叙事治疗对自我意识高于或低于常模儿童的影响  

The study of narrative therapy in children with higher or lower self-concept

作　　者：金敏[1] 徐锋[1] 赵红[1] 

机构地区：[1]四川绵阳市第三人民医院临床心理科,621000

出　　处：《临床精神医学杂志》2017年第5期343-345,共3页Journal of Clinical Psychiatry

摘　　要：目的:研究叙事治疗对儿童自我意识的影响。方法:随机抽取20例自我意识高于常模的儿童及23例自我意识低于常模的儿童,分别进行10次叙事治疗,治疗前后使用Piers-Harris儿童自我意识量表(Children's self-concept scale,PHCSS)对两组进行评估。结果:自我意识低于常模组儿童治疗后PHCSS总分(t=10.126)及行为(t=3.259)、智力与学校情况(t=5.449)、躯体外貌与属性(t=4.069)、幸福与满足(t=4.374)分量表评分均高于治疗前,治疗后评分恢复正常(P<0.01);自我意识高于常模组儿童治疗后PHCSS总分(t=4.383)及智力与学校情况(t=3.102)、躯体外貌与属性(t=3.952)分量表评分低于治疗前,治疗后评分恢复正常(P<0.01)。结论:叙事治疗能有效改善儿童的自我意识。Objective： To explore the effect of narrative therapy in children＇s self-concept. Method：Totally 20 children with lower self-concept and 23 children with higher self-concept received narrative therapy for 10 times. The Children＇s self-concept scale（ PHCSS） was used to assess the two groups before and after the treatment. Results： After 10 treatments,PHCSS scores（ t = 10. 126） and sub-scores on behaviors（ t = 3. 259）,intellectual and school status（ t = 5. 449）,physical appearance and attributes（ t = 4. 069）,well-being and satisfaction（ t = 4. 374） all increased significantly to normal in children with lower self-concept（ P 0. 01）. PHCSS scores（ t = 4. 383） and sub-scores on intellectual and school status（ t = 3. 102）,somato-physiognomy and attribute（ t = 3. 952） all decreased significantly to normal in children with higher self-concept（ P 0. 01）. Conclusion： Narrative therapy is effective in promoting children＇s self-concept.

关 键 词：叙事治疗 儿童自我意识 

分 类 号：R749.3[医药卫生—神经病学与精神病学]