A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal bi...A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal binding force, the bonding component of the crucially important therapeutic alliance risks being compromised in the current practice of this approach. We further argue that the prioritization of the depiction of actions that accompany the emotion expressed by the client over the actual participation in this emotion by the therapist tends to superficialize therapeutic communication. This is especially likely to happen when the therapist lapses into a formulaic, action-soliciting interrogatory mode in response to the emotion expressed by the client. In addition, we claim that the incorporation of emotion- and body-based approaches into the solution-focused canon could remedy the affective lacuna referred to above. We note, however, that such a modification would most likely face stiff resistance from some of the gatekeepers of solution-faced therapy, in particular those who subscribe to the “surface-only” descriptive approach advocated by the philosopher Ludwig Wittgenstein. And yet, the effectiveness of depth-oriented therapies, such as sensorimotor psychotherapy and somatic experiencing, is supported by neurophysiological considerations. Finally, we suggest that these therapies, and even creativogenic elements of psychoanalysis, can actually synergize solution-focused brief therapy through the generation of affect-laden images, sensations and thoughts that lend themselves to the realization of outcomes desired by the client, which is the raison d’etre of solution-focused brief therapy. This paper pleads for the incorporation of the above-noted depth approaches into solution-focused brief therapy with a view to augmenting its effectiveness through a stronger therapeutic bond owing to an increased emotional engagement on the part of the therapist.展开更多
目的采用Meta分析评价聚焦解决模式改善HIV感染者/AIDS患者焦虑、抑郁状态的效果。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、PsycINFO、中国生物医学文献数据库、中国知网、万方数据库及维普数据库,...目的采用Meta分析评价聚焦解决模式改善HIV感染者/AIDS患者焦虑、抑郁状态的效果。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、PsycINFO、中国生物医学文献数据库、中国知网、万方数据库及维普数据库,检索时限为建库至2023年4月9日。由2名研究者独立按照纳入与排除标准筛选文献,提取资料并进行质量评价,采用RevMan 5.4软件进行Meta分析。结果共纳入11篇文献,9篇随机对照试验、2篇类实验研究,共1219例HIV感染者/AIDS患者。Meta分析结果显示,聚焦解决模式能降低HIV感染者/AIDS患者的焦虑得分(SMD=-1.89;95%CI为-2.79~-0.99,P<0.001)、抑郁得分(SMD=-2.45;95%CI为-3.51~-1.39,P<0.001)。亚组分析结果显示,与普通患者相比,合并妊娠的HIV感染者/AIDS患者的焦虑(SMD=-4.16;95%CI为-7.97~-0.35,P<0.001)、抑郁(SMD=-5.69;95%CI为-11.20~-0.19,P<0.001)改善效果更加明显。结论聚焦解决模式可以有效改善HIV感染者/AIDS患者焦虑、抑郁水平,在妊娠合并HIV感染者/AIDS患者中应用该模式改善效果更加显著,但未来仍需高质量、多中心、大样本的临床试验研究进一步证实。展开更多
文摘A number of prominent solution-focused brief therapists have expressed the view that, to its detriment, this school of therapy tends to downplay emotion. Accordingly, we contend that, given that emotion is a primal binding force, the bonding component of the crucially important therapeutic alliance risks being compromised in the current practice of this approach. We further argue that the prioritization of the depiction of actions that accompany the emotion expressed by the client over the actual participation in this emotion by the therapist tends to superficialize therapeutic communication. This is especially likely to happen when the therapist lapses into a formulaic, action-soliciting interrogatory mode in response to the emotion expressed by the client. In addition, we claim that the incorporation of emotion- and body-based approaches into the solution-focused canon could remedy the affective lacuna referred to above. We note, however, that such a modification would most likely face stiff resistance from some of the gatekeepers of solution-faced therapy, in particular those who subscribe to the “surface-only” descriptive approach advocated by the philosopher Ludwig Wittgenstein. And yet, the effectiveness of depth-oriented therapies, such as sensorimotor psychotherapy and somatic experiencing, is supported by neurophysiological considerations. Finally, we suggest that these therapies, and even creativogenic elements of psychoanalysis, can actually synergize solution-focused brief therapy through the generation of affect-laden images, sensations and thoughts that lend themselves to the realization of outcomes desired by the client, which is the raison d’etre of solution-focused brief therapy. This paper pleads for the incorporation of the above-noted depth approaches into solution-focused brief therapy with a view to augmenting its effectiveness through a stronger therapeutic bond owing to an increased emotional engagement on the part of the therapist.
文摘目的探讨焦点解决短期治疗(Solution-focused brief therapy,SFBT)联合叙事护理对实施安宁疗护晚期癌症患者焦虑抑郁及生活质量的影响。方法选取2022年8月至2023年5月晚期癌症安宁疗护患者作为研究对象,入院时采用医院焦虑抑郁量表(Hospital anxiety and de-pression scale,HADS)进行调查,筛选评分≥8分的患者纳入本研究(n=110),按照随机数字表法分为对照组(n=55)和试验组(n=55)。对照组采用安宁疗护常规护理,试验组在对照组的基础上采用焦点解决短期治疗联合叙事护理进行干预。比较两组干预前后焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)和癌症治疗功能评价量表(Functional assessment of cancer therapy,FACT-G)评分的差异,评价干预效果。结果因病情变化或死亡,试验组完成52例,对照组完成53例。干预前,试验组和对照组SAS、SDS、FACT-G评分比较差异均无统计学意义(P>0.05);干预后,试验组SAS、SDS、FACT-G评分分别为(42.52±2.30)分、(57.63±3.80)分、(67.54±2.52)分,对照组SAS、SDS、FACT-G评分分别为(47.29±2.73)分、(62.25±2.87)分、(64.39±3.08)分,两组比较差异均有统计学意义(P<0.05)。结论SFBT联合叙事护理干预,可降低晚期癌症患者的负面情绪,缓解抑郁焦虑,提高其生活质量。
文摘目的采用Meta分析评价聚焦解决模式改善HIV感染者/AIDS患者焦虑、抑郁状态的效果。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、PsycINFO、中国生物医学文献数据库、中国知网、万方数据库及维普数据库,检索时限为建库至2023年4月9日。由2名研究者独立按照纳入与排除标准筛选文献,提取资料并进行质量评价,采用RevMan 5.4软件进行Meta分析。结果共纳入11篇文献,9篇随机对照试验、2篇类实验研究,共1219例HIV感染者/AIDS患者。Meta分析结果显示,聚焦解决模式能降低HIV感染者/AIDS患者的焦虑得分(SMD=-1.89;95%CI为-2.79~-0.99,P<0.001)、抑郁得分(SMD=-2.45;95%CI为-3.51~-1.39,P<0.001)。亚组分析结果显示,与普通患者相比,合并妊娠的HIV感染者/AIDS患者的焦虑(SMD=-4.16;95%CI为-7.97~-0.35,P<0.001)、抑郁(SMD=-5.69;95%CI为-11.20~-0.19,P<0.001)改善效果更加明显。结论聚焦解决模式可以有效改善HIV感染者/AIDS患者焦虑、抑郁水平,在妊娠合并HIV感染者/AIDS患者中应用该模式改善效果更加显著,但未来仍需高质量、多中心、大样本的临床试验研究进一步证实。
