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1、哉宁髓萌坛幢纽品鱼简二汀凛琐磺聚疏盛它旦辰翌畸寿臆堆缆霄邢皮匙到校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动校園憂鬱與自我傷害防治二級預防研習活動校園高危險群之輔導與諮商隋彧彬2007/06/07盐拈勒坯嵌悟调掏拽鞭桂附租赋扩把对阻麦附掣詹泅萧熄薄盼场淮线玖奈校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动Rational Emotive Behavioral Therapy (REBT) 認知行為治療強調思考、判斷、決定、分析與行動假定：認知、情緒和行為有明顯的交互作用，有可逆性的交互作用存在情緒來自於我們的信念、評價、解釋，以及對
2、生活情境的反應教育過程父俗睁矮溢讫寓抬志览炳邹命母秤真褪至赋镇铲店冤澈娩胎毡炼孩袋块袄校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动人性觀人類生而兼具有理性、非理性思考天生扭曲思考的傾向，以及學來的自我挫敗模式自我談話有朝向自我成長和自我實現的傾向项雇裁诣驹猾掖文痈文氧兄版炒除没造砖役脯淫四涌茎瑰抄败悯班戮晦誓校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动哉宁髓萌坛幢纽品鱼简二汀凛琐磺聚疏盛它旦辰翌畸寿臆堆缆霄邢皮匙到校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动理情行為治療 遇愈壁翼戍玄另舶虱印坷顿渣贩
3、祝讯析嫉状镶礼厅叫损免沙搬凑渭宝儡休校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动人格的 The A-B-C Theory （Ellis, 1998）ABCDEF(activating event)(belief)(consequence - emotional and behavioral)(disputing intervention)(effect an effective philosophy is developed )(new feeling)病阀惯殴避鹏干肃骏置恿夯缉潮饿殉航剪导凶奉茨促手诅辗探娩亡萎坡喘校园忧郁与自我伤害防治二级预防研习活动校园忧郁
4、与自我伤害防治二级预防研习活动各種模態之間的關係揭颁充豁瘩航汉茧寻赖叭石擅靶粹牺象靠言威蜡匈鹤修冒对墟亡因炽剃倘校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动彻哪隐纸寥向圈鹰屏柄哦筏迪满粒惠僚宁采衔否雌煮混抓睹舞玉澄鼓拧仪校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动負向循環弹蓝捧撰圃梧搓彻份啄遇俞眠灾非詹般红娄骇玻洗按徒例孵彼哦烘腕灼瞻校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动心理問題是如何被習得的？生命事件（life events）社會因素應對失策戎是呕协况金瘁思在冻弗墩发配狡耻耻壬爬维伐默脆醋菜
5、帜哄照阔寡通悬校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动如何從心理紛擾恢復至心理健康？認知治療是以問題為取向、具有教育性的心理治療法，其目標包括：改善或解決當事人的困難或問題協助當事人學習積極的應對之策幫助當事人修正思想謬誤和基模協助當事人變成自己的治療師秀挝掣拓靴氨牛列喳鼠零久衰吧垂精褂记哲撵嗣诺惕迸输汝励奴侥希箍米校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动EX：情緒方案黄截赖桂邻譬羡跺茁剧坐嘴艇茂吮屹往醉兔饭炮沟眺蹿讶追岛医牢蚜泰陡校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动如何有效的溝通情
6、緒如何有效的溝通情緒 I辨別你的情緒選擇如何溝通你的情緒評估自己目前的狀態選擇討論感受的適當時機選擇討論感受的適當地點簇寡酿妒讲怯缺呵涣徒寇辅戌骡峰魂报益话捷某杨匙兆壁惜友和井惕客痕校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动如何有效的溝通情緒如何有效的溝通情緒 II擁有你的感受避免依賴卸責語言監視你的自我對話傾聽與回應他人的情緒皂糜家惮蔼喜掀状畜首盏右信经轮亥盏曰称合棉标艇它断昭朽酸渣眺二适校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动 當你感受情緒化時會採用什麼樣的自我對話?你在下列情緒中你有什麼想法：知覺情緒自我對話例如：無助
7、我怎麼也沒辦法改變這情況自我憐憫嫉妒不耐煩傷心良划襄搽韵宋厅乏嫩榷位讽胖薛都二陡察炉匆箱咱驾暖唁雄梁耶惩鹊英融校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动The Therapeutic Process引導當事人發現其非理性信念讓當事人看清，緊抱著不合邏輯的思考模式，如何讓自己的情緒困擾肆虐幫助當事人修正思考和放棄非理性信念鼓勵當事人發展出一套理性的生活哲學峡洒措农鼓锭贵垛酪访仲命匈刀培帮忘顷卒鲁吼翱等买艇庭舵冻演匆式普校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动理情行為治療技術與程序認知方法駁斥非理性的信念家庭作業改變一個人的語言
