中文题名: | 短程动力疗法对提升迷恋型依恋者依恋安全水平的干预:一例个案研究 |
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保密级别: | 公开 |
论文语种: | 中文 |
学科代码: | 045400 |
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学生类型: | 硕士 |
学位: | 应用心理硕士 |
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学位年度: | 2022 |
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提交日期: | 2022-06-09 |
答辩日期: | 2022-05-29 |
外文题名: | TIME-LIMITED DYNAMIC PSYCHOTHERAPY FOR INDIVIDUALS WITH PREOCCUPIED ATTACHMENT STYLE: A CASE STUDY |
中文关键词: | |
外文关键词: | Time-Limited Dynamic Therapy ; Preoccupied Attachment Style ; Case Study |
中文摘要: |
本研究旨在验证短程动力疗法对提高迷恋型依恋者依恋安全水平的有效性和适用性。研究采用个案研究的方法,对一例有亲密关系困扰的迷恋型成人个案进行干预。 研究者基于短程动力疗法的核心理念,对来访失功能的成人依恋风格概念化,运用了该疗法中维持咨询关系、提取与加工情绪、探索循环性适应不良模式、直接促进改变等技术,共进行了16次咨询。这16次咨询可划分为初始阶段(1-4次)、中间阶段(5-8次)、深化阶段(9-12次)和结束阶段(13-16次),在四个阶段分别完成了探寻循环性适应不良模式、形成新理解与新体验、深化新理解与新体验、巩固与告别的阶段性目标。 研究者分别在干预前、干预中(第4次咨询后和第11次咨询后)、干预结束后进行了前测、中测和后测,测量内容包括依恋风格(亲密关系量表修订版,ECR-R),心理健康状态(咨询效果评估量表,OQ-45.2),亲密关系满意度(简版亲密关系满意度问卷,QRI)以及咨访关系感受(咨询距离量表,TDS)。干预结束六周后对个案进行了追踪测量和访谈。 研究结果显示,来访者的依恋焦虑水平逐渐下降,来访者在咨询结束后其人际关系困扰和相关症状困扰也有所减轻。结合对咨询的前、中、后期的咨询内容分析,发现来访者的依恋焦虑倾向(包括对自我、他人和关系的心理表征)减少,来访者获得了较为积极的自我认知,在亲密关系中的安全感有所提高。 研究证明,短程动力疗法对于提升迷恋型依恋者的依恋安全水平有一定可行性。但因为本研究仅对一例个案展开干预,有诸多变量对干预效果产生影响(如咨询师的依恋风格及来访者的外部生活事件),如后续在本土化框架内开展更大范围取样的量化研究,可提高研究结果的外部效度。 |
外文摘要: |
This case study intervened an adult client, who is suffering from sense of insecurity in intimate relationship due to attachment anxiety tendency.The study, by using Time-Limited Dynamic Psychotherapy(TLDP), aims to verify the effectiveness and applicability of enhancing attachment security of individuals with preoccupied attachment style. Based on the core beliefs and the conceptualization on maladaptive patterns of adult attachment style provided by Time-Limited Dynamic Psychotherapy, the counselor conducted 16 counseling sessions with the client using TLDP techniques, such as maintaining the therapeutic alliance, extracting and processing emotions, empathic inquiry, and exploring cyclical maladaptive patterns. The 16 counseling sessions can be divided into four stages: initial stage(1st-4th sessions), intermediate stage(5th-8th sessions), enhancing stage(9th-12th sessions), and ending stage(13th-16th sessions), which accomplished phased missions of exploring cyclical maladaptive patterns, obtaining new understanding and new experience, enhancing new understanding and new experience, reinforcing and terminating counselor-client relationship respectively. The Experiences in Close Relationships-Revised, Quality of Relationship Index, Outcome Questionnaire 45.2 and Therapeutic Distance Scale were used before, during, and after the counseling process as quantitative assessment tools to conduct the measurement and assessment to the client. A follow-up session with measurement and assessment was conducted after six weeks after case closure. The results revealed a gradual decrease of the client's attachment anxiety level, besides, the client’s interpersonal distress and symptomatic distress related to attachment anxiety were also reduced after counseling. Combining the content analysis of the interview content, it can be concluded that the client showed a decrease of attachment anxiety tendency (including mental representations of self, others, and relationships) with a gain of an increased positive self-perception and a sense of security in intimate relationships. The study demonstrated the feasibility of Time-Limited Dynamic Psychotherapy for enhancing the level of attachment security in preoccupied attachment individuals. This study based on one individual case, varies of variables have impact on the intervention process, such as the attachment style of counselors and the external life of client. The external validity can be improved with a larger sampling within China mainland. |
参考文献总数: | 96 |
馆藏号: | 硕045400/22167 |
开放日期: | 2023-06-09 |