心理动力学诊断与治疗：心理动力学评估.pptVIP

FORMULATION 建构/概念化 The clinical presentation, stressor/precipitator 临床表现、应激( 压力)源 / 触发因子 Contributions of biological, intrapsychic, sociocultural factors 生理、内在心理、社会文化因素的贡献 How these two factors inform the treatment and prognosis 这两种因素如何影响治疗和预后 “ ” PSYCHODYNAMIC ASSESSMENT 心理动力学评估 DOCTOR PATIENT RELATIONSHIP医生-病人关系 EMPATHY 共情 SYMPATHY 同情 REASSURANCE 消除疑虑、恢复信心 DIFFERENCES BETWEEN MEDICAL AND PSYCHODYNAMIC INTERVIEW医学和动力学访谈的区别 COOPERATION – AMBIVALENCE 协作-矛盾性 DIAGNOSIS – TREATMENT 诊断-治疗 ACTIVITY –PASSIVITY 主动性-被动性 RELEVANT DATA 相关数据 DOCTORS INNER EXPERIENCE 医生内在体验 PACE 放稳步调 / 缓慢而行 TRANSFERENCE AND COUNTERTRANSFERENCE移情和反移情 Universal 普遍存在的 May develop before contact 接触前就可能开始发展了 Transference to the larger system 对较大系统的移情 Early addressing of Transference distortions 早期强调移情的扭曲 Mixture of real and transference, repetition 真实、移情和重复的混合物 Self monitoring – countertransference and enactments 自我监测-反移情和活现 Familiarity with one’s ones own typical reactions 熟悉自己典型的反应方式 DESCRIPTIVE AND DYNAMIC DIAGNOSIS描述性和动力学诊断 Two goals at the same time 同时有两个目标 Focused versus random episodic memory 聚焦 vs 随机情节记忆 Development centrally important 发展最为重要 Open ended versus specific questions 开放式 vs 具体的问题 MENTAL STATUS EXAM 心理状态检查 Orientation, perception 定位、感知 Cognition 认知 Affect 情感 Action 行为 AFFECT AND FACIAL ACTION 情感和面部动作 PSYCHOLOGICAL TESTING – RORSCHACH心理测验-罗夏（墨迹）测验 PSYCHOLOGICAL TESTING TAT心理测试 TAT DSM/ICD DIAGNOSIS – DESCRIPTIVE《精神疾病诊断与统计手册》/《国际疾病分类》-描述性 PSYCHODYNAMIC DIAGNOSIS –EGO心理动力学诊断-自我 Strengths and weaknesses 优势和劣势 Defense mechanisms and conflicts 防御机制和冲突 Relationship to superego 与超我的关系 PSYCHODYNAMIC ASSESSMENT - OBJECT RELATIONS心理动力学评估-客体关系 Family relationships 家庭关系 Transference – countertransference patterns 移情-反移情模式 Internal object relations 内在客体关系 PSYCHODYNAMIC ASSESSMENT - THE SELF心理动力学评估-自体 Self esteem and self cohesiveness 自尊和自体凝聚力 Self- continuity 自体-连续性 Self- boundaries 自体-界限 Mind- body relationship 心-身关系 PSYCHODYNAMIC ASSESSMENT – ATTACHMENT心理动力学评估-依恋 Attachment p