1、淺析操作性“順其自然法”道家思想與強(qiáng)迫癥患者的對話Analysis of Operant Natural Therapy Dialogue Between Taoism and Patients with Obsessive-Compulsive Disorder 杜勝祥 Du Shengxiang,作者簡介,北京勝祥之道咨詢有限責(zé)任公司董事長 首席咨詢師 國家二級心理咨詢師（職業(yè)證書編號：06010000008300686） 中國心理衛(wèi)生協(xié)會會員（會員號M1501190861M） 揭開愛情的面紗作者（大陸簡體版和臺灣繁體版） 中國第一個戀愛藝術(shù)培訓(xùn)班創(chuàng)始人,Introduction of t

2、he author,Chief Consultant And CEO Of Beijing Shengxiangzhidao Co. Ltd. National second-level Psychiatrist (06010000008300686 ) Member of Chinese Mental Health Association (M1501190861M) The writer of Reveal the secret of love The founder of Chinas first training course about the art of love,摘 要Abst

3、ract,強(qiáng)迫癥-強(qiáng)迫思維和強(qiáng)迫動作 OCDcompulsive thought and compulsive act 2.操作性順其自然法： Operant natural therapy 3.現(xiàn)代心理治療與傳統(tǒng)道家思想相結(jié)合 Combination of modern psychotherapy and Taoism,報告內(nèi)容,強(qiáng)迫癥概述 操作性順其自然法原理 運用“操作性順其自然法”治療強(qiáng)迫癥 案例分析,Contents,Summary of OCD Theory of operant natural therapy Using operant natural therapy to cu

4、re OCD Case analysis,一、強(qiáng)迫癥概述 General Description of OCD,強(qiáng)迫癥： 焦慮障礙, 重復(fù)思想、沖動或意向，和意欲減少不舒服感而進(jìn)行的重復(fù)行為。強(qiáng)迫與反強(qiáng)迫 目前臨床的心理療法有很多： （1）認(rèn)知一行為療法 （2）精神分析療法（包括鐘氏認(rèn)知領(lǐng)悟療法和森田療法）等。,強(qiáng)迫癥概念,Concept of OCD,A kind of anxiety disorder, a distressing repetitive thought, impulsion or intention, and a repetitive act of desiring to

5、decrease symptoms but cause discomfort because of this impulsive thought. Obsessive and anti-obsessive At present, there are many clinical psychotherapies: Cognitive-Behavior Therapy Psychoanalytic therapy (including cognitive insight therapy of Chong, Maria therapy) etc.,二、操作性順其自然法原理 Theory of Oper

6、ant Natural Therapy,“順其自然，忍受癥狀，為所當(dāng)為” （1）不要把癥狀視為異端，并欲除去而后快； （2） 要撤除抵抗，帶著癥狀工作、學(xué)習(xí)，像正常人 那樣生活。,森田療法治療的要點,Key points of Maria therapy,“Let nature take its course ; Tolerate the symptoms; Do what you should do” (1)Dont treat the symptom as abnormality, persisting on to get rid of it. (2)Live with symptoms,

7、 as a normal people to work, study,“操作性順其自然法”,基石：“順其自然、為所當(dāng)為；自知者明，自勝者強(qiáng)；將欲取之，必先予之”等思想，提出了有別于森田療法的操作性順其自然法。 咨詢師突破意識禁錮，關(guān)注患者的當(dāng)下體驗。強(qiáng)調(diào)直面體驗，不要有意識地去回避或改變所呈現(xiàn)的不舒服體驗，與體驗友好相處，讓癥狀充分呈現(xiàn)。 以迎接的姿態(tài)出現(xiàn)，接受一切“有”和“無”，達(dá)到深度共情。,Operant Natural Therapy,According to thoughts of “l(fā)et nature take its course , do what you should do

8、; The person who knows himself could know everything, who can conquer himself is powerful; If you want to get, give at first etc.”, I put forward a therapy different from Morita therapy, which is named “operant natural therapy” The consultants break through thinking barriers, concerning about the pa

9、tients current feelings. Laying stress on facing inner feelings, dont try to avoid or change uncomfortable feelings consciously. Getting along well with experiences, letting symptoms present fully Accepting all the feelings of the patients, achieve the effect of in-depth empathy,面對癥狀所表現(xiàn)出的自然退縮、自我保護(hù)的意

