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神奇现实的再现:儿童功能性偏头痛的治疗

The resurrection of a magical reality: treatment of functional migraine in a child.

作者信息

O'Connor J J

出版信息

Fam Process. 1984 Dec;23(4):501-9. doi: 10.1111/j.1545-5300.1984.00501.x.

DOI:10.1111/j.1545-5300.1984.00501.x
PMID:6519244
Abstract

A magical world view and logic were used in the treatment of a 10-year-old girl who was referred because of suicidal threats due to migrainous pain. The treatment consisted of a one-session intervention with three-week, six-month, and one-year follow-up indicating elimination of migraine. Within a strategic family therapy, a magical ritual was prescribed that derived from the preoperational logic explicated by Piaget and from the healing practices described in anthropological studies. Such a ritual casts the symptom in a different context, alters the meaning of migraine to the family system, and leads to different interactional patterns. Piaget's theory and anthropological data are discussed as sources of a magical world view to help families and children disengage from a symptomatic system of interactions.

摘要

一种神奇的世界观和逻辑被用于治疗一名10岁女孩,该女孩因偏头痛性疼痛而出现自杀威胁被转诊。治疗包括一次治疗干预,并进行了为期三周、六个月和一年的随访,结果显示偏头痛消失。在策略性家庭治疗中,规定了一种神奇的仪式,它源自皮亚杰阐述的前运算逻辑以及人类学研究中描述的治疗方法。这样的仪式将症状置于不同的背景中,改变偏头痛对家庭系统的意义,并导致不同的互动模式。讨论了皮亚杰的理论和人类学数据,作为神奇世界观的来源,以帮助家庭和儿童摆脱有症状的互动系统。

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