Frank J D
J R Soc Med. 1986 Jun;79(6):341-6. doi: 10.1177/014107688607900611.
This paper presents the hypothesis that psychotherapy seeks to produce changes in attitudes and behaviour through transformation of meanings. Patients come to psychotherapy because they are demoralized by the menacing meanings of their symptoms. The psychotherapist collaborates with the patient in formulating a plausible story that makes the meanings of the symptoms more benign and provides procedures for combating them, thereby enabling the patient to regain his morale. As a result, he feels better and functions more effectively, leading to progressive improvement. Various implications and limitations of this hypothesis are explored.
本文提出了这样一种假说，即心理治疗旨在通过意义的转变来促使态度和行为发生改变。患者前来接受心理治疗是因为他们被自身症状的威胁性意义搞得士气低落。心理治疗师与患者合作，构建一个看似合理的故事，使症状的意义变得更有益，并提供应对症状的方法，从而使患者重新振作起来。结果，患者感觉更好，功能发挥更有效，进而实现逐步改善。本文探讨了这一假说的各种影响和局限性。