10、識，對他順勢相助，通過內(nèi)化他人和角色扮演等心理咨詢方法，體驗患者的感受；與患者逐層揭開平素不曾覺察的自我保護(hù)面紗，看到自我赤裸裸的一面，見證和體驗整個剝離過程，從而幫助患者喚醒自我覺察意識，提高認(rèn)知水平，增強(qiáng)自我保護(hù)能力。,該法主張“順其自然，不爭而爭”,Let nature take its course dont fight the fight,In the face of the patients symptoms of flinching and self-protect awareness, helping them depending on the situation. Accor

11、ding to psychological counseling methods such as internalizing others, role-playing etc., experience the patents feelings. Helping the patient unveil self-protect layers to see the naked inner. Participating in and experiencing the whole process to help the patient awaken self-awareness, improve cog

12、nitive level and enhance self-protected ability.,操作性順其自然法與森田療法的區(qū)別（一）,Differences between Operant Natural Therapy and Morita Therapy (one）,操作性順其自然法與森田療法的區(qū)別（二）,Differences between Operant Natural Therapy and Morita Therapy (two）,三、運用“操作性順其自然法”治療強(qiáng)迫癥Using operant natural therapy to cure obsession,咨詢師此刻幫

13、不了,強(qiáng)迫癥,思維、情緒凝固 (單向思維),明知（超我）不可行,情緒、思維、行為,明知趨向情緒,情緒趨向明知,解決 方案,患者直面體驗,情緒變化,拓展思維域打開潘多拉盒子,社會化、正?；?感受到覺察（外在到內(nèi)在）,由自發(fā)到主動,幸福,咨詢師“順其自然”,The consultant cant help,OCD,Thinking ,emotional solidification (Rigid Thinking),Believe that is not feasible intellectually (superego ),Emotions, thinking and behavior,Inte

14、llect tends to emotions,Emotions tend to intellect,The client faces emotions,Emotions change,Expand the domain of thinking,Socialization normalization,From feeling to awareness,From unconsciousness to consciousness,happiness,The consultant abide by the nature,solutions,四、案例分析 Cases Analysis,強(qiáng)迫癥患者A :

15、 男 28歲 已婚 本科學(xué)歷 病程：初三時第一次得強(qiáng)迫癥，曾因強(qiáng)迫癥三次住院。,Patient A Male, 28 year old, married, bachelor Medical history: the first time of getting OCD in junior three; having went to hospital three times for OCD,患者的感受變化,通過這段時間的咨詢，我的感受非常深，病癥上也有了很大緩解。 以前，在我和別人說一些臟話的時候，我并沒有考慮過別人的感受，只是以自己為中心。通過在咨詢中角色互換的演練，我體會到，當(dāng)別人像我這樣對我

16、說臟話時，是什么樣的感受。還有就是我對于世界的認(rèn)識，我看待人的角度發(fā)生了變化。任何人和事物都有好與壞兩個方面。事情都有兩面性，而不再是單一的。以前，我只在意識上有所認(rèn)識，在我的潛意識里還沒有扎根。這就需要不斷地去行動才能鞏固。通過咨詢，近來我的癥狀明顯減輕甚至消失了，感覺非常的輕松。,Feeling changes in the patient,“Through the consultation, I have impressive experiences and my symptoms have large remission. Previously, I was self-centered

17、 and never consider others feelings when I talked dirty to them. After we reversed roles in consulting, I finally realized others feelings when I talked dirties. In addition, my understandings to the world and my perspective of viewing others have changed. Everything has two aspects including good a

18、nd bad . Everything has two sides, not single. Before, I only know that in consciousness, but not root in my subconscious, which need to continue to practice . I feel very comfortable and my symptoms gradually disappeared by treatment”,在運用操作性順其自然法的時，不能拘泥于一種方法，應(yīng)該結(jié)合其它行之有效的心理咨詢方法，必要時還可以結(jié)合家庭治療等。 對于大多數(shù)強(qiáng)迫癥患者來說，心理咨詢必須結(jié)合藥物治療才能奏效。,咨詢師的感悟,Comprehensions of the consultant,When using the operant natural therapy, we should not stand on one method but combine with other effective psychologi cal counseling methods. If necessary, combining with famil y therapy. To most OCD patients,