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<h1>mgϷϻ:催眠疗法在整合性心理治疗中的作用:经?例治疗报?/h1> </div> <table class="xinxi" width="100%" align="center"> <tr> <td>[日期Q?016-04-11]</td> <td>览量:1018  </td> <td> 作者:Hypnos </td> </tr> </table> <div class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more">分n刎ͼ</a><a href="#" class="bds_qzone" data-cmd="qzone" title="分n到QQI间">QQI间</a><a href="#" class="bds_tsina" data-cmd="tsina" title="分n到新微?>新浪微博</a><a href="#" class="bds_tqq" data-cmd="tqq" title="分n到腾讯微?>腾讯微博</a><a href="#" class="bds_renren" data-cmd="renren" title="分nCh人网">Zh|?/a><a href="#" class="bds_weixin" data-cmd="weixin" title="分n到微?>微信</a></div> <div id="cont_center"><p style="text-indent: 2em;"> <a href="//www.dvttx.icu/">nbaǾ䶯</a> www.dvttx.icu 中国临床康复2002q?月第6L11期ChineseJournalofClinicalRehabilitation,June2002,Vol.6,No.11</p> <p style="text-indent: 2em;" align="center"><strong class="qdkyq"><span style="font-size: large;"> 催眠疗法在整合性心理治疗中的作用:经?例治疗报?/span></strong></p> <p style="text-indent: 2em;">林D达,杨志江,h(q东d院附属医院,q东湛江524001Q湛江vz大学)</p> <p style="text-indent: 2em;"><strong class="qdkyq">摘要Q?/strong>目的探讨催眠在神l症ȝ中的作用。方法对3例神l症q行整合性治疗,整合了催眠治疗,认知ȝQ分析治疗及行ؓȝ。结?例神l症都获得理想的疗效。结论在经症的ȝ技术整合中Q催眠除了其自n的治疗作用外Q还起到媒介作用?/p> <p style="text-indent: 2em;"><strong class="qdkyq">关键词:</strong>催眠Q神l症Q整合性心理治?/p> <p style="text-indent: 2em;">在心理治疗中Q催眠是一相当有用的ȝ技术,使用得当Q常会收到理想的效果。以下报?例应用言语催眠结合其他心理治疗方法治愈的病例Q以说明催眠在心理治疗中的应用?/p> <p style="text-indent: 2em;"><strong class="qdkyq">1 催眠Ҏ</strong></p> <p style="text-indent: 2em;">催眠Ҏ很多Q本文作者所采用的方法是让受术者舒适地wZ床上Q闭上双|听施术者的口oQ指C受术者想象鲜花,高山Q大h童年往事。当受术者出现面色苍白,服从指o及手指僵固定,提示p入催眠状态?/p> <p style="text-indent: 2em;"><strong class="qdkyq">2 案例及治疗经q?/strong></p> <p style="text-indent: 2em;">?恐怖症。患者女Q?4岁,学毕业。患者于17q前因病做药敏皮试,发生晕倒伴不省ZQ经抢救清醒。此?7q来每逢静脉穿刺打针即产生恐惧Q紧张,心慌心蟩Q面色苍白,甚至晕倒。曾14ơ试囄人抓住手I刺Q终因极度恐惧而不得不l止ȝ。