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心理咨询师学习笔记54:家庭咨询个案概念化 实操要点

  • 2026-03-10 19:30:25
心理咨询师学习笔记54:家庭咨询个案概念化 实操要点
1、什么是个案概念化？
对问题或症状原因的探讨；依据某种理论或流派 对来访者的问题进行理论假设；这些内心活动就是个案概念化过程。
2、为什么要个案概念化？
能理解个案的问题，清楚个案问题的原因，可指引接下来的咨询，帮助设置阶段性的咨询目标。类似庖丁解牛，要了解牛的骨架，才能动手解牛。
3、个案概念化的系统视角
1）家庭治疗概念视角——将家庭作为一个整体，而不是单个成员作为干预目标。家庭成员的心理问题，是由于家庭成员之间的不良交往模式或家庭结构引起的，要通过改变这些来解决某个成员的问题和症状。
2）家庭生命周期视角
3）家庭角色及任务视角
4）社会、横向和纵向视角
4、个案概念化的四步法
讲解的比较笼统，也不太能理解，暂且略过
循环提问的方式：就一个问题，问不同的家庭成员；就一个问题，问一个人，关于其他人的看法
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  1. CONNECT:[ UseTime:0.000792s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001451s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000755s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000615s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001267s ]
  6. SELECT * FROM `set` [ RunTime:0.000582s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001406s ]
  8. SELECT * FROM `article` WHERE `id` = 473638 LIMIT 1 [ RunTime:0.003388s ]
  9. UPDATE `article` SET `lasttime` = 1773172953 WHERE `id` = 473638 [ RunTime:0.020610s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.009417s ]
  11. SELECT * FROM `article` WHERE `id` < 473638 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001012s ]
  12. SELECT * FROM `article` WHERE `id` > 473638 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000925s ]
  13. SELECT * FROM `article` WHERE `id` < 473638 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.001909s ]
  14. SELECT * FROM `article` WHERE `id` < 473638 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001657s ]
  15. SELECT * FROM `article` WHERE `id` < 473638 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001695s ]
0.196767s