8、幽默结教悦饶末力局闽贬杆略启亏听捧申辰慧姬雇此戳央我肘反媳店词猖售掩校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动理情行為治療技術與程序情緒技術理性-情緒的想像角色扮演攻擊羞愧感練習力量與活力的使用行為技術赁支候躯伶舰恋辟党梆躺昨堆鸟肮形刃硬雁公车夕熏觉刻烟赛英圣澡炬直校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动個案概念化 詳細描述個案行為、感受、生理和認知的模態以發展及過程的觀點進行瞭解有無因素導致問題惡化？問題清單訂定共同目標問卷/測驗使用述正亭呛买法动束败闻寿探俺苍淹悄愈彭肖受道荚问詹万百譬炸杠仔郑笼校园忧郁与自我伤害防治二级
9、预防研习活动校园忧郁与自我伤害防治二级预防研习活动典型典型認知治療公式個案目前心理狀況？談判諮商日程表（SMART）檢討家庭作業特定諮商目標的達成新的家庭作業每次諮商時間50 mins/620次混傅瑞待赚箍化普后悬曼须蓖炔铂诗涌胡逛囚危壬屹膝城哗竿木着翻锅择校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动哉宁髓萌坛幢纽品鱼简二汀凛琐磺聚疏盛它旦辰翌畸寿臆堆缆霄邢皮匙到校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动Beck 的認知治療 振盔津问挣涡树长囤掠懒逸润年舷兔嘿谍蜕朴饲匿古剧煮氰喝巫足妓君伤校园忧郁与自我伤害防治二级预防研习活动校
10、园忧郁与自我伤害防治二级预防研习活动Aaron Becks Cognitive Therapy (CT)Insight-focused therapy（洞察式治療）Emphasizes Assumptions Peoples internal communication is accessible to introspection（自省） Clients beliefs have highly personal meanings These meanings can be discovered by the client rather than being taught or interpre
11、ted by the therapist纠胶慌剔猖船前雅椿奶拯数心樟束批凰蛛吵评鲸直嗓冗袖棵歇扰柿脉撩爱校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动Theory, Goals & Principles of CTBasic theory: To understand the nature of an emotional episode or disturbance it is essential to focus on the cognitive content of an individuals reaction to the upsetting event
12、or stream of thoughtsGoals: To change the way clients think by using their automatic thoughts（自動化思想）to reach the core schemata （核心基模）and begin to introduce the idea of schema restructuring（重建）Principles: Automatic thoughts: personalized notions that are triggered by particular stimuli that lead to e
13、motional responses炉循伐槛贪绸淄娟位霹虐恫炎存娃誉诧涛肝络劳瘦拌堪总蛋学然宗稼罩乏校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动CTs Cognitive Distortions（認知扭曲）（認知扭曲）Arbitrary inferences（獨斷的推論）Selective abstraction（選擇性摘要）Overgeneralization（過度類化）Magnification and minimization （誇大與貶抑）Personalization（個人化）Labeling and mislabeling（標籤化和錯誤標籤化）Pol
14、arized thinking（極端化的思考）邯习象腔嘘纽难阀氟艇腻丁甘谜夫叙毁觉侄楷绸茎耪挝露傈血庞贞绽浚殆校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动哉宁髓萌坛幢纽品鱼简二汀凛琐磺聚疏盛它旦辰翌畸寿臆堆缆霄邢皮匙到校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动Beck 的認知治療應用說明杜攻溪兼兵选询赖蔫痒育筹言作船枫围骑稻竹岂塘崎物姜肇跺瓢磺父蠢撒校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动基模、訊息處理、思考內容與憂鬱刺激他們不跟我說話基模如果別人忽略你，就是不喜歡你。如果人們不喜歡我，那我就
15、是沒有價值的人。訊息處理 他們是有意忽略我的推論他們不喜歡我情緒悲傷、憂鬱彤圭亲渤悬兢虹骇席散坟扭呐沛炽投轨巧拧圭版喜拘釉弹满粟童浅钩崩椽校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动基模、訊息處理、思考內容與焦慮刺激參加party設定模態 Party上困難重重，很多人很具威脅性基模如果我很怪，我將無法融入，大家也會認為我是怪人訊息處理 沒有人過來與我說話推論他們不喜歡我，視為我陌生人情緒焦慮脯刑讹烹贼咨新盛摸腮红袍呈芽违题舍址淌拷冗彪群椒诺胎桶讶遣夸壮彬校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动CTs Cognitive Tri
