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谈话治疗模式:一种分析框架

Talking Cure Models: A Framework of Analysis.

作者信息

Marx Christopher, Benecke Cord, Gumz Antje

机构信息

Department of Psychosomatics and Psychotherapy, Psychologische Hochschule BerlinBerlin, Germany.

Department of Psychology, University of KasselKassel, Germany.

出版信息

Front Psychol. 2017 Sep 13;8:1589. doi: 10.3389/fpsyg.2017.01589. eCollection 2017.

Abstract

Psychotherapy is commonly described as a "talking cure," a treatment method that operates through linguistic action and interaction. The operative specifics of therapeutic language use, however, are insufficiently understood, mainly due to a multitude of disparate approaches that advance different notions of what "talking" means and what "cure" implies in the respective context. Accordingly, a clarification of the basic theoretical structure of "talking cure models," i.e., models that describe therapeutic processes with a focus on language use, is a desideratum of language-oriented psychotherapy research. Against this background the present paper suggests a theoretical framework of analysis which distinguishes four basic components of "talking cure models": (1) a (which suggests how linguistic activity can affect and transform human experience), (2) an (which defines the problem or pathology of the patient), (3) a (which defines linguistic activities that are supposed to effectuate a curative transformation of the experiential problem state), and (4) a (which defines the processes and effects involved in such transformations). The purpose of the framework is to establish a terminological foundation that allows for systematically reconstructing basic properties and operative mechanisms of "talking cure models." To demonstrate the applicability and utility of the framework, five distinct "talking cure models" which spell out the details of curative "talking" processes in terms of (1) , (2) , (3) , (4) , and (5) are introduced and discussed in terms of the framework components. In summary, we hope that our framework will prove useful for the objective of clarifying the theoretical underpinnings of language-oriented psychotherapy research and help to establish a more comprehensive understanding of how curative language use contributes to the process of therapeutic change.

摘要

心理治疗通常被描述为一种“谈话疗法”,这是一种通过语言行为和互动来运作的治疗方法。然而,治疗性语言使用的具体操作细节尚未得到充分理解,主要是因为有许多不同的方法,这些方法对“谈话”在各自语境中的含义以及“治愈”意味着什么提出了不同的概念。因此,阐明“谈话疗法模型”的基本理论结构,即专注于语言使用来描述治疗过程的模型,是面向语言的心理治疗研究的迫切需求。在此背景下,本文提出了一个分析理论框架,该框架区分了“谈话疗法模型”的四个基本组成部分:(1)一个 (它表明语言活动如何影响和改变人类体验),(2)一个 (它定义了患者的问题或病理),(3)一个 (它定义了旨在实现体验问题状态治愈性转变的语言活动),以及(4)一个 (它定义了这种转变所涉及的过程和效果)。该框架的目的是建立一个术语基础,以便系统地重构“谈话疗法模型”的基本属性和操作机制。为了证明该框架的适用性和实用性,引入了五个不同的“谈话疗法模型”,这些模型从(1) 、(2) 、(3) 、(4) 和(5) 方面详细阐述了治愈性“谈话”过程,并根据框架组件进行了讨论。总之,我们希望我们的框架将有助于阐明面向语言的心理治疗研究的理论基础这一目标,并有助于更全面地理解治愈性语言使用如何促进治疗改变的过程。

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本文引用的文献

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