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认知行为疗法中的家庭作业设置:话语策略研究

Homework setting in cognitive behavioral therapy: A study of discursive strategies.

作者信息

Beckwith Andrew, Crichton Jonathan

出版信息

Commun Med. 2014;11(2):91-102. doi: 10.1558/cam.v11i2.16169.

Abstract

In recent years cognitive behavioral therapy (CBT), a form ofpsychotherapy, has risen to prominence due to a large number of studies attesting to its efficacy. A crucial part of the model of CBT is the use of the therapeutic strategy, homework, in which the client undertakes therapeutic tasks between sessions. The focus of this study is on how homework is implemented in sessions of CBT. This is undertaken through an analysis utilizing theme-orientated discourse analysis of video recorded sessions of CBT of one therapist and a client. Through tracking the focal theme of homework, the analysis focuses on homework as a face-threatening act (Brown and Levinson 1987) and how discursive strategies are employed to manage this issue. Other analytic themes include the use of frames (Goffman 1974) and constructed dialogue (Tannen 2007). It is the expertise of the therapist in putting into practice the therapeutic task of homework that is the subject of this study.

摘要

近年来,认知行为疗法(CBT)作为心理治疗的一种形式,由于大量研究证明其有效性而备受瞩目。CBT模式的一个关键部分是使用治疗策略——家庭作业,即让来访者在疗程之间承担治疗任务。本研究的重点是家庭作业在CBT疗程中是如何实施的。这是通过对一位治疗师和一位来访者的CBT视频记录疗程进行主题导向话语分析来进行的。通过追踪家庭作业的核心主题,分析聚焦于家庭作业作为一种威胁面子的行为(布朗和列文森,1987)以及如何运用话语策略来处理这个问题。其他分析主题包括框架的使用(戈夫曼,1974)和构建对话(坦嫩,2007)。本研究的主题是治疗师在实施家庭作业治疗任务方面的专业能力。

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