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心理咨询师学习笔记21:咨询的设置(精分流派)

  • 2026-02-10 08:59:23
心理咨询师学习笔记21:咨询的设置(精分流派)
1、咨询设置包括什么？
咨询室设置
咨询室的象征：安全，封闭，抱持。能让来访放下防御，真实做自己，探索自己。
不建议经常变动，不建议用虚拟背景。
咨询室的颜色：色彩、声音特别容易进入潜意识。要柔和（稳定柔软平和，让人安静），要简洁。
咨询室的椅子：45度角。既能关注到对方，又不给对方压迫，也不会激发来访者内心因为选择过多而带来的无力感和愤怒。家具不要过多。
一个人有力量时，知道他自己要什么，给他选择多，他会很高兴能选自己喜欢的。
一个人没有力量时，给他选择多，反而会激发他内心对没有选的那个东西的丧失感，引发内心的愤怒。
咨询室的饰品：象征性和内在含义，要认真挑选。
时间和频率的设置
一般咨询：一周一次，一次50分钟。——这个事件设置代表着一种关系的边界。这个边界，也是治疗的一部分。
高频咨询：一周四次，每次50分钟
动力学家庭治疗：每周一次，每次60-90分钟。
不是时间长就能表达得多，时间限制有助于来访集中表达。
咨询费用设置
时长和费用保持稳定，不打折。
安全设置
伦理——遵循保密原则；
危机协议——保障咨询师和来访者的安全。咨询师感到安全，才能更好地工作。
转介设置
2、设置本身的意义
保护意义——对来访者和咨询师的双重保护。
治疗意义——对阻抗的觉察；对咨询师自己卷入的觉察：如想通过来访者来反哺，想体现自己的高尚或价值感。
设置是心理治疗中非常重要的一个边界，它代表着稳定性，它是一个规则，这个恰恰也是来访者内心容易匮乏和缺失的。
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  1. CONNECT:[ UseTime:0.000837s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001357s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000627s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000553s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001067s ]
  6. SELECT * FROM `set` [ RunTime:0.000412s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001134s ]
  8. SELECT * FROM `article` WHERE `id` = 462253 LIMIT 1 [ RunTime:0.000820s ]
  9. UPDATE `article` SET `lasttime` = 1770814980 WHERE `id` = 462253 [ RunTime:0.017534s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000375s ]
  11. SELECT * FROM `article` WHERE `id` < 462253 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000553s ]
  12. SELECT * FROM `article` WHERE `id` > 462253 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000368s ]
  13. SELECT * FROM `article` WHERE `id` < 462253 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.003483s ]
  14. SELECT * FROM `article` WHERE `id` < 462253 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001562s ]
  15. SELECT * FROM `article` WHERE `id` < 462253 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001062s ]
0.155954s