心理社会治疗模式下社交焦虑障碍青少年的社会工作介入

发布时间：2018-10-22 16:14

【摘要】：社交焦虑障碍是一种常见的严重影响到青少年身心健康的慢性疾病,社交焦虑障碍多产生于青少年时期,对青少年的学习生活带来极大的困扰。随着经济的快速发展,青春期出现社交焦虑的现象不断增多。案主小静由于早期的不良生活经验,使得其存在低自尊以及不良的自我概念,在社交情境中有回避和焦虑倾向。本文采用个案研究法,以“人在情境中”以及弗洛伊德的“精神分析法”为理论依据,以尊重、真诚、同理心为工作理念,通过心理社会治疗模式对小静进行直接和间接的个案介入。具体介入过程分为预备阶段、直接治疗阶段、间接治疗阶段以及巩固发展阶段四个阶段。其中,预备阶段意在与小静建立良好的专业关系;直接治疗阶段针对小静的问题,对其展开不同主题的介入服务,并在此基础上与小静进行深入的访谈;间接治疗阶段通过对小静的家庭进行介入,旨在帮助小静营造良好的家庭沟通环境;巩固发展阶段即对整个介入过程的回顾,让小静更有勇气和信心在社交场合表现更好的自己。从过程评估和效果评估来看,介入的预期目标基本实现,小静的社交焦虑障碍得到了较大改善。本文的最后,对研究的局限性以及心理社会治疗模式介入社交焦虑障碍青少年的指导空间进行反思,总结出了青少年社交焦虑障碍的个案介入策略,即宣泄合理释压力、鼓励即时信心倍、行为内化成习惯、认知自我展生机、家庭改观共成长,为青少年社会工作者进行相关介入实践提供经验和参考。
[Abstract]:Social anxiety disorder is a common chronic disease which seriously affects the physical and mental health of teenagers. With the rapid development of economy, the phenomenon of social anxiety in adolescence is increasing. Due to the early bad life experience, the victim Xiao Jing has low self-esteem and bad self-concept, and has the tendency of avoidance and anxiety in the social situation. This article adopts the case study method, takes "the person in the situation" and Freud's "the psychoanalytic method" as the theoretical basis, regards the respect, the sincerity, the empathy as the work idea, Through the psycho-social treatment model of Xiaojing direct and indirect case intervention. The specific intervention process is divided into four stages: preparation stage, direct treatment stage, indirect treatment stage and consolidation and development stage. Among them, the preparatory stage is intended to establish a good professional relationship with Xiaojing, the direct treatment stage is aimed at Xiaojing's problems, the intervention services of different themes are carried out, and on the basis of this, the author conducts in-depth interviews with Xiaojing. The indirect treatment stage aims to help Xiaojing create a good family communication environment by intervening in Xiaojing's family, and to consolidate the development stage, that is, the review of the whole process of intervention. Let quiet have more courage and confidence to perform better in social situations. From the point of view of process evaluation and effect evaluation, the expected goal of intervention is basically achieved, and Xiaojing's social anxiety disorder has been greatly improved. At the end of this paper, the limitations of the study and the guidance space of psycho-social therapy model to intervene in social anxiety disorder are reviewed, and the individual intervention strategy of social anxiety disorder is summarized, that is, releasing reasonable pressure. To encourage instant confidence, behavior internalization into habits, cognitive self-development, family change and growth, provide experience and reference for adolescent social workers involved in the practice.
【学位授予单位】：南京航空航天大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916

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