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社会精神病学环境中的格式塔疗法:“水火不容”的解决方案。

Gestalt therapy in a social psychiatric setting: the 'oil & water' solution.

作者信息

Neill R B

出版信息

Adolescence. 1979 Winter;14(56):775-96.

PMID:525518
Abstract

In this case study, a provincial government residential treatment center for mentally and emotionally disturbed adolescents, used Gestalt Therapy as its primary therapeutic and staff-development ideology. Based on participant observation, document analysis, source material Survey on Gestalt Therapy, staff-sample interview and patient sample (of diagnostic, socioeconomic status and intelligence) data, it was demonstrated that Gestalt Therapy was neither designed nor intended for treatment of young adolescents manifesting severe psychiatric or behavioral disorders, for people from lower socioeconomic status families, or of low verbal skill and intelligence. It was discovered that a disporportionately large number of the case study population were: young adolescents, from lower socioeconomic status families, and that a significant proportion were of low verbal skill and intelligence. It was further suggested th,t Gestalt criteria for: physical environment, behavioral expectations (on staff and patient) and group-living ideology were incompatible with professional, legal and treatment expectations in an institutional treatment setting.

摘要

在本案例研究中,一个省级政府为精神和情绪困扰青少年设立的住院治疗中心,将格式塔疗法作为其主要的治疗和员工发展理念。基于参与观察、文件分析、格式塔疗法源材料调查、员工样本访谈以及患者样本(包括诊断、社会经济地位和智力)数据,结果表明,格式塔疗法既不是为患有严重精神或行为障碍的青少年、来自社会经济地位较低家庭的人,也不是为语言技能和智力较低的人设计或打算用于治疗的。研究发现,案例研究人群中不成比例的一大部分是:青少年、来自社会经济地位较低家庭的人,而且相当一部分人语言技能和智力较低。进一步表明,格式塔疗法在物理环境、行为期望(对员工和患者)和集体生活理念方面不符合机构治疗环境中的专业、法律和治疗期望。

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