短期集体心理治疗对神经症患者的影响

目的探讨短期集体心理治疗对神经症患者疗效的影响。方法采用心理剧回馈量表评估22例主角和21例配角在其治疗3mo后的获益程度,并比较主角和配角获益程度的差异。结果总获益量表中获益最明显的是情绪获益,主角的总获益量和情绪获益显著高于非主角参加者(P<0.05),主角的再参加意愿和担任主角的意愿明显高于非主角参加者(P<0.05)。结论短期集体心理治疗对神经症患者有明显的疗效。     

Psycho-art-drama: development and testing a new integrated complementary method of psychiatric treatments for hospitalised children with cancer (a case study)

Abstract

Objective: Art therapy as a psychotherapy method using art, and psychodrama as a therapeutic method using role play, have different roots, principles, techniques and different effect mechanisms and advantages. Integrated psychotherapies are aimed to maximise each of the component advantages, as well as minimising disadvantages. Therefore, the main objective of this study was to develop a new integrated psychotherapy method, named psycho-art-drama (PAD) for hospitalised children with cancer and testing its effectiveness.

Methods: After designing the PAD protocol, five hospitalised children with cancer accompanied with their mothers selected based on inclusion and exclusion criteria to participate in this single-subject study.

Results: The results showed that PAD was significantly effective in reducing the bio-psycho-social expressions of incompatibility in the hospital (BPSEIH) in all of the five children.

Conclusions: Findings of this study give preliminary support using the PAD model in similar conditions.     

心理剧治疗对提高精神分裂症患者自尊水平的对照研究

目的：探讨心理剧治疗对提高精神分裂症患者自尊水平的心理康复作用。方法：采用1：1配对的病例对照研究方法，将康复期精神分裂症患者分为研究组和对照组各12例，在两组均使用抗精神病药物治疗的基础上，仅对研究组辅以心理剧治疗，4周为一个疗程，采用自尊量表（SES）和自卑感量表（FIS）进行治疗前后自身对照和两组相互对照。结果：研究组心理剧治疗后SES评分明显增高而FIS评分明显减低，差异有明显统计学显著性（P均＜0．01）。心理剧治疗后研究组疗效明显，且与对照组比较，SES评分升高而FIS评分减低，差异有统计学显著性（P均＜0．05）。治疗前后两组SES和FIS得分差值相比较差异有明显统计学显著性（P均＜0．01）。结论：心理剧治疗有助于消除康复期精神分裂症患者的自卑心理，提高自尊水平。     

Adjustment to cancer: exploring patients' experiences of participating in a psychodramatic group intervention

The main purpose of the present study was to understand the subjective experience of patients adjusting to cancer by focusing on how that experience might be affected by participating in a psychodramatic group intervention. In‐depth interviews using an interpretative‐phenomenological approach were conducted with eight cancer patients involved in a psychodrama group. Four key themes were identified: (1) outside and inside relationships; (2) identities: nurturing other selves; (3) a feelings' gym: performing the internal world; and (4) many ends: mourning death and dying. Participation in cancer group using a psychodramatic approach provided positive results. In detail, the group setting: (1) favoured relationships in which it was possible to freely express oneself and (2) empowered patients in their feelings of being able to give and receive help; the psychodramatic approach: (1) supported the physical mobilisation of sense of agency and (2) permitted to deal with the grieving process. Cancer healthcare pathways would benefit from psychotherapeutic programmes using a similar approach, since psychodrama by actively involving body seems to works on areas that are often underwhelmed by other approaches, such as (i.e., physical mobilisation, body engagement, grieving adjustment). Psychodrama supports patients to achieve insights into their own possibilities to actively participate in their own life situations despite having cancer and undergoing treatment for it.