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用于选择性缄默症的艾瑞克森式催眠疗法:一项单病例研究。

Ericksonian hypnotherapy for selective mutism: A single-case study.

作者信息

Cavarra Mauro, Brizio Adelina, Gava Nicoletta

机构信息

Natural Gravity Milton H. Erickson Institute - Torino Ospedale San Raffaele - Milano.

出版信息

Acta Biomed. 2016 Jan 16;87(3):299-309.

Abstract

BACKGROUND AND AIM OF THE WORK

Children affected by selective mutism don't speak in contexts that are unfamiliar to them or in which speaking is expected or required (e.g. school, kindergarten…). Such disorder interferes with the child's normal activities, may have invalidating consequences in the long run if left untreated, is associated to anxious conditions and is considered hard to treat. Contemporary research is still in need of methodologically rigorous outcome studies and the results described in the small number of published randomized controlled trials and retrospective studies indicate cognitive-behavioral interventions lasting 20-24 sessions as the best therapeutic option. This case study, involving a 7-year-old girl, aims at providing preliminary evidence on the effectiveness of Ericksonian hypnosis in the treatment of this condition. A brief review of current evidence is provided.

METHODS

The case was treated by a licensed hypnotherapist, specialized in family therapy, in 5 sessions during the course of 3 months.

RESULTS

After 3 months the symptoms of the client were resolved and the diagnosis was no longer applicable. Other improvements regarded her mood, social skills and school performance.  Conclusions: Ericksonian Hypnotherapy lead to the remission of the disorder and to the improvement of the general well being of the client in 5 sessions, a much briefer time span compared to what is reported in current literature. This paper represents the first step in the elaboration of replicable and reliable intervention principles.

摘要

工作背景与目标

患有选择性缄默症的儿童在陌生环境中或预期或要求说话的场合(如学校、幼儿园……)不会说话。这种障碍会干扰儿童的正常活动,如果不治疗,从长远来看可能会产生致残后果,与焦虑状况相关,且被认为难以治疗。当代研究仍需要方法严谨的结果研究,少数已发表的随机对照试验和回顾性研究中描述的结果表明,持续20 - 24节的认知行为干预是最佳治疗选择。本案例研究涉及一名7岁女孩,旨在为艾瑞克森催眠疗法治疗这种疾病的有效性提供初步证据。并对当前证据进行简要综述。

方法

该案例由一名专门从事家庭治疗的持牌催眠治疗师在3个月内进行了5次治疗。

结果

3个月后,来访者的症状得到解决,诊断不再适用。其他改善包括她的情绪、社交技能和学业成绩。结论:艾瑞克森催眠疗法在5次治疗中使该障碍得到缓解,并改善了来访者的总体幸福感,与当前文献报道的时间跨度相比要短得多。本文是阐述可复制和可靠干预原则的第一步。

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本文引用的文献

6
Selective mutism: follow-up study 1 year after end of treatment.选择性缄默症:治疗结束后1年的随访研究。
Eur Child Adolesc Psychiatry. 2015 Jul;24(7):757-66. doi: 10.1007/s00787-014-0620-1. Epub 2014 Sep 30.
7
Social anxiety disorder and stuttering: current status and future directions.社交焦虑障碍与口吃:现状与未来方向
J Fluency Disord. 2014 Jun;40:69-82. doi: 10.1016/j.jfludis.2013.08.003. Epub 2013 Sep 2.

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