整合治疗中常见和特殊因素的框架:解决方案

Yii-nii Lin
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引用次数: 7

摘要

本研究提供了一个整合治疗中常见和特殊因素的框架。整合的关键是采用共同因素作为基本原则;同时,结合特定的模型和独特的技术,仔细回应客户的需求,人口变量和民族/文化特征。讨论了共同因素的四个主要结构(即来访者特征、治疗师特征、改变过程和治疗环境)。四种重要的治疗范式(分析-动态,认知-行为,人文-经验和系统治疗),其中重要的具体因素的推导,也描绘。作者修改和扩展了通用模型和基于过程的模型,以提供一个更好的框架来理解这两种类型的因素。这两种模式的主要特征被整合在治疗前、治疗过程和治疗后三个阶段。为了提高治疗的最佳效果,整合应该遵循三个原则:利用实证研究的结果,匹配来访者的变量,回应多元文化咨询的概念。强调了对治疗研究、培训/教育和临床实践的影响。关键词:共同因素,特殊因素,咨询,心理治疗。
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The framework for integrating common and specific factors in therapy: A resolution
A framework for integrating common and specific factors in therapy is provided in this study. The key to integration is employing the common factors as fundamental principles; meanwhile, incorporating a specific model and unique techniques carefully to respond to the client’s needs, demographic variables, and ethnic/cultural characteristics. The four major constructs of common factors (that is, client characteristics, therapist characteristics, process of change, and therapeutic context) are discussed. The four important therapy paradigms (analytic-dynamic, cognitive-behavioral, humanistic-experiential, and systemic therapies), in which the important specific factors are derived from, are also delineated. The author revised and extended the generic model and the process-based model to provide a better framework in understanding both types of factors. The main features of these two models have been integrated within the three phases: pre-therapy, process of therapy and post-therapy. In order to enhance the optimal effectiveness of therapy, the integration should follow three principles: using the findings of empirical studies, matching the client’s variables, and responding to the notion of multicultural counseling. Implications for therapy research, training/education and clinical practice are highlighted.   Key words: Common factor, specific factor, counseling, psychotherapy.
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