Imes Suzanne A, Clance Pauline Rose, Gailis Andra T, Atkeson Ellen
Department of Psychology, Georgia State University, Atlanta, GA 30303, USA.
J Clin Psychol. 2002 Nov;58(11):1361-73. doi: 10.1002/jclp.10084.
In the literature on chronic or life-threatening illness, there is an overriding emphasis on clients' psychological coping styles and how they relate to psychological functioning. By contrast, in our approach, we look at the subjective mind/body experiences that clients have of their illness and how their lives are impacted by their illness. As psychotherapists, we address their existential distress, pain, body experience, thoughts, and feelings, as well as their efforts to cope or find meaning in their illness. We summarize Gestalt/Existential therapy for chronic illness, illustrate the approach with three case-vignettes, and stress the importance of attending to each client's unique responses to illness.
在关于慢性或危及生命疾病的文献中,重点主要放在患者的心理应对方式以及这些方式与心理功能的关系上。相比之下,在我们的方法中,我们关注的是患者对自身疾病的主观身心体验,以及疾病如何影响他们的生活。作为心理治疗师,我们处理他们的存在性痛苦、疼痛、身体体验、思想和感受,以及他们在疾病中努力应对或寻找意义的过程。我们总结了针对慢性病的格式塔/存在主义疗法,通过三个病例 vignettes 来说明这种方法,并强调关注每个患者对疾病的独特反应的重要性。