积极认知行为治疗基本方法.docVIP

积极认知行为治疗基本方法 　　关键词： 积极认知行为治疗；认知行为；心理障碍；心理治疗；自动思维；对抗行为 　　摘 要：积极认知行为治疗以调动患者的积极性和主动性为核心，在治疗师的积极引导下，指导患者自主完成思维记录和自我探索负性情绪对抗行为，并进行认知重建和行为矫正，以达到心理治疗的效果。积极认知行为治疗的操作程序包括四个阶段：首次会谈与诊断评估阶段、自我探索阶段、强化巩固阶段、效果评估和回归社会阶段。而自我探索阶段是整个治疗过程中的核心阶段，主要通过建立在患者问题概念化基础之上的“积极认知行为治疗记录”来分步完成。而六个核心治疗环节依次是：临床访谈、躯体和心理检查、对患者关于积极认知行为治疗表格记录和表中关系要素说明、对抗负性情绪行为模式的自我探索、非理性信念的批判及理性信念的建立、有效对抗负性情绪行为模式的确定和强化巩固。 　　中图分类号： B841 　　文献标志码： A文章编号： 1009－4474(2012)01－0065－06 　　Operate Procedures for Active Cognitive Behavioral Therapy 　　CHEN Yi1,2a， SHI Hui2b ，TANG Ping2a 　　(1.School of Philosophy, Wuhan University, Wuhan 430072, China； 2a.Institute of Humanities and Social Science, Luzhou Medical College, Luzhou 646000, China;2b.Centre of Psychological Health Education, Luzhou Medical college, Luzhou 646000, China) 　　Key words: active cognitive behavior therapy; cognitive behavior; psychological obstacle; psychotherapy; automatic thoughts; agnostic behavior 　　Abstract: Active cognitive behavioral therapy focuses on arousing the positive and active responses of the visitors and achieves the effects of psychotherapy by guiding the recording of thoughts and exploring the negative agnostic behavior of themselves to initiate the cognitive reconstruction and behavior corrective therapy. Active cognitive behavioral therapy can be divided into four phases, i.e., initial interview and diagnosis, exploration of oneself, consolidation, and assessment of effects and return to the society. Among them, the phase of exploration of oneself is the center of this therapy and will be finished largely through Active Cognitive Behavioral Therapy Record based on symptoms of generalization. This treatment consists of six core steps, which include clinical interview, physical and psychical examination, the ACBT record of the interviewees and the explanation of ACBT table, exploration of the negative agnostic behavior mode, disputing irrational beliefs and establishing rational beliefs, and determination and consolidation of effecti