患者见血及肌肉注不发生cM情况。现患者因患子宫肌瘤住院,作静脉穿刺时发生上述反应Q阻手术治疗。治疗:首先与患者讨论静脉穿一q程本n是不是可怕的Q患者认识到Q静脉穿刺本wƈ不可怕,只是她自׃产生一U无法控制的恐惧Q是因ؓ作穿刺时会想起作皮试发生晕倒不省h事的情景。给予患者催眠,在浅催眠状态下Q医生用针刺患者手背皮肤但q未真正q行静脉I刺q说Q现在ؓ你打针了Q你会感到手背痛Q但对你没有什么媄响?rdquo;患者没有恐惧反应,面容坦然。接着吩咐护士l予静脉I刺Q医生在一旁诱DQ?ldquo;现在想一想你童年时的愉快往?hellip;…想一想你的孩子,有一男二奻I他们天真zL……”护士I刺成功后医生接着_针己打上了,你的感觉很好Q呼吸^,脉搏有力Q面色红润,所以说打针q不可怕?rdquo;唤醒患者,患者睁开眼睛看着插在手背血的针。最后让患者看着护士再次作静脉穿刺,没有恐惧反应。经以上ȝQ患者即回病房作ȝ性静脉穿刺,再无恐惧发作。本例患者的ȝQ首先患者认识恐惧的非理性,然后在催眠状态下调离患者的思维方向Q切断与恐怖情景的联想Q同时进行系l性脱敏性治疗?/p> <p style="text-indent: 2em;">?恐怖症。患者女Q?1岁,ȝpd习学生。患者每见到有精异常的病h׃生紧张,心蟩Q不敢接q病人;最怕病人的眼光和呆滞的表情Q但不是怕病Z冲动打h之行为。从来不敢ؓ有精异常的病h作体格检查。医生陪同患者到一脑炎病h床前Q患者显得紧张,低头不敢正视脑炎病h。治疗:了解病史后,未能获得切病因Q遂a语诱D入催眠状态,回忆童年往事。患者回忆v童年时父亲是一位内U医生,常有_病h来到家找他看病,q些病h行ؓ古怪,目光怪异;母亲一见有_病h到来Q就很害?rsquo;把她和她姐弟兛_房内’生怕会发生什么不q。唤醒后为患者解释,现在怕精病人是׃童年时的l验仍在影响着奏V两周后Q患者高兴地告诉ȝQ她׃怕精病ZQ而且敢ؓ有精异常的病h作体格检查。问Ҏ怎样好v来的Q她说不知道Q不知不觉就不怕了。本例患者的ȝQ主要是在催眠状态下挖掘出潜意识的内容,把潜意识中过ȝl验上升为意识内容,从而恐惧q一经症成为无源之水而自然消失[1]?/p> <p style="text-indent: 2em;">?慢性广泛性焦虑症。患者男Q?6岁,初中学生。缘患者于1q前因贪玩而成l下降,产生自卑感及qQ甚恹{?个月前抽两口水烟后即觉头晕,全n不适,出现紧张Q心慌,心蟩Q当时被送到当地卫生院治疗,l推注高渗糖病情~解。此后无故反复发作性心慌心跻I_紧张伴四肢抖动,感到慌ؕ和恐惧,甚至大声喊叫Q企囑־到抢救。每天有一两次发作Q发作期间觉心烦Q坐卧不宁,伴情l低落,兴趣~ZQ失眠。病后L心患了不M症,q?d病情加重入院Q精检查有明显焦虑情A伴忧郁情l,有疑病观念,有自知力。治疗:W?天第1ơ治疗,采集病史q对病情作分析,使患者认识到本病的v病与成W下降q一心理事g有关Qƈ有大量的疑虑观念Q如担心有心脏病Q服药有副反应及担心被伤害等Q这些观念就是他现在焦虑的原因,患者表C理解。然后导入催眠状态,在催眠中Q引导患者再ơ回忆发病经q,q以催眠前向患者解释的道理以坚定的语气再向患者简qC遍,强化他的理解Q以内化为其自n的观c然后患者仍在催眠状态时转入发泄性治疗,指示患者跟着ȝ大声喊叫。治疗结束后Q患者觉L多了Q头脑清晎ͼq觉焦虑明显减轻。第2天作W?ơ治疗,患者精明昑֥转,心蟩心慌减轻Q诉说早上发作一ơ,但程度轻;l予催眠及发泄治疗,患者更加合作,喊叫更尽情。第3天第3ơ治疗,患者自觉症状完全消失,睡眠好,心情开朗;催眠下鼓励患者努力学习,增强信心。观?d后症状完全消失出院。本例患者的ȝQ主要从两方面着手,一是解释性心理治疗(或认知性治疗)Q让患者认识到本病是心因性疾病,是大量非理性疑虑观늚l果。二是在催眠状态下q行认知及发泄性治疗?/p> <p style="text-indent: 2em;"><strong class="qdkyq">3 讨论</strong></p> <p style="text-indent: 2em;">本文所报道?例神l症的治疗,是采用了整合性心理治疗,主要是治疗技术的整合[2]。其中整合了_分析ȝQ认知治疗,行ؓȝ以及催眠ȝ{治疗技术。而各例神l症的治疗整合过E中Q催眠v着核心性作用。