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苏格拉底式提问和引导发现背后的艺术与科学:研究综述。

The art and science behind socratic questioning and guided discovery: a research review.

机构信息

Department of Psychology, Case Western Reserve University, Cleveland, OH, USA.

Department of Psychiatry, Durham VA Medical Center, Durham, NC, USA.

出版信息

Psychother Res. 2023 Sep;33(7):946-956. doi: 10.1080/10503307.2023.2183154. Epub 2023 Mar 6.

Abstract

UNLABELLED

Socratic questioning is used to enhance the process of guided discovery in psychotherapy sessions.

OBJECTIVE

Socratic questioning and guided discovery are defined, and assorted clinical examples are provided.

METHODS

The limited research on the impact of Socratic questioning is reviewed and integrated with 30 + years of clinical experience.

RESULTS

The scant research suggests that Socratic questioning significantly reduces depression from one session to the next, particularly for patients with a pessimistic cognitive bias, but there is no research on patient improvements at the end of psychotherapy.

CONCLUSION

Socratic questions and guided discovery can facilitate sensitivity to issues related to diversity and can be useful in psychotherapy training. The Socratic approach relies on an integration of the research evidence, ancient philosophy, and contemporary cognitive therapy.

摘要

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苏格拉底式提问用于增强心理治疗过程中的引导式发现。

目的

定义苏格拉底式提问和引导式发现,并提供各种临床示例。

方法

回顾了苏格拉底式提问影响的有限研究,并结合了 30 多年的临床经验。

结果

为数不多的研究表明,苏格拉底式提问可以显著降低下一次治疗时的抑郁程度,尤其是对具有悲观认知偏见的患者,但没有研究表明治疗结束时患者有何改善。

结论

苏格拉底问题和引导式发现可以促进对与多样性相关问题的敏感性,并且在心理治疗培训中很有用。苏格拉底方法依赖于对研究证据、古代哲学和当代认知疗法的综合。

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