基于精神分析的虚拟现实暴露疗法 ——以社交焦虑的自助干预为例.pdfVIP

心理咨询理论与实践 2020年7月第2卷第7期 Psychoanalysis-based Virtual Reality Exposure (PVRE) -The Self-help Intervention on Social Anxiety Disorder (SAD) * Zhang Ya School of Psychology and Cognitive Science, East China Normal University, Shanghai Abstract: Objective: In order to improve the low consultation rates of Social Anxiety Disorder (SAD) and break through the limitation of utilizing Virtual Reality Exposure (VRE) on SAD, our study developed the self-help intervention model of Psychoanalysis-based Virtual Reality Exposure (PVRE) therapy. Method: Based on the psychoanalysis of SAD clients’ objective relationships, we designed the virtual archetypes of their childhood caregivers. During the self-help intervention process, we used these virtual figures to arouse the clients’ inner fear as well as decrease their negative responses. By using the case report, we introduced the core steps and introspection of the PVRE. Result: PVRE might facilitate the effective self-help intervention of SAD, especially for the clients who were reluctant to ask for help and had negative experience with main caregivers during the childhood. Further studies should focus on the clinical improvement of the PVRE with large samples. Conclusion: The combination of different therapeutic theories (e.g., psychodynamic or psychoanalysis orientation) and newly-developed VR techniques might play an important role in self-help intervention of SA or other clinical symptoms. Key words: Social anxiety; Virtual reality (VR); Psychoanalysis-based virtual reality exposure (PVRE); Case study 文章引用：张亚．基于精神分析的虚拟现实暴露疗法——以社交焦虑的自助干预为例［J］．心理咨询理论与 实践，2020，2（7）：383-395． /10.35534/tppc.0207029 基于精神分析的虚拟现实暴露疗法 2020年7月 ·384· ——以社交焦虑的自助干预为例 第2卷第7期 Received: 2020-06-29; Acce