当前位置：首页>学习笔记>心理咨询师学习笔记15——个案概念化及案例示范(小丽拒学案例)

心理咨询师学习笔记15——个案概念化及案例示范(小丽拒学案例)

  • 2026-02-14 05:11:40
心理咨询师学习笔记15——个案概念化及案例示范(小丽拒学案例)
1、什么是个案概念化？
指咨询师依据某种心理咨询理论对来访者的问题进行理论假设。它回答了来访者为什么会成为现在这样的问题。——为咨询奠定思考和行动的方向。
不同流派，个案概念化用的基本理论和思路都是不同的，治疗技术也有极大分别。
个案概念化的四大思考题：
1）是什么（问题）
2）为什么（形成这个问题）
3）会怎样（问题发展趋势）
4）怎么办？
2、个案示范（小丽一上学就胃痛，也无法参加考试，逐渐休学，拒学）
绝学现象的几种情况
课程从6个方面呈现了整个案例：
  • 个案描述（来访者简介、问题描述、行为问题表现、心理问题表现、心理问题形成）
  • 个案概念化（精神分析视角、行为主义视角、认知疗法视角、完成诊断）
  • 相关背景知识（拒学现象的应对、心境障碍在生理和心理的表现、拒学综合征的治疗）
  • 咨询目标与方案（方向——成长性咨询、谈话+自疗；短中长期目标）
  • 咨询方案实施（认知调整：去灾难化思维，强化自信；自助行动方案：除烦恼妙招+减压能力强化；共同商定作业；闪光点挖掘；家庭治疗：家长的配合）
  • 咨询效果评估（拒学的突破；自信与自我接纳）
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  1. CONNECT:[ UseTime:0.001084s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001654s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000674s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000825s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001741s ]
  6. SELECT * FROM `set` [ RunTime:0.013872s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.002052s ]
  8. SELECT * FROM `article` WHERE `id` = 460926 LIMIT 1 [ RunTime:0.008916s ]
  9. UPDATE `article` SET `lasttime` = 1771095602 WHERE `id` = 460926 [ RunTime:0.010984s ]
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