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中文题名:

 限时动力疗法对亲密关系中依恋回避倾向的干预: 一例个案研究    

姓名:

 戴吉轩    

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:

 2024    

校区:

 北京校区培养    

学院:

 心理学部    

研究方向:

 限时动力疗法对亲密关系中依恋回避倾向的干预: 一例个案研究    

第一导师姓名:

 何瑾    

第一导师单位:

 北京大学    

第二导师姓名:

 李非寒    

提交日期:

 2024-06-19    

答辩日期:

 2024-05-23    

外文题名:

 INTERVENTION OF TIME-LIMITED DYNAMIC PSYCHOTHERAPY FOR AVOIDANCE TENDENCY OF INSECURE ATTACHMENT STYLE IN INTIMATE RELATIONSHIPS: A CASE STUDY    

中文关键词:

 限时动力疗法 ; 依恋回避倾向 ; 亲密关系 ; 循环性适应不良模式分析 ; 情绪表达 ; 个案研究    

外文关键词:

 Time Limited Dynamic Psychotherapy ; The Avoidance Tendency of Attachment Style ; Intimate Relationships ; Cyclic Maladaptive Pattern Analysis ; Emotional Expression ; Case Studies    

中文摘要:

本研究旨在探讨限时动力疗法对亲密关系中的依恋回避倾向的干预有效性和适用性。由于不安全依恋风格水平与恋爱效能感及婚姻满意度有较高的相关性,因此一定程度上影响了当下适龄群体进入亲密关系的能力,同时根据研究显示,高依恋回避倾向的个体在以大学生为代表的年轻群体中已经达到了半数以上(孙飞飞, 2015)。因此如何有效改善依恋回避倾向成为了亟待解决的问题,故本研究采用个案研究的方法,对一例有亲密关系困扰的依恋回避倾向成人个案进行干预。研究者基于限时动力疗法的核心理念,对来访失功能的循环性适应不良模式进行概念化,并运用聚焦与加工情绪、探索循环性适应不良模式、促进行为尝试与改变等技术,共进行了15次咨询。整体咨询历程可划分为四个阶段,包括初始阶段、中间阶段、深化阶段和结束阶段,分别完成了探寻循环性适应不良模式、促成新理解与新体验、深化新理解与新体验、巩固与结束咨访关系的阶段性目标。研究者分别在第1、5、12、15次咨询后,及干预结束后第八周分别进行了前、中、后测和追踪测量及访谈。五次测量均评估了来访者的依恋回避水平(亲密关系经历量表修订版,ECR-R)、心理健康状态(咨询效果评估量表,OQ-45.2)和情绪表达能力(情绪表达性量表,EES)的变化。研究结果显示,来访者的依恋回避倾向逐渐下降,来访者的情绪表达能力明显提升,且在咨询结束后的人际关系困扰也有所改善。结合对咨询内容的具体分析,可见来访者在关系中的回避倾向稳定降低,情绪隔离症状明显减轻,对情绪的感受性明显恢复,同时来访者拥有了更积极的心理表征,更加自我接纳,在亲密关系中的安全感和自主性有所提高,因此验证了限时动力疗法能够有效地降低亲密关系中的依恋回避倾向。并在理论角度,验证依恋回避倾向个体的内部工作模型可以通过干预得到改变,为现有理论中限时动力疗法的干预有效性提供研究支撑;在实践角度,则探索限时动力疗法针对依恋回避倾向干预的有效性,分析过程中的起效因素,检验限时动力疗法对我国依恋回避倾向个体的实际应用价值、适用性和局限性,为针对依恋回避倾向个体的临床干预方案积累临床实践经验。

外文摘要:

This study aimed to explore the effectiveness and applicability of time-limited dynamic therapy as an intervention for attachment avoidance tendencies in close relationships. Since the level of insecure attachment style has a high correlation with love efficacy and marital satisfaction, it affects the ability of the current age group to enter into intimate relationships to a certain extent. At the same time, according to research, individuals with high attachment avoidance tendencies in college students More than half of the young groups represented have reached more than half (Sun Feifei, 2015). Therefore, how to effectively improve attachment avoidance tendencies has become an urgent problem to be solved. Therefore, this study adopted a case study method to intervene in an adult case of attachment avoidance tendencies with intimacy problems. Based on the core concepts of time-limited dynamic therapy, the researchers conceptualized the cyclothymic maladaptive pattern of client dysfunction and used techniques such as focusing and processing emotions, exploring cyclothymic maladaptive patterns, and promoting behavioral attempts and changes, for a total of 15 times consult. The overall consultation process can be divided into four stages, including the initial stage, the intermediate stage, the deepening stage and the end stage, which respectively complete the exploration of cyclic maladaptive patterns, promote new understanding and new experience, deepen new understanding and new experience, consolidate and end. Phased goals of the counseling relationship. The researcher conducted pre-test, mid-test, and post-test and follow-up measurements and interviews respectively after the 1st, 5th, 12th, and 15th consultations, and at the eighth week after the intervention. The five measurements all assessed the client's level of attachment avoidance (Experiences of Close Relationships Scale-Revised, ECR-R), mental health status (Counseling Effectiveness Evaluation Scale, OQ-45.2), and ability to express emotions (Emotional Expressivity Scale , EES) changes. The research results show that the client's attachment avoidance tendency gradually decreased, the client's emotional expression ability was significantly improved, and the interpersonal distress after the consultation was also improved. Combined with the specific analysis of the consultation content, it can be seen that the client's avoidance tendency in relationships has been steadily reduced, the symptoms of emotional isolation have been significantly reduced, and the susceptibility to emotions has been significantly restored. At the same time, the client has a more positive psychological representation, is more self-accepting, and is more comfortable in intimacy. The sense of security and autonomy in the relationship has improved, thus verifying that time-limited dynamic therapy can effectively reduce attachment avoidance tendencies in close relationships. From a theoretical perspective, it verifies that the internal working model of individuals with attachment avoidance tendencies can be changed through intervention, providing research support for the effectiveness of time-limited dynamic therapy intervention in existing theories; from a practical perspective, it explores the intervention of time-limited dynamic therapy for attachment avoidance tendencies. The effectiveness, the onset factors in the analysis process, the practical application value, applicability and limitations of time-limited dynamic therapy for individuals with attachment avoidance tendencies in my country, and the accumulation of clinical practice experience for clinical intervention programs for individuals with attachment avoidance tendencies.

参考文献总数:

 85    

馆藏号:

 硕045400/24120    

开放日期:

 2025-06-25    

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