对强迫障碍的依恋取向心理治疗2例  

Psychotherapy Based on Attachment Orientation in Two Obsessive-Compulsive Disorder Cases

作　　者：张洁[1] 曹思聪[1] 

机构地区：[1]武汉市精神卫生中心心理创伤科,武汉430019

出　　处：《神经损伤与功能重建》2015年第6期517-520,共4页Neural Injury and Functional Reconstruction

基　　金：武汉市卫生局计生委科研项目(No.WG15D02)

摘　　要：目的:探讨并验证依恋取向的心理治疗对强迫障碍的治疗效果。方法:阅读有关精神分析及依恋理论的文章及书籍,通过2个强迫障碍的临床案例为论据进行论证。结果:对于强迫障碍的心理治疗,从依恋理论出发,治疗中构建安全的依恋关系,给来访者提供被承认、被理解的体验,让来访者能够去联接那些内心冰封已久的情感世界。逐渐,抽象机械的强迫症状转变为具形和现实的生活事件冲突,这些体验和转变本身就是治愈性的。结论:精神分析提供一个视角,去理解强迫症状代表的心理意义;依恋理论则提供一种治疗态度和思路,让心理治疗更有效进行。Objective： To discuss the effect of psychotherapy based on attachment orientation for obsessive-com-pulsive disorder （OCD）. Methods： Two OCD cases were treated and analyzed . Results： In the psychotherapy based on attachment orientation, the therapists created a safe attachment relationship for the patients of OCD, offered them experience of being recognized and understood, helped them to connect the inner long frozen emotional world. Gradually, the abstract and stiff symptoms transformed to the concrete and realistic conflicts of life events. These experiences and transformations were curative. Conclusion： For OCD, psychoanalysis develops a way of un-derstanding, while attachment theory provides a clue and guidance for clinical psychotherapy.

关 键 词：强迫障碍 依恋 精神分析 心理治疗 

分 类 号：R749[医药卫生—神经病学与精神病学] R749.05[医药卫生—临床医学]