近年来，随着女性地位的提升、消费文化的广泛传播以及社交媒体的快速发展，公众越来越关注男性的外表。这种趋势导致一些男性对自己的外观感到不满意，认为自己达不到社会的“标准”，从而对自己的外貌感到不自信。这种不自信不仅影响了他们的自我形象，还可能对青年男性的婚恋观念产生影响。许多男性开始过分关注自己的身体和外貌，努力塑造理想的身形。然而，有些身体特征是很难通过努力改变的，导致一些男性在无法实现自己的理想外观时感到沮丧。这种对身体的不满意可以对个人的生理、心理和社会功能造成深远的影响，可能会引发健康问题如饮食失调、物质滥用，以及情绪问题如焦虑和抑郁，甚至产生自杀念头。它还可能导致社交回避和人际关系紧张，增加心理压力和困扰。

虽然已有研究深入探讨了负面身体自我，但从男性视角出发的研究相对较少，特别是干预措施的研究更为缺乏。因此，本研究计划通过个案研究法，结合女性主义治疗和男性身体形象综合模型，对18至35岁的男性青年进行心理咨询干预。本研究通过微信朋友圈招募了85名18至35岁的男性参与者，综合评估了他们对自身身体的不满意程度、心理和社会功能水平以及其他心理困扰，最终选择了3位参与者进行咨询。咨询中采用了性别角色分析、权力分析、阅读疗法等女性主义疗法专有技术。经过综合评估，选择了其中一位具有代表性的来访者进行个案呈现。咨询师与该来访者共同完成了16次心理咨询会谈，整个过程被划分为初步评估、干预措施执行以及案例总结三个主要阶段。为全面评估咨询效果，采用了《负面身体自我量表》、《青少年及成人身体自尊量表》、《男性角色规范量表-修订版》和《CORE-OM量表》进行客观测量，并在咨询中期和结束后进行了半结构化访谈。

研究结果表明，咨询干预后，参与者的负面身体自我和女性主义意识都有了显著提高，且这些改善在咨询结束后4周仍保持稳定。半结构化访谈揭示了参与者对咨询效果的积极感知。这项研究作为一次成功的短期女性主义治疗干预男性负面身体自我的尝试，为未来的临床实践提供了宝贵的参考。然而，由于受到个案研究法局限性的限制，女性主义治疗在干预男性负面身体自我方面的有效性还需通过准实验等其他研究方法。

为全面评估咨询效果，采用了《负面身体自我量表》、《青少年及成人身体自尊量表》、《男性角色规范量表-修订版》和《CORE-OM量表》进行客观测量，并在咨询中期和结束后进行了半结构化访谈。

研究结果表明，咨询干预后，参与者的负面身体自我和女性主义意识都有了显著提高，且这些改善在咨询结束后4周仍保持稳定。半结构化访谈揭示了参与者对咨询效果的积极感知。这项研究作为一次成功的短期女性主义治疗干预男性负面身体自我的尝试，为未来的临床实践提供了宝贵的参考。然而，由于受到个案研究法局限性的限制，女性主义治疗在干预男性负面身体自我方面的有效性还需通过准实验等其他研究方法。

In recent years, with the elevation of women's status, widespread dissemination of consumer culture, and rapid development of social media, the public has increasingly focused on men's appearance. This trend has led some men to feel dissatisfied with their looks, believing they do not meet societal "standards," thereby affecting their self-confidence in their appearance. This lack of confidence not only impacts their self-image but may also affect young men's views on relationships and marriage. Many men begin to excessively focus on their bodies and appearance, striving to achieve an ideal physique. However, some physical characteristics are difficult to change through effort alone, leading to frustration among men unable to achieve their desired appearance. This dissatisfaction with one's body can have profound effects on an individual's physiological, psychological, and social functioning, potentially leading to health issues such as eating disorders, substance abuse, and emotional problems like anxiety and depression, even to the point of harboring suicidal thoughts. It can also lead to social withdrawal and interpersonal tension, increasing psychological distress and turmoil.

Although research has extensively explored negative physical self, studies from a male perspective, particularly on intervention measures, are relatively scarce. Therefore, this study plans to conduct psychological counseling interventions for young men aged 18 to 35 through case study methodology, combining feminist therapy and the comprehensive model of male body image. This research recruited 85 male participants aged 18 to 35 via WeChat Moments, assessed their dissatisfaction with their bodies, psychological and social functioning levels, and other psychological distresses, and ultimately selected 3 participants for counseling. Counseling employed feminist therapy techniques such as gender role analysis, power analysis, and bibliotherapy. After comprehensive assessment, one representative participant was chosen for case presentation. The counselor and the participant completed 16 counseling sessions, with the entire process divided into preliminary assessment, intervention measures execution, and case summary. To fully evaluate the counseling effects, objective measures such as the Negative Body Self Scale, the Body Esteem Scale for Adolescents and Adults, the Male Role Norms Inventory-Revised, and the CORE-OM were used, along with semi-structured interviews at the mid-point and end of counseling.

The results can be seen that after the counseling intervention, participants showed significant improvements in negative body self-image and feminist consciousness, which remained stable four weeks after the counseling ended. Semi-structured interviews revealed participants' positive perceptions of the counseling effects. This study, as a successful attempt at short-term feminist therapy intervention for negative physical self in male, provides valuable references for future clinical practice. However, due to the limitations of the case study methodology, the effectiveness of feminist therapy in intervening in negative physical self in male needs further verification through quasi-experimental and other research methods.