本文作者在临床实践中体会到Q要ȝ技术整合得当,帔R在治疗前认真思考,Ҏȝ的疾病作出理论假设,然后qq一假设设计相应的治疗方案。在同一病例ȝ中,有时是多U治疗技术的整合Q如?的恐怖症ȝQ其中整合了认各ȝQ催眠治疗及行ؓȝ中的pȝ性脱敏性治疗?例患者的ȝQ均使用了催眠治疗,但在作用上主要的不是使用它的本n效应Q作Z床治疗,如果仅是l予患者催眠,利用它本w的效应是不够的Q需与其他治疗方法相l合方能获得理想疗效[3];?的与pȝ脱敏和发泄治疗结合。催眠与其他ȝҎ的结合,是利用催眠患者进入一U特D状态,然后在这一状态下输入另一U治疗方法。这P通常比清醒状态下输入同样ȝ能获得更好的疗效。所输入的治疗方法可以是行ؓ的,认知的,_分析的,以及患者中心的ȝҎ。本文作者在临床实践中体会到Q在清醒意识水^q行的交谈和采取的治疗技术不易ؓ患者所接纳Q却易于在催眠状态下为患者所接纳Q也是说催眠状态下L明显减弱Q所以,在心理治疗中Q催眠实际上充当了媒介作用;通过q一媒介Q其他心理ȝ更易q行和更有效果?/p> <p style="text-indent: 2em;"><strong class="qdkyq">参考文献:</strong></p> <p style="text-indent: 2em;">[1]杨d?行ؓd[M].长沙Q湖南师范大学出版社Q?990:277.</p> <p style="text-indent: 2em;">[2]许又?心理ȝ现状的简短述评[J].中国心理卫生杂志Q?991Q?(1):36.</p> <p style="text-indent: 2em;">[3]邰启?催眠探奇[M].北京Q知识出版社Q?990:108-109.</p> <p style="text-indent: 2em;">(收稿日期Q?002-04-01)(~辑Q马晓昕Q?/p> <p style="text-indent: 2em;">作者:林D达,杨志江,h</p> <p style="text-indent: 2em;">作者单位:林D达,杨志?q东d院附属医院,q东湛江Q?24001)Q康?湛江h大学)</p> <p style="text-indent: 2em;">刊名Q中规床康?/p> <p style="text-indent: 2em;">英文刊名QCHINESE JOURNAL OF CLINICAL REHABULITATION</p> <p style="text-indent: 2em;">q_P期)Q?002,6Q?1Q?/p> <p style="text-indent: 2em;"><strong class="qdkyq">参考文献(3条)</strong></p> <p style="text-indent: 2em;">1、邹启阳Q催眠探奇,1990</p> <p style="text-indent: 2em;">2、许又新Q心理治疗现状的短述?991Q?1Q?/p> <p style="text-indent: 2em;">3、杨hQ行为医学,1990</p> <p style="text-indent: 2em;"><strong class="qdkyq">引证文献Q?条)</strong></p> <p style="text-indent: 2em;">1、宋彦新Q于长媛Q催眠疗法治疗焦虑症研究lD[期刊论文]-中国d创新2010Q?5Q?/p> <p style="text-indent: 2em;">2、甘露春Q代娟,刘金英,冯冬梅,梁颂游,心理门诊催眠ȝ100例分析[期刊论文]-现在医院2009Q?Q?/p></div> </div> <div class="p_n clearfix"> <div class="prevNews">上一:<a href="../wenxian/296.htm">20世纪最著名的三大催眠大?/a></div> <div class="nextNews">下一:<a href="../wenxian/361.htm">论催眠技术在刑事诉讼E序中的应用Q以国法ؓ中心Q?/a></div> </div> <p 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