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中文题名:

 箱庭疗法干预抑郁青少年父母亲职压力的个案研究    

姓名:

 史会元    

保密级别:

 公开    

论文语种:

 chi    

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:

 2023    

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:

 张日昇    

第一导师单位:

 心理学部    

提交日期:

 2023-06-20    

答辩日期:

 2023-05-24    

外文题名:

 THE CASE STUDY OF SANDPLAY THERAPY INTERVENTION ON PARENTAL STRESS IN DEPRESSED ADOLESCENTS    

中文关键词:

 青少年抑郁 ; 亲职压力 ; 箱庭疗法 ; 家庭治疗    

外文关键词:

 Adolescent Depression ; Parental Pressure ; Sandplay Therapy    

中文摘要:

近年来,我国青少年抑郁问题日趋严重化和普遍化,不仅广泛影响着青少年的身心健康和成长发展,还普遍带给父母更大的亲职压力。而持续三年的新冠疫情带给青少年及其家庭的心理适应挑战,更是让问题变得刻不容缓。面对这一时代命题,心理学研究者和临床咨询者有责任给出回应。在众多研究头绪中,分析青少年抑郁与父母亲职压力的相互作用关系,并且探索亲职压力在心理咨询干预下的缓解过程,是颇具价值的理论探索和实践尝试。
本研究采用个案研究方法,探讨箱庭疗法对缓解抑郁青少年父母亲职压力的可行性、过程与效果。本研究对北京地区一对夫妻(其上高中的女儿正处在抑郁症康复期)进行了12次箱庭疗法的心理咨询干预,通过量表测评、来访者反馈等方式来呈现咨询效果。完成咨询后,个案夫妻的亲职压力测评得分大幅下降,主观反馈亲职压力带来的焦虑和回避感受明显缓解,亲子关系和夫妻关系明显改善,女儿的抑郁症状持续减轻,学业适应良好,精神科医生也建议女儿减少抗抑郁药物用量。基于上述咨询效果,本研究进一步复盘咨询过程,并对讲述内容进行主题分析,从而透视咨询起效机制。最终本研究得到如下结论.
1.青少年抑郁不仅直接影响父母的亲职压力,给父母带来焦虑、回避等负面感受,还会作为风险因素作用于整个家庭系统,通过影响家庭结构、家庭角色、夫妻关系、亲子关系等因素,进而间接增加父母的亲职压力。
2.青少年抑郁会给父母带来多重丧失感,但同时也可能成为重要的信号和动力,敦促家庭打破原有僵化应对模式,寻求积极的调整。
3.箱庭疗法能激活家庭中的保护性因素,通过改善夫妻关系、亲子关系,提升养育效能感,从而有效缓解抑郁青少年父母的亲职压力。

外文摘要:

In recent years, depression has become increasingly serious and common among Chinese adolescents, which not only affects their physical and mental health and growth, but also brings greater parental pressure to their parents. The three-year COVID-19 epidemic and its psychological adaptation challenges have made the problem even more urgent. Psychological researchers and clinical counselors have a responsibility to respond to this question of The Times. Among many research threads, it is a valuable theoretical exploration and practical attempt to analyze the interaction between adolescent depression and parental stress, and to explore the process of relieving parental stress under the intervention of psychological counseling.
In this study, the method of case study was used to explore the feasibility, process and effect of sandplay therapy on relieving the stress of parents of depressed teenagers. In this study, a couple in Beijing area (whose high school daughter is in the recovery stage of depression) conducted 12 times of psychological counseling intervention with sandplay therapy, and showed the effect of counseling through scale assessment, feedback from visitors and other ways. After the counseling, the couple’s scores of PSI-SF decreased significantly, the anxiety and avoidance feelings caused by the subjective feedback of parental stress were significantly relieved, the parent-child relationship and the relationship between husband and wife were significantly improved, and the daughter's depressive symptoms continued to decrease and her academic adjustment was good. The psychiatrist also suggested that the daughter reduce the amount of antidepressant drugs. Based on the above consultation effects, this study further reviewed the consultation process and carried out a thematic analysis of the content, so as to perspective the effective mechanism of consultation. Finally, this study draws the following conclusions.
1.Adolescent depression not only directly affects parental stress, bringing negative feelings such as anxiety and avoidance to parents, but also acts as a risk factor on the whole family system, and increases parental stress by affecting family structure, family role, marital relationship, parent-child relationship, etc.
2.Depression in adolescents can cause multiple feelings of loss for parents, but it can also be an important signal and motivator for families to break out of rigid coping patterns and seek positive adjustments.
3.Sandplay therapy can activate protective factors in the family, improve the relationship between husband and wife, parent-child relationship, enhance the sense of parenting efficacy, so as to effectively relieve the parental pressure of depressed adolescent parents.

参考文献总数:

 72    

作者简介:

 史会元,应用心理硕士,2023年毕业于北京师范大学,临床与咨询方向,师从张日昇教授学习箱庭疗法,致力于帮助更多青少年家庭走出心理问题带来的困境。 行至千里,初心不忘。    

馆藏号:

 硕045400/23148    

开放日期:

 2024-06-19    

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