森田疗法门诊操作规则的专家意见  

Expert opinions on operation rules of Morita therapy outpatient service

作　　者：李江波 王祖承[2] 崔玉华[3] 路英智 曲伟杰 张海音[2] 毛富强 郄凤卿 施旺红 张勤峰 潘令仪 张玲 李荐中 崔光成[11] 陈统献 马秀青 戎伟 张建军 钟庆芳 张延赤 张伯全[17] 王心蕊[18] 马文有[19] 任清涛 井永法 刘寰忠[21] 于振剑[19] 赵来田 韩天明[23] 韩雪 LI Jiangbo;WANG Zucheng;CUI Yuhua;LU Yingzhi;QU Weijie;ZHANG Haiyin;MAO Fuqiang;QIEFengqing;SHI Wanghong;ZHANG Qinfeng;PAN Lingyi;ZHANG Ling;LI Jianzhong;CUI Guangcheng;CHEN Tongxian;MA Xiuqing;RONG Wei;ZHANG Jianjun;ZHONG Qingfang;ZHANG Yanchi;ZHANG Boquan;WANG Xinrui;MA Wenyou;REN Qingtao;JING Yongfa;LIU Huanzhong;YU Zhen-jian;ZHAO Laitian;HAN Tianming;HAN Xue(People's Hospital of Jianyang City,Jianyang 641400,Sichuan Province,China;Shanghai Mental Health Center,Shanghai Jiao-Tong University,School of Medicine,Shanghai 200030,China;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;Zibo Mental Health Center,Zibo 255100,Shandong Province,China;Harbin Quweijie Psychology School,Harbin 150007,China;Second Hospital of Tianjin Medical University,Tianjin 300070,China;Tokyo Usin Health Institute,Tokyo 160-0021,Japan;Air Force Military Medical University,Xi'an 710000,China;Nanning Sixth People's Hospital,Nanning 530031,China;Nanjing Yimin Hospital,Nanjing 211100,China;School ofMental Health Qiqihar Medical University,Qiqihar 161006,Heilongjiang Province,China;Taizhou Second People's Hospital,Taizhou 317200,Zhejiang Province,China;Wuhu Hospital Affliated to East China Normal University,Wuhu 241000,Anhui Province,China;Hefei Psychological Counselors Association,Hefei 230001,China;Happy Mind(Shanghai)Psychological Counselling Co,Shanghai 200035,China;The Sixth Hospital of Changchun,Changchun 130052,China;Shandong Mental 19 Health Center,Jinan 250014,China;Qingdao Mental Health Center,Qingdao 266034,Shandong Province,China;KailuanMental Health Center,Tangshan 063000,Hebei Province,China;Handan Psychiatric Hospital,Handan 056000,Hebei Province,China;Chaohu Hospital of Anhui Medical University,Chaohu 238000,Anhui Province,China;The Third People's Hospital of Tongling,Tongling 244000,Anhui Province,China;Hainan Provincial Anning Hospital

机构地区：[1]简阳市人民医院,四川简阳641400 [2]上海交通大学医学院附属上海精神卫生中心,上海200030 [3]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 [4]淄博市精神卫生中心,山东淄博255100 [5]哈尔滨市曲伟杰心理学校,哈尔滨150007 [6]天津医科大学第二医院,天津300070 [7]东京癒心健康研究所,东京160-00218 [8]空军军医大学,西安710000 [9]南宁市第六人民医院,南宁530031 [10]南京一民医院,南京211100 [11]齐齐哈尔医学院精神卫生学院,黑龙江齐齐哈尔161006 [12]台州市第二人民医院,浙江台州317200 [13]华东师范大学附属芜湖医院,安徽芜湖241000 [14]合肥市心理咨询师协会,安徽合肥230001 [15]笑脑(上海)心理咨询有限公司,上海200035 [16]长春市第六医院,长春130052 [17]山东省精神卫生中心,济南250014 [18]青岛市精神卫生中心,山东青岛266034 [19]开滦精神卫生中心,河北唐山063000 [20]邯郸市精神病医院,河北邯郸056000 [21]安徽医科大学附属巢湖医院,安徽巢湖238000 [22]铜陵市第三人民医院,安徽铜陵244000 [23]海南省安宁医院,海口571000 [24]上海市安肯心理咨询,上海200000

出　　处：《中国心理卫生杂志》2024年第1期68-72,共5页Chinese Mental Health Journal

摘　　要：森田疗法已诞生100余年,住院森田疗法可操作性强、易掌握,通过4期治疗就可改善许多难治神经症,但更多神经症是在门诊治疗,无法使用住院森田疗法,因此门诊操作专家意见的制定尤为重要。本文结合国内外文献,经国内森田疗法专家多次讨论,起草了第1版门诊森田疗法操作的专家意见,制定门诊三阶段的森田疗法操作规则:病因分析阶段,通过森田疗法理论指导,分析发病因素,提高对治疗依从性,降低抵抗;作业阶段,指导患者投入建设性意义行动,实现顺其自然为所当为原则,达到治疗目的;陶冶性格、充实生活阶段,注重正面信息关注,扩大行动范围、内容,提高适应复杂生活的能力,预防因能力不足导致的复发。该规则为国内门诊森田疗法的推广,使更多神经症等心理疾病患者在门诊就可得到森田疗法治疗奠定基础。Morita therapy has been born for more than 100 years.Inpatient Morita therapy is highly oper-able and easy to master.It can improve many refractory neuroses through four-stage treatment.But more neuroses are treated in outpatient clinics,and Morita therapy cannot be used in hospitalized patients.Therefore,the formula-tion of expert opinions on outpatient operations is particularly important.This paper is based on domestic and for-eign references,and after many discussions by domestic Morita therapy experts,and then drew up the first version of the expert opinions on operation of outpatient Morita therapy.Meanwhile the operation rule of Morita therapy in three stages of outpatient treatment was formulated:in the etiological analysis stage,under the theoretical guidance of Morita therapy,analyze the pathogenic factors,to improve treatment compliance and reduce resistance;during the operating stage,guide patients to engage in constructive and meaningful actions,realizing the achievement of letting nature take its course principle;in the cultivating character and enriching life stage,pay attention to positive infor-mation,expanding the scope and content of actions,improving the ability to adapt to complex life,and preventing recurrence caused by insufficient abilities.It will lay a foundation for the promotion of Morita therapy in domestic outpatient clinics,so that more patients with neurosis and other psychological diseases could receive characteristic Morita therapy treatment in outpatient clinics.

关 键 词：门诊森田疗法 神经症 抑郁症 精神分裂症 心身疾病 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R749.09[医药卫生—临床医学]