浅析操作性“顺其自然法”中英对照版.ppt

浅析操作性“顺其自然法”道家思想与强迫症患者的对话AnalysisofOperantNaturalTherapyDialogueBetweenTaoismandPatientswithObsessive-CompulsiveDisorder杜胜祥DuShengxiang,作者简介,北京胜祥之道咨询有限责任公司董事长首席咨询师国家二级心理咨询师（职业证书编号：06010000008300686）中国心理卫生协会会员（会员号M1501190861M）揭开爱情的面纱作者（大陆简体版和台湾繁体版）中国第一个恋爱艺术培训班创始人,Introductionoftheauthor,ChiefConsultantAndCEOOfBeijingShengxiangzhidaoCo.Ltd.Nationalsecond-levelPsychiatrist(06010000008300686)MemberofChineseMentalHealthAssociation(M1501190861M)ThewriterofRevealthesecretofloveThefounderofChinasfirsttrainingcourseabouttheartoflove,摘要Abstract,强迫症-强迫思维和强迫动作OCDcompulsivethoughtandcompulsiveact2.操作性顺其自然法：Operantnaturaltherapy3.现代心理治疗与传统道家思想相结合CombinationofmodernpsychotherapyandTaoism,报告内容,强迫症概述操作性顺其自然法原理运用“操作性顺其自然法”治疗强迫症案例分析,Contents,SummaryofOCDTheoryofoperantnaturaltherapyUsingoperantnaturaltherapytocureOCDCaseanalysis,一、强迫症概述GeneralDescriptionofOCD,强迫症：焦虑障碍,重复思想、冲动或意向，和意欲减少不舒服感而进行的重复行为。强迫与反强迫目前临床的心理疗法有很多：（1）认知一行为疗法（2）精神分析疗法（包括钟氏认知领悟疗法和森田疗法）等。,强迫症概念,ConceptofOCD,Akindofanxietydisorder,adistressingrepetitivethought,impulsionorintention,andarepetitiveactofdesiringtodecreasesymptomsbutcausediscomfortbecauseofthisimpulsivethought.Obsessiveandanti-obsessiveAtpresent,therearemanyclinicalpsychotherapies:Cognitive-BehaviorTherapyPsychoanalytictherapy(includingcognitiveinsighttherapyofChong,Mariatherapy)etc.,二、操作性顺其自然法原理TheoryofOperantNaturalTherapy,“顺其自然，忍受症状，为所当为”（1）不要把症状视为异端，并欲除去而后快；（2）要撤除抵抗，带着症状工作、学习，像正常人那样生活。,森田疗法治疗的要点,KeypointsofMariatherapy,“Letnaturetakeitscourse;Toleratethesymptoms;Dowhatyoushoulddo”(1)Donttreatthesymptomasabnormality,persistingontogetridofit.(2)Livewithsymptoms,asanormalpeopletowork,study,“操作性顺其自然法”,基石：“顺其自然、为所当为；自知者明，自胜者强；将欲取之，必先予之”等思想，提出了有别于森田疗法的操作性顺其自然法。咨询师突破意识禁锢，关注患者的当下体验。强调直面体验，不要有意识地去回避或改变所呈现的不舒服体验，与体验友好相处，让症状充分呈现。以迎接的姿态出现，接受一切“有”和“无”，达到深度共情。,OperantNaturalTherapy,Accordingtothoughtsof“letnaturetakeitscourse,dowhatyoushoulddo;Thepersonwhoknowshimselfcouldknoweverything,whocanconquerhimselfispowerful;Ifyouwanttoget,giveatfirstetc.”,IputforwardatherapydifferentfromMoritatherapy,whichisnamed“operantnaturaltherapy”Theconsultantsbreakthroughthinkingbarriers,concerningaboutthepatientscurrentfeelings.Layingstressonfacinginnerfeelings,donttrytoavoidorchangeuncomfortablefeelingsconsciously.Gettingalongwellwithexperiences,lettingsymptomspresentfullyAcceptingallthefeelingsofthepatients,achievetheeffectofin-depthempathy,面对症状所表现出的自然退缩、自我保护的意识，对他顺势相助，通过内化他人和角色扮演等心理咨询方法，体验患者的感受；与患者逐层揭开平素不曾觉察的自我保护面纱，看到自我赤裸裸的一面，见证和体验整个剥离过程，从而帮助患者唤醒自我觉察意识，提高认知水平，增强自我保护能力。