黄维仁博士上海站讲学课件

1、婚姻治疗工作坊The Art and Science of Marriage Counseling ChinaAugust, 2005临床心理学家黄维仁博士Wei-Jen Huang, Ph.D., CGPClinical PsychologistNorthwestern UniversityWei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Overview 总览Why Theory and Empirical R

2、esearch? 为什么需要理论和实证研究？Designer vs. Technician 设计师 vs.技师“If you truly understand, you will know what to do”-Bowen “倘若你真正地了解了，那么你就会知道该做什么。”-Bowen Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Predictors of Divorce(Markman, et al., 2001; Wolfinger, N. 2005; Seattle Times)Static Factors 靜態因素

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) 太早結婚（如 5:1 三对规约型夫妇在此项上的比率均大于5:1Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Current Research Findings目前的研究发现Regulated Couples 规约型夫妇Volatile: Lots of persuade attempts right from the beginning, passionate, lots of fights. 烈火型夫妇: 在一开始的时候做过很多说服对方的尝试，很

5、有激情，也有很多的争斗。Validate: Moderate persuade attempts. We-ness, friendship, less romantic. 肯定型夫妇: 温和地劝说，从“我们”的角度考虑问题, 友谊, 比较不罗曼蒂克。Avoiders: Comfortable and Not hurt by their style of interaction. 回避型夫妇: 不会被他们互动的方式伤害。Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Current Research Findings目前的研究发

6、现Unregulated Couples (0.8:1) 无规约型夫妇(0.8:1)DPA 弥散的生理反應Hostile: 4 horsemen 敌意的: 啟示錄4骑士Hostile-Detached: Much more Contempt, Defensiveness and Stone-Walling. 传递敌意: 更多的轻视, 防御和筑墙。 Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Treatment Recommendations治疗建议Behavioral Change + Insights 行为改变+领悟/洞

7、察Integrative, Multi-modal, Psychobiosocial 整合的、多重模式、心理-生物-社会的Change + Acceptance 改变+接纳Empathize Pain (PA) + Focus on Strengths (Solution Oriented) 同感痛苦+注意長處（问题解决取向）Attachment focus 注重依附關係Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Treatment Recommendations治疗建议Flexible hour (e.g. 2 hr 2

8、x 1st week, then gradually reduce) 弹性的时间 (比如，第一周两次，每次两个小时，然后逐渐减少)State dependent learning (practice S-L in emo aroused state, the more Ct can learn from Ts modeling and do it themselves the better) 狀態学习 (在情緒狀態中操练谈话者和倾听者的角色, 来访者能从治疗师的示范中学得越多越好)Longer term 长期Booster sessions 跟进阶段Group support 团体的支持Wei

9、-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Seven Levels of Healing医治的七个层次 (从Pinsof 和Satir 的作品中整合出来的）Behavioral/Environmental 行为的/环境的Physiological/Biological 生理的/生物学的Thoughts/Cognition/Feelings 思想/认知/情感Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Seven Levels of Healing医治的七个层

10、次Core Beliefs/Meta Rules 核心信念Family of Origin 原生家庭Object Relations 客体关系Self/Spiritual 自我/灵性Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Compassionate Communication溫情沟通Problem Discussions (Empathy) Lead to Effective Problem Solving 讨论问题 (同理心) 会引向有效地解决问题When Feeling Angry, Immediately Ask

11、: “What do I need right now?” 当感到愤怒的时候，立刻问自己：“我现在需要什么?”Compassionate Communication Integrated: Relationship Enhancement; Awareness Wheel; PREP; Imago; Non-Violent Communication, etc. 溫情沟通包括：增进彼此的关系;意识轮; PREP;意象; 非暴力的沟通，等等Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Speaker Role 说话者之規則“I

12、s it a good time to talk? Then Express ONE “Negative Withhold” or Frustration 找到雙方同意的時機，然後表达一个“被抑制的负面情绪”或挫败感Dont Mind Read, Dont Ask Listener Questions 不要猜测别人的想法，也不要向听者提问“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”句子来传达你内在的情绪世界:When (Describe Situation: Observation, Sensing Data) 当 的时候(描述一个情景:你观察或感觉到的情况）2.I Feel (Share Feeling Data) 我觉得 (分享你的感受)3. Because I Think (Your Interpretation) 因為我的想法或解釋是 4. I Need (Describe Needs) 我需要 (描述你的需要)Thank you for Trying to Understand 谢谢你为了解我所做的努力Wei-

14、Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Listener Role倾听者的练习Dont rebut, Listen to Understand, Paraphrase What You Hear 不要反驳。倾听并试图理解，用自己的语言讲出你所听到的信息。At the end of paraphrasing, Listener ask “How many percent did I get your meanings right?” 讲完之后问对方，“我对你的话理解对了多少？” If less than 90%, ask the

15、 Speaker to clarify, Listener keep paraphrasing until the Speaker feels 90% satisfied). 如果少于 90%，让说话者澄清，然后再讲述一遍，直到说话者感到达到90滿意为止。Speaker Thank Listener and Switch the Speaker-Listener Role. 说话者感谢倾听者，然后两人对换角色。Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士Intentionally strengthening friends

16、hip.刻意增进夫妻之间的友情Deposit or Withdraw. 存款或提款Give what you want vs. what I want from you. 投其所好或给己所要Love Rituals and Pearl Moments. 恩情仪式与珍珠时刻Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士倾听就是爱，了解中有医治Listening is Loving, Empathy is Healing. (Wei-Jen Huang黄维仁) Wei-Jen Huang, Ph.D. CGP Clinical Psychologist 臨床心理學家黃維仁博士黃維仁博士婚姻治療實例請向中國中央電視台心理訪談節目編導朱瑪女士詢問播出時間。電話 010-5889-1098Dr. Wei-Jen Huang