Cashin Andrew
The University of Technology Sydney, New South Wales, Australia.
J Child Adolesc Psychiatr Nurs. 2008 Feb;21(1):48-56. doi: 10.1111/j.1744-6171.2008.00128.x.
The conundrum of how to carry out psychotherapy with an adolescent whose primary currency of information exchange is visual as opposed to linguistic, and who is unable to develop a unified base of knowledge and hence generalize concepts, has confronted many mental health nurses in their encounters with individuals with Asperger's disorder. At the currently estimated escalating rate of occurrence of 1 to every 100 individuals having an autism spectrum disorder, and the estimate that 80% of these people have average or above intelligence, it makes sense that Asperger's disorder is frequently encountered by child and adolescent mental health nurses. Asperger's disorder represents a different way of being in the world that is associated with a higher frequency of anxiety disorders and depression than experienced by neurotypical counterparts. The inherent concretization in the externalization techniques in narrative therapy provide a novelly successful approach to psychotherapy with people with Asperger's disorder and in many cases resolution of the conundrum.
This paper considers the features of Asperger's disorder and its consonance with the techniques of narrative therapy, and utilizes a case example that shows the potential efficacy of the application of this established approach in a new context.
Contemporary literature on autism and narrative therapy.
The implication of the potential application of narrative therapy in psychotherapy with individuals with autism is raised.
如何对一名青少年进行心理治疗是一个难题。该青少年主要通过视觉而非语言进行信息交流,且无法形成统一的知识基础,因此难以归纳概念。许多心理健康护士在接触患有阿斯伯格综合征的个体时都遇到了这个问题。目前估计,每100个患有自闭症谱系障碍的人中就有1人发病率呈上升趋势,而且据估计这些人中有80%的智力处于平均水平或以上,所以儿童和青少年心理健康护士经常遇到阿斯伯格综合征患者也就不足为奇了。阿斯伯格综合征代表了一种不同的处世方式,与焦虑症和抑郁症的发病率高于神经典型者相比,它与焦虑症和抑郁症的发病率更高有关。叙事疗法中的外化技术所固有的具体化特性为对阿斯伯格综合征患者进行心理治疗提供了一种新颖且成功的方法,并且在许多情况下解决了这个难题。
本文探讨了阿斯伯格综合征的特征及其与叙事疗法技术的契合之处,并通过一个案例展示了这种既定方法在新情境中的潜在疗效。
关于自闭症和叙事疗法的当代文献。
提出了叙事疗法在对自闭症患者进行心理治疗中潜在应用的意义。