来访者对心理咨询或治疗师的伦理行为评价  

Clients' evaluation on ethical behavior of their counselors or psychotherapists

作　　者：赵静波[1] 季建林[2] 程文红[3] 付深省[4] 杨海波 孙丽华 周晓琴[7] 张岚[8] 

机构地区：[1]南方医科大学公共卫生与热带医学学院心理学系,广州510515 [2]复旦大学附属中山医院心理医学科,上海200032 [3]上海交通大学附属上海精神卫生中心儿少精神科,上海200030 [4]广东省江门市第三人民医院,广东江门529000 [5]黑龙江省大庆市第三人民医院,黑龙江大庆163712 [6]辽宁省沈阳市行知小学,辽宁辽阳111043 [7]合肥市第四人民医院,合肥230000 [8]四川大学华西医院心理卫生中心,成都610041

出　　处：《中国心理卫生杂志》2010年第1期1-6,共6页Chinese Mental Health Journal

基　　金：国家社会科学基金(07CZX021)

摘　　要：目的:了解来访者对心理咨询/治疗师伦理行为的评价状况。方法:采用问卷调查法,以自编心理咨询和治疗伦理问题调查问卷(来访者版)为评价工具,在全国范围内选取12个城市的1100名来访者进行调查,回收有效问卷807份。结果:84.5%的来访者对正在进行的治疗有信心,89.2%的来访者认为自己的心理咨询/治疗师能够胜任工作。15.9%的来访者评价,心理咨询/治疗师有时会表现出不耐烦的情绪或向来访者倾诉自己的压力。59.1%的来访者了解心理咨询或治疗的性质、作用和局限性,53.4%的来访者知道心理咨询/治疗师的专业背景。91.3%的来访者认为自己的隐私和治疗内容能够得到保密。来访者与心理咨询/治疗师发生亲密关系的占7%,发生性关系的占1.5%,在生活中是朋友关系的占18.3%。79%的来访者所接受的心理咨询或治疗能够按时开始和结束。结论:从来访者评价的角度,绝大多数的心理咨询/治疗师在工作胜任能力、保密、遵守时间设置方面做得较好,但在知情同意、双重关系方面存在问题,需要引起重视并改进。Objective： To explore the clients＇assessment for the ethical behavior of the counselors and psychotherapists. Methods： The main method used in this evaluation was questionnaire, and the self-made questionnaire of the ethical problems in psychotherapy and counseling （for the clients ） were used as evaluation tools. Totally 1100 clients, from 12 cities in China, were investigated with 807 questionnaires returned. Results： 84.5% of the clients were confident in the treatments, and 89. 2% of them gave positive assessment for the ability of their counselors and psychotherapists. 15.9% of clients said the counselors and psychotherapists showed impatience or talked to them about their stress sometimes. Besides, 59. 1% knew about the characters, names and charge of the psychotherapies and counseling, and 53.4% knew the background of the counselors and psychotherapists. 91.3% of clients thought the privacy and treatment could be kept secret. 7% of clients had intimate relationship with their counselors or psychotherapists, 1.5% had sexual relations, and 18. 3% made friends in lives. 79% of clients could receive timely psychotherapies and counseling. Conclusion： From the assessment of the clients, the vast majorities of the counselors and psychotherapists do well in work ability, confidentiality and time-setting, but not so well in informed-consent and dual relations, which need to be paid attention to and improved.

关 键 词：来访者 心理咨询师 心理治疗师 伦理行为 横断面调查 

分 类 号：R749.055[医药卫生—神经病学与精神病学] R395.6[医药卫生—临床医学]