时的注意事项,为日后的进一步研究和应用提供了实践层面的信息支持。
外文摘要:
The vast majority of individuals experience relationships as they grow and develop, but some individuals do not fully enjoy and experience the beauty of relationships when they are faced with them, and are replaced by feelings of anxiety that arise from relationships. There are various reasons for relationship anxiety, especially the existence of unhealthy interaction patterns between couples, so that one or both of them experience maladjustment. The existence of repressed emotions and unmet needs can easily make individuals feel anxious and disappointed, doubtful about their partners, uncertain about their feelings, and then negatively affect intimate relationships. This is undoubtedly a great challenge for contemporary young people in intimate relationships. Therefore, it is of practical importance to increase academic and public awareness of relationship anxiety in early adulthood individuals and to explore effective ways to address it.
Emotion-Focused Therapy is a postmodern humanistic and empirically oriented short-course counseling approach. Many existing studies have demonstrated that Emotion-Focused Therapy has a good improvement effect on intimacy problems, but for relationship anxiety problems in China, previous researchers have addressed the problem more from a rational cognitive perspective rather than working on emotions, which function more complexly and importantly in intimate relationships. Therefore, we designed this case study to verify that the intervention model of emotion-focused therapy can present some counseling effects on the client's problems from an emotional perspective. The counselor used individual-oriented emotion-focused therapy to help the client become more accepting of her emotional needs, reduce her anxiety, self-blame, and feelings of worthlessness in the relationship, and demonstrate a more adaptive emotional schema, a better self, and confidence in the intimate relationship by increasing the client's acceptance and awareness of her emotional experience in the relationship and understanding her interaction patterns in the intimate relationship.
This case study presents a case of an adult woman who came to individual counseling with relationship anxiety because she felt unappreciated by the way her partner interacted with her. The client was 32 years old and had been in her third intimate relationship for several months when counseling began. She complained that in her current relationship, her boyfriend often ignored her needs and expressed strong negative emotions to her, which was not in line with her initial expectation of her boyfriend and she felt very anxious. The client hopes that she can adjust her emotions through counseling and have a fuller communication and interaction with her boyfriend. 
The counselor collected background information and carefully assessed the mental state of the client, combined the results of the Relationship Anxiety Scale and the Self-Rating Anxiety Scale, and provided the client with appropriate understanding and conceptualization of the case, concluding that the causes of the client's relationship anxiety include the existence of repetitive and non-adaptive interpersonal patterns that allow the client to play the role of "caregiver" in intimate relationships and to take on too many unnecessary responsibilities while suppressing her emotional needs and expression such as being cared for, loved and accepted. The client's behavior pattern of thinking too much about the other person satisfied the client's self-worth experience, and at the same time caused the partner's dysfunction in the relationship, which led to the partner 's inability to satisfy the client's own needs, and kept falling into a negative cycle, resulting in the client's constant anxiety in the relationship. The counselor reviewed with the client the key events in the relationship, the emotional experience and its impact on the client, discussed and determined the counseling goals. Based on the conceptualization of the case, the counselor conducted 12 individual counseling sessions with the client once a week for 50 minutes each time, with a return visit 4 weeks after the counseling.
The clients showed the following positive changes. On the objective level, the overall mean score of the relationship anxiety scale decreased from 3.95 to 2.87, with a decrease in all dimensions. The feeling of relationship anxiety decreased. The standard score of the anxiety self-rating scale decreased from 62 to 47, and the anxiety decreased from a moderate clinical diagnosis level to a normal range. The anxiety symptoms were eliminated. At the subjective level, the client felt that she had better emotional regulation ability and could be more adaptive in perceiving and adjusting her emotions. The client had more understanding and awareness of her intimate relationship patterns, and was more confident in expressing her needs and took action to seek satisfaction in the relationship. The client had a better self-worth identity, showed stronger psychological resilience and recovery after experiencing the end of an intimate relationship, and could make full use of counseling and other social support for regulation. At the return visit 4 weeks after the end of counseling, the improvement in the perception of emotional and interpersonal patterns was maintained and the counseling goals were generally met. This suggests that Emotion-Focused Therapy was effective and applicable to intervene with relationship anxiety in this case.
The results of the study showed that Emotion-Focused Therapy produced good intervention effects for individuals with relationship anxiety. The study validated the effectiveness of Emotion-Focused Therapy interventions for relationship anxiety, expanded the ideas and practices of interventions for this problem at the emotional level, observed and summarized the considerations for the use of Emotion-Focused Therapy in clinical counseling for relationship anxiety, providing information for further research and application at the practical level.
参考文献总数:

 52    

馆藏号:

 硕045400/22048    

开放日期:

 2023-06-27    

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