,该法主张“顺其自然，不争而争”,Letnaturetakeitscoursedontfightthefight,Inthefaceofthepatientssymptomsofflinchingandself-protectawareness,helpingthemdependingonthesituation.Accordingtopsychologicalcounselingmethodssuchasinternalizingothers,role-playingetc.,experiencethepatentsfeelings.Helpingthepatientunveilself-protectlayerstoseethenakedinner.Participatinginandexperiencingthewholeprocesstohelpthepatientawakenself-awareness,improvecognitivelevelandenhanceself-protectedability.,操作性顺其自然法与森田疗法的区别（一）,DifferencesbetweenOperantNaturalTherapyandMoritaTherapy(one）,操作性顺其自然法与森田疗法的区别（二）,DifferencesbetweenOperantNaturalTherapyandMoritaTherapy(two）,三、运用“操作性顺其自然法”治疗强迫症Usingoperantnaturaltherapytocureobsession,咨询师此刻帮不了,强迫症,思维、情绪凝固(单向思维),明知（超我）不可行,情绪、思维、行为,明知趋向情绪,情绪趋向明知,解决方案,患者直面体验,情绪变化,拓展思维域打开潘多拉盒子,社会化、正常化,感受到觉察（外在到内在）,由自发到主动,幸福,咨询师“顺其自然”,Theconsultantcanthelp,OCD,Thinking,emotionalsolidification(RigidThinking),Believethatisnotfeasibleintellectually(superego),Emotions,thinkingandbehavior,Intellecttendstoemotions,Emotionstendtointellect,Theclientfacesemotions,Emotionschange,Expandthedomainofthinking,Socializationnormalization,Fromfeelingtoawareness,Fromunconsciousnesstoconsciousness,happiness,Theconsultantabidebythenature,solutions,四、案例分析CasesAnalysis,强迫症患者A:男28岁已婚本科学历病程：初三时第一次得强迫症，曾因强迫症三次住院。,PatientAMale,28yearold,married,bachelorMedicalhistory:thefirsttimeofgettingOCDinjuniorthree;havingwenttohospitalthreetimesforOCD,患者的感受变化,通过这段时间的咨询，我的感受非常深，病症上也有了很大缓解。以前，在我和别人说一些脏话的时候，我并没有考虑过别人的感受，只是以自己为中心。通过在咨询中角色互换的演练，我体会到，当别人像我这样对我说脏话时，是什么样的感受。还有就是我对于世界的认识，我看待人的角度发生了变化。任何人和事物都有好与坏两个方面。事情都有两面性，而不再是单一的。以前，我只在意识上有所认识，在我的潜意识里还没有扎根。这就需要不断地去行动才能巩固。通过咨询，近来我的症状明显减轻甚至消失了，感觉非常的轻松。,Feelingchangesinthepatient,“Throughtheconsultation,Ihaveimpressiveexperiencesandmysymptomshavelargeremission.Previously,Iwasself-centeredandneverconsiderothersfeelingswhenItalkeddirtytothem.Afterwereversedrolesinconsulting,IfinallyrealizedothersfeelingswhenItalkeddirties.Inaddition,myunderstandingstotheworldandmyperspectiveofviewingothershavechanged.Everythinghastwoaspectsincludinggoodandbad.Everythinghastwosides,notsingle.Before,Ionlyknowthatinconsciousness,butnotrootinmysubconscious,whichneedtocontinuetopractice.Ifeelverycomfortableandmysymptomsgraduallydisappearedbytreatment”,在运用操作性顺其自然法的时，不能拘泥于一种方法，应该结合其它行之有效的心理咨询方法，必要时还可以结合家庭治疗等。对于大多数强迫症患者来说，心理咨询必须结合药物治疗才能奏效。,咨询师的感悟,Comprehensionsoftheconsultant,Whenusingtheoperantnaturaltherapy,weshouldnotstandononemethodbutcombinewithothereffectivepsychologicalcounselingmethods.Ifnecessary,combiningwithfamilytherapy.TomostOCDpatients,psychologicalcounselingmustbecombinedwithdrugtherapycandoeffect.,1仿佛著