中国临床心理学杂志

1例抑郁症与强迫症共病患者的精神动力导向治疗

作者：孟宪璋¹ 刘国华²

单位：1. 暨南大学第一附属医院心理科广东广州510630
2. 广东海洋大学学生处心理咨询中心广东湛江524088

关键词：精神分析抑郁强迫

分类号：R749.7

出版年,卷(期):页码：2011,19(2):268-271

摘要：

目的：报告1例抑郁症与强迫症共病患者的精神动力导向的治疗过程。方法：采用精神动力导向的治疗方法，每周1次晤谈，共45次。结果：患者的强迫观念、抑郁症状及社会功能有所好转，对症状的无意识意义有所领悟。结论：患者童年期共生性、过分溺爱的母子关系和敌对性的父子关系，令其陷入乱伦和弑父的强烈罪疚和洗刷罪恶的强迫重复中。

Objective:introduce the psychodynamic oriented treatment process of a patient with deep depressionand obsessive-compulsive disorder.Methods:A psychodynamic oriented treatment of fifty minutes once a week was givento a patient with deep depression and obsessive-compulsive disorder,totally of 45 sessions.Results:His obsessive beliefs,depressive symptoms and social function were all somewhat better.He also understood some of the unconscious symbols ofhis symptoms.Conclusion:The early symbiotic and over-spoiled relationship with his mother,as well as the hostile relationshipwith his father,have made him involve in the strong guilt of incest and parricide and compulsive repetitions towash it out.

基金项目：

教育部人文社会科学基金项目(09YJCXLX003)资助

作者简介：

参考文献：

[1] Dr Kim T.Mueser.Editorial:Psychodynamic treatment ofschizophrenia:Is there a future? Psychological Medicine,1990.253-262;
[2] Malmberg L,Fenton M,Rathbone J.Individual psychodynamicpsychotherapy and psychoanalysis for schizophreniaand severe mental illness.Cochrane Database of SystematicReviews 2001,Issue 3.Art.No.CD001360.DOI:10.1002/14651858.CD001360;
[3] 孟宪璋.一位失眠患者的精神分析治疗.中国临床心理学杂志,2000,8(2):124-127;
[4] 赵冬梅.一例性心理创伤个案的临床治疗与分析.中国临床心理学杂志,2010,18(3):393-396;
[5] 施琪嘉.精神分析在中国的应用前景.上海精神医学,2000,12(3):171;
[6] Michael St.Clair 著.贾晓明,苏晓波,译.现代精神分析“圣经”.北京:中国轻工业出版社,2002.200-209;
[7] 叶玲,凌辉,熊恋.青少年防御方式发展特点的研究.中国临床心理学杂志,2010,18(4):504-506;
[8] 吉尔·萨夫,大卫·萨夫等著（美）.邬晓艳,余萍,等译.施琪嘉审.客体关系入门.第;[2] 版.北京:世界图书出版公司北京公司,2009.37-44,193-196

服务与反馈：

【文章下载】【加入收藏】