Tachi T
Department of Psychiatry and Behavioral Science, School of Medicine, Tokai University, Kanagawa, Japan.
Tokai J Exp Clin Med. 1991 Jul;16(2):103-9.
An 18-year-old girl developed a withdrawn state with suicidal ideas. The therapist gave 8 sessions of conjoint family therapy, with her parents and two sisters. In the course of conjoint therapy, she became psychotic and some structural features of the disturbed family system seemed to get more rigid. The therapist therefore, changed the therapeutic modality from conjoint therapy to couple therapy with her parents. During the sessions of couple therapy, the therapist tried to help her parents gain an understanding of his or her respective family of origin. The girl, as a result, got through the psychotic state and her condition stabilized. The author discussed the following points: 1) The girl's symptoms were understood to be the result of chronic tension between her parents, and disappeared when her parents became involved with their couple therapy. 2) Each parent transmitted many unresolved issues in the context of his or her original family to their nuclear family. 3) In couple therapy, when the marital conflict is so great, the couple tend to involve the therapist in triangulation. Therefore, it is very important for the therapist to keep himself in a position of distriangulation with the couple.
一名18岁女孩出现退缩状态并有自杀念头。治疗师与她的父母及两个姐妹进行了8次联合家庭治疗。在联合治疗过程中，她出现了精神病症状，而且紊乱的家庭系统的一些结构特征似乎变得更加僵化。因此，治疗师将治疗方式从联合治疗改为与她父母进行夫妻治疗。在夫妻治疗过程中，治疗师试图帮助她的父母了解各自的原生家庭。结果，女孩度过了精神病状态，病情稳定下来。作者讨论了以下几点：1）女孩的症状被认为是其父母之间长期紧张关系的结果，当她的父母参与夫妻治疗时症状消失。2）每位父母都将原生家庭中许多未解决的问题传递给了他们的核心家庭。3）在夫妻治疗中，当婚姻冲突非常大时，夫妻往往会将治疗师卷入三角关系中。因此，治疗师保持与夫妻处于脱离三角关系的立场非常重要。
