综合的降低危害心理治疗的治疗任务详解.ppt

Practicing Active Listening(2) 练习积极的倾听 Listener tries to figure out meanings and stage of change ndirelated to speaker’s behavior in question 倾听者试图从讲话人的相关行为问题中听出讲话人的含义和行为改变阶段 Listener reflects back understanding and elicits dialogue for clarification 倾听者应向讲述者反馈自己所理解的并引出对话以澄清自己的理解是否正确 The Decisional Balance 决策平衡 * Relationship to psychobilsocial variables * * * * * * * * * * * * * * * * * * * Assessment as Treatment 在治疗中进行评估 Initial basis for therapeutic alliance and treatment plan 治疗联盟和治疗计划的初步基础 Ongoing therapeutic activity 正在进行的治疗行动 As problems are clarified, goals can be set 问题一旦明确，目标就能确定 Our assessment facilitates patient’s self assessment: 我们的评估能够帮助病人的自我评估 Substance use severity 药物滥用的严重程度 Relationship to psychobiosocial variables与心理-生物-社会变量的关系 Multiple meanings 多重含义 Stage of change 改变的阶段 Other important issues 其它重要问题 Hierarchy of needs, order of importance 需求的不同层次和重要性顺序 Assessment Techniques 评估技巧 Microanalysis of current use pattern 现有使用模式的微观分析 Describe your pattern of using in a typical week or month. When? How much? Under what circumstances? What precedes, follows? 描述你一周或一个月内典型的使用模式。何时？多少？在什么情况下？之前会做什么，之后会发生什么？ How does substance use fit in with other aspects of life? How does it help? How does it hurt? 药物滥用如何融入你的生活？对你有哪些帮助？对你有哪些损害？ What did you want from drug and how did it work out? Did use meet your expectations? Ever regret it? 你想从滥用中获得什么？它是如何奏效的？滥用是否达到了预期的效果？你没有后悔过么？ Assessment Techniques 评估技巧 Microanalysis of current use pattern 现有使用模式的微观分析 Severity: Enhance a social situation? (recreational) intermittent problem? (abuse), Compulsive, loss of control, craving? (addictive/dependent) 严重程度：巩固社会状态？(娱乐式）偶尔的问题？（滥用式），强迫性的、失去控制、非常想要？（依赖/成瘾） What might you like to change about use? 你希望通过什么来改变滥用？ Chart the above between meetings 会议中为上述问题的回答列表记录 Drug, Set, Setting 毒品，心理、环境Zinberg, Denning辛伯格，邓宁 Clinical tool for describing biopsychosocial relationships of drug use 描述吸毒心理-生理-社会关系的临床工具 Zinberg suggested drug effects best understood in terms of mindset an