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心理咨询师学习笔记57:积极心理治疗的优势及最新发展

  • 2026-03-17 18:38:47
心理咨询师学习笔记57:积极心理治疗的优势及最新发展
1、现实能力的形成
两个基本能力：爱——感性，原发能力；认知——理性，继发能力
唐氏综合征：爱的能力很高，认知能力很低
艾斯伯格（孤独症）：认知能力很强，爱的能力很低
原发能力：0-3岁与重要关系人建立
继发能力：3-7岁间，与成长时的重要人物和社会文化环境有关
2、症状治疗
症状——希望在现实落空，出现潜意识冲突的适应性表达；
       ——原本受“自我”及其“防御机制”管制的部分在现实冲突里释放
       ——了解内在冲突的一扇窗
基本冲突
关键冲突
症状功能问话：了解症状如何影响了生活的平衡
3、积极心理治疗实践工具
鉴别分析表
WIPPF家庭治疗问卷
半结构化首访问卷
针对41种不同心身疾病的调查问卷
4、答疑
基本冲突：是原发能力和继发能力的冲突，比如，小时候爱整洁能换来妈妈的爱，长大后发现在别人那里，爱整洁也换不来爱。完成作业才能去玩，也是基本冲突。
原始天真型：别人的需要大过自己的需要
矛盾型：不稳定，难以预测。有时像原始天真型，总是照顾别人的需求，但一段时间后，自己受不了了，就变成只顾自己需要。
我的重要收获：知道有一类家庭是成就导向型，比如我自己的家，如果孩子不优秀、不成才，就会被嫌弃、不被爱；或者如果做事不按父亲的期待，也会被推开。这类人在未来发展中失衡时，会很纠结，因为不放下会让自己处境很艰难，但放下的话，她自己也会不爱自己。
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  1. CONNECT:[ UseTime:0.001030s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001519s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000712s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000668s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001258s ]
  6. SELECT * FROM `set` [ RunTime:0.000582s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001468s ]
  8. SELECT * FROM `article` WHERE `id` = 474471 LIMIT 1 [ RunTime:0.001474s ]
  9. UPDATE `article` SET `lasttime` = 1774221057 WHERE `id` = 474471 [ RunTime:0.013320s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000582s ]
  11. SELECT * FROM `article` WHERE `id` < 474471 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001336s ]
  12. SELECT * FROM `article` WHERE `id` > 474471 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000922s ]
  13. SELECT * FROM `article` WHERE `id` < 474471 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.003225s ]
  14. SELECT * FROM `article` WHERE `id` < 474471 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.008911s ]
  15. SELECT * FROM `article` WHERE `id` < 474471 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.002469s ]
0.203487s