系统视角下对家庭健康促进的思考  

Systemic thinking on family health promotion

作　　者：唐登华[1] 王斌 钱英[1] 陈珏[3] Tang Denghua;Wang Bin;Qian Ying;Chen Jue(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;Shandong Provincial Hospital,Jinan 250012,China;Shanghai Mental Health Center,Shanghai Jiaotong University School of Medicine,Shanghai 200030,China)

机构地区：[1]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [2]山东第一医科大学附属省立医院(山东省立医院),济南250012 [3]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《中华行为医学与脑科学杂志》2022年第10期869-873,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：上海市精神心理疾病临床医学研究中心项目(19MC1911100);上海市卫生健康系统重要薄弱学科建设项目(2019ZB0201)。

摘　　要：系统视角下, 家庭是一个具有自组织能力的系统, 有足够的资源和能力解决自己的问题。促进家庭健康需要系统治疗师尊重每位家庭成员对问题的看法和构建, 帮助他们发现并激活自身资源。促进家庭健康也需要成员们积极推进家庭内的分享、共享模式, 发挥家庭规则的积极作用, 发展权威型的父母教养方式, 促进子女心理健康。而家庭成员需保证不同子系统的边界的清晰和开放, 尤其要维持夫妻子系统的稳固, 并根据特殊情境对不同子系统的权利作出合理的权衡和选择, 以减少冲突和维持良好的家庭功能。健康、理想的亲密关系应以"发展、变化、联系"的系统观视角诠释亲密、激情和承诺的内核。它能促进伴侣的个人成长;伴侣能共同审视这段关系的动态变化并不断调整, 也能联系双方的原生家庭、生活环境等加深对彼此的理解和接纳。一段健康的夫妻关系还应包括"亲情"、对伴侣双方家族的承诺、对子女的承诺, 平衡好核心家庭和原生家庭的利益。In the systemic perspective,family is a system capable of self-organization,which possesses enough resources and ability to solve its own problems.To promote family health,the systemic therapists are required to consider each family member’s opinions and construction to certain problems,and assist them to discover and activate their own resources as well.Promoting family health also requires members to actively develop a sharing pattern within the family,exert the positive role of family rules,develop an authoritative parenting style so as to promote the mental health of children.Family members should ensure the clear and open boundaries between different subsystems,and maintain the stability of subsystem of the husband and wife especially.Furthermore,family members in different subsystems should make reasonable trade-offs and choices corresponding to different situations in order to both minimize conflicts and maintain the satisfying function of the family system.A healthy and ideal intimate relationship is interpreted from the systemic perspective of"evolvable,changeable,associative"on the core of"intimacy,passion and commitment".The relationship will enhance partners'personal growth,in which the partners can not only examine its dynamic variations together but also deepen the understanding and acceptance of each other under the circumstances of bilateral original families and living environments.In addition,a healthy conjugal relationship has higher requirements such as"kinship",commitment to two families of the couple and the children,and balancing the benefits between core family and original family.

关 键 词：家庭健康促进 系统观 规则 模式 边界 子系统 亲密关系 

分 类 号：R493[医药卫生—康复医学]