黃維仁博士上海站講學(xué)課件

1、婚姻治療工作坊The Art and Science of Marriage Counseling ChinaAugust, 2005臨床心理學(xué)家黃維仁博士Wei-Jen Huang, Ph.D., CGPClinical PsychologistNorthwestern UniversityWei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Overview 總覽Why Theory and Empirical R

2、esearch? 為什么需要理論和實(shí)證研究？Designer vs. Technician 設(shè)計(jì)師 vs.技師“If you truly understand, you will know what to do”-Bowen “倘若你真正地了解了，那么你就會(huì)知道該做什么?！?Bowen Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Predictors of Divorce(Markman, et al., 2001; Wolfinger, N. 2005; Seattle Times)Static Factors 靜態(tài)因素

3、Personality: Neuroticism 人格Parental Divorce 父母離婚Cohabitation History 同居歷史Previous Divorce 前次的離婚Having child before Marriage 未婚生子Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Predictors of DivorceHaving children from a previous marriage 帶著前次婚姻中所生的兒女Religious/Racial Differences 宗教信仰或種族上的差異

4、Marrying at a very young age (e.g. 18) 太早結(jié)婚（如 5:1 三對(duì)規(guī)約型夫婦在此項(xiàng)上的比率均大于5:1Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Current Research Findings目前的研究發(fā)現(xiàn)Regulated Couples 規(guī)約型夫婦Volatile: Lots of persuade attempts right from the beginning, passionate, lots of fights. 烈火型夫婦: 在一開(kāi)始的時(shí)候做過(guò)很多說(shuō)服對(duì)方的嘗試，很

5、有激情，也有很多的爭(zhēng)斗。Validate: Moderate persuade attempts. We-ness, friendship, less romantic. 肯定型夫婦: 溫和地勸說(shuō)，從“我們”的角度考慮問(wèn)題, 友誼, 比較不羅曼蒂克。Avoiders: Comfortable and Not hurt by their style of interaction. 回避型夫婦: 不會(huì)被他們互動(dòng)的方式傷害。Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Current Research Findings目前的研究發(fā)

6、現(xiàn)Unregulated Couples (0.8:1) 無(wú)規(guī)約型夫婦(0.8:1)DPA 彌散的生理反應(yīng)Hostile: 4 horsemen 敵意的: 啟示錄4騎士Hostile-Detached: Much more Contempt, Defensiveness and Stone-Walling. 傳遞敵意: 更多的輕視, 防御和筑墻。 Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Treatment Recommendations治療建議Behavioral Change + Insights 行為改變+領(lǐng)悟/洞

7、察Integrative, Multi-modal, Psychobiosocial 整合的、多重模式、心理-生物-社會(huì)的Change + Acceptance 改變+接納Empathize Pain (PA) + Focus on Strengths (Solution Oriented) 同感痛苦+注意長(zhǎng)處（問(wèn)題解決取向）Attachment focus 注重依附關(guān)係Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Treatment Recommendations治療建議Flexible hour (e.g. 2 hr 2

8、x 1st week, then gradually reduce) 彈性的時(shí)間 (比如，第一周兩次，每次兩個(gè)小時(shí)，然后逐漸減少)State dependent learning (practice S-L in emo aroused state, the more Ct can learn from Ts modeling and do it themselves the better) 狀態(tài)學(xué)習(xí) (在情緒狀態(tài)中操練談話者和傾聽(tīng)者的角色, 來(lái)訪者能從治療師的示范中學(xué)得越多越好)Longer term 長(zhǎng)期Booster sessions 跟進(jìn)階段Group support 團(tuán)體的支持Wei

9、-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Seven Levels of Healing醫(yī)治的七個(gè)層次 (從Pinsof 和Satir 的作品中整合出來(lái)的）Behavioral/Environmental 行為的/環(huán)境的Physiological/Biological 生理的/生物學(xué)的Thoughts/Cognition/Feelings 思想/認(rèn)知/情感Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Seven Levels of Healing醫(yī)治的七個(gè)層

10、次Core Beliefs/Meta Rules 核心信念Family of Origin 原生家庭Object Relations 客體關(guān)系Self/Spiritual 自我/靈性Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Compassionate Communication溫情溝通Problem Discussions (Empathy) Lead to Effective Problem Solving 討論問(wèn)題 (同理心) 會(huì)引向有效地解決問(wèn)題When Feeling Angry, Immediately Ask

11、: “What do I need right now?” 當(dāng)感到憤怒的時(shí)候，立刻問(wèn)自己：“我現(xiàn)在需要什么?”Compassionate Communication Integrated: Relationship Enhancement; Awareness Wheel; PREP; Imago; Non-Violent Communication, etc. 溫情溝通包括：增進(jìn)彼此的關(guān)系;意識(shí)輪; PREP;意象; 非暴力的溝通，等等Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Speaker Role 說(shuō)話者之規(guī)則“I

12、s it a good time to talk? Then Express ONE “Negative Withhold” or Frustration 找到雙方同意的時(shí)機(jī)，然後表達(dá)一個(gè)“被抑制的負(fù)面情緒”或挫敗感Dont Mind Read, Dont Ask Listener Questions 不要猜測(cè)別人的想法，也不要向聽(tīng)者提問(wèn)“Deposit” (Appreciate your partner) First, then Use The Following Enhanced “I Message” Steps to Communicate Your Inner Emotional W

13、orld: 先向配偶 “存款”，然後用下面的“我”句子來(lái)傳達(dá)你內(nèi)在的情緒世界:When (Describe Situation: Observation, Sensing Data) 當(dāng) 的時(shí)候(描述一個(gè)情景:你觀察或感覺(jué)到的情況）2.I Feel (Share Feeling Data) 我覺(jué)得 (分享你的感受)3. Because I Think (Your Interpretation) 因?yàn)槲业南敕ɑ蚪忉屖?4. I Need (Describe Needs) 我需要 (描述你的需要)Thank you for Trying to Understand 謝謝你為了解我所做的努力Wei-

14、Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Listener Role傾聽(tīng)者的練習(xí)Dont rebut, Listen to Understand, Paraphrase What You Hear 不要反駁。傾聽(tīng)并試圖理解，用自己的語(yǔ)言講出你所聽(tīng)到的信息。At the end of paraphrasing, Listener ask “How many percent did I get your meanings right?” 講完之后問(wèn)對(duì)方，“我對(duì)你的話理解對(duì)了多少？” If less than 90%, ask the

15、 Speaker to clarify, Listener keep paraphrasing until the Speaker feels 90% satisfied). 如果少于 90%，讓說(shuō)話者澄清，然后再講述一遍，直到說(shuō)話者感到達(dá)到90滿意為止。Speaker Thank Listener and Switch the Speaker-Listener Role. 說(shuō)話者感謝傾聽(tīng)者，然后兩人對(duì)換角色。Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士Intentionally strengthening friends

16、hip.刻意增進(jìn)夫妻之間的友情Deposit or Withdraw. 存款或提款Give what you want vs. what I want from you. 投其所好或給己所要Love Rituals and Pearl Moments. 恩情儀式與珍珠時(shí)刻Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士?jī)A聽(tīng)就是愛(ài)，了解中有醫(yī)治Listening is Loving, Empathy is Healing. (Wei-Jen Huang黃維仁) Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學(xué)家黃維仁博士黃維仁博士婚姻治療實(shí)例請(qǐng)向中國(guó)中央電視臺(tái)心理訪談節(jié)目編導(dǎo)朱瑪女士詢問(wèn)播出時(shí)間。電話 010-5889-1098Dr. Wei-Jen Huang