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住院森田疗法治疗神经症患者心理转变机制研究

The study on the mechanism of psychological transition of neurotic inpatienls during Morita therapy

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【作者】 吴桂英张向阳张培琰

【Author】 Wu Guiyang, Zhang Xiangyang, Zhang Peiyan. Beijing Hui-longgunn Hospital. Changpin Road, Hui longguqn Beijing. (100085) Tel:OlO - 62913261 - 380

【机构】 北京回龙观医院北京回龙观医院 100085100085100085

【摘要】 目的 探讨住院森田疗法治疗过程中神经症患者心理转变机制。方法 对90例患者(包括强迫症56例,恐怖症20例,焦虑症14例)采用日记分析、量表评定、临床观察等方法对森田治疗各期中的心理变化历程进行综合分析。结果 卧床期能减轻症状,解除患者抵抗症状的防御心理及提高认识,第二、三期的体力工作能转移注意力,培养积极的生活态度,改善性格,提高心理素质等。 结论 患者在森田治疗四期中有各自的心理特点,了解这些特点有助于提高疗效。

【Abstract】 Objective To investigate the mechanism of psychological changes in the patients with neurotic disorder during Morita psychotherapy. Methods 90 of neurotic patients including 50 with obsessive-compulsive disorder, 12 with phobia, 8 with anxiety disorder were examined using the analysis of patients diaries, the evaluation of self-rating questionarire(SCL - 90) and by the observations of clinical psychologists and nurses in the 4 periods of Morita therapy. Results The bed-lying phase led to relief of neurotic symptoms, removal of psychological factors resistant to symptoms and enhancement of cognition to the nature of the illness and the physical - working in the second and the third periods, played an important role in distraction of concentration formation of active living attitude, improvement of character and psychological cruality. Conclusions Patients with neurotic disorder had a distinguishing psychological feature respectively in each phase of Morita therapy and it was useful in increasing therapeutic effect of psychotherapy to find out these psychological characteriaties.

  • 【文献出处】 中国神经精神疾病杂志 ,Chinese Journal of Nervous and Mental Diseases , 编辑部邮箱 ,1997年05期
  • 【分类号】R749.055
  • 【被引频次】3
  • 【下载频次】113
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