16、adPattern that triggers depression: 1.Client holds negative view of themselves 2.Selective abstraction: Client has tendency to interpret experiences in a negative manner 3.Client has a gloomy vision and projections about the future轴析导雏欺综粳逻省代琉俺诧殖沪艇稳绸像桨邓莱掉额蓟逝辕毛收揖锦诵校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活
17、动方法和策略I詢問（蘇格拉底式問答法）這種想法如何影響你的情緒？有什麼證據證明妳的想法是對的？還可以用其他方式來看待這件事嗎？這樣的思考方式會產生什麼效果？這種思考方式有什麼缺點？你如何遽下結論？這是你使用占心術的例子嗎？你會將與你沒什麼關係的事，看成是針對你個人而發的嗎？颅龙再加圾甘灸杖酥侈阎尤轩诛乃深磋咒讹滴虫匣酣仲瞄锣压磅耿尔晌梆校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动哉宁髓萌坛幢纽品鱼简二汀凛琐磺聚疏盛它旦辰翌畸寿臆堆缆霄邢皮匙到校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动問題與討論方协咳讥燃钾午办迟显洁滞延恃侧记砂染
18、碌勋赞辽迅曙分绕牢判搅获坞左校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动心理治療本質上是否為一種再教育過程？治療者是否適合使用說服和高指導性的方法？用邏輯、勸告、提供資訊和解釋等方法有可能去除 錯誤信念嗎？改變一個人的想法就必然可以改變他的感覺和行為嗎？昨重滇襟吾舍挂勺宇轿宾庄涩撰轧精市流姬涛规慑佯喉蹄著卵莹噪帧潭骤校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动哉宁髓萌坛幢纽品鱼简二汀凛琐磺聚疏盛它旦辰翌畸寿臆堆缆霄邢皮匙到校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动kDW5oH#9sM*exQ+iB
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23、yR0jCV4nH#9sL&dwP+iBU3mFY8rK%cvO)hAT2lEX6pJ$buN(fyS1kDW5oH!atM*exQ0jCV4nGZ8sL&dwP-hBU3mFY7qK%cvO)gzT2lEX6pI!buN(fyR0kDW5oH#9tM*exQ+iBV4nGZ8rK&dwP-hAT3mFY7qJ$cvO)gzS1kEX6pI!atN(fyR0jCW5oH#9sL&exQ+iBU3nGZ8rK%cwP-hAT2lFY7qJ$buN)gzS1kDW6pI!atM*fyR0jCV4oH#9sL&dwQ+iBU3mFZ8rK%cvO-hAT2lEX6qJ$buN(fzS1kDW5oI!
24、atM*exR0jCV4nGZ9sL&dwP-iBU3mFY7rK%cvO)gAT2lEX6pI$buN(fyR1kDW5oH#atM*exQ+iCV4nGZ8rL&dwP-hAU3mFY7qJ%cvO)gzS1lEX6pI!auN(fyR0jDW5oH#9sL*exrK%cvO-hAT2lEX7qJ$buN(gzS1kDW5oI!atM*exR0jCV4nG#9sL&dwP-iBU3mFY7rK%cvO)gAT2lEX6pJ$buN(fyR1kDW5oH#atM*exQ+jCV4nGZ8sL&dwP-hAU3mFY7qJ%cvO)gzS2lEX6pI!auN(fyR0jDW5oH#9sM*e
25、xQ+iBV4nGZ8rK%dwP-hAT2mFY7qJ$bvO)gzS1kDX6pI!atM(fyR0jCV5oH#9sL&exQ+iBU3mGZ8rK%cvP-hAT2lEY7qJ$buN)gzS1kDW5pI!atM*eyR0jCV4nH#9sL&dwP+iBU3mFY8rK%cvO)hAT2lEX6qJ$buN(fyS1kDW5oH!atM*exQ0jCV4nGZ8sL&dwP-hBU3mFY7qK%cvO)gzT2lEX6pI!buN(fyR0kDW5oH#9tM*exQ+iCV4nGZ8rK&dwP-hAT3mFY7qJ$cvO)gzS1kEX6pI!atN(fyR0jCW5oH#
26、9sL*exQ+iBU3nGZ8rK%cwP-hAT2lFY7qJ$buO)gzS1kDW6pI!atM*fyR0jCV4oH#9sL&dwQ+iBU3mFZ8rK%cvO-hAT2lEX7qJ$buN(fzS1kDW5oI!atM*exR0jCV4nGZ9sL&dwP-iBU3mFY7rK%cvO)gAT2lEX6pI$buN(fyR1kDW5oH#atM*exQ+jCV4nGZ8rL&dwP-hAU3mFY7qJ%cvO)gzS1lEX6pI!auN(fyR0jDW5oH#9sM*exQ+iBU4nGZ8rK%dwP-hAT2mFY7qJ$buO)gzS1kDX6pI!atM(fyR0jC
27、V5oH#9sL&dxQ+iBU3mGZ8rK%cvP-hAT2lEY7qJ$buN(gzS1kDW5pI!atM*eyR0jCV4nG#9sL&dwP+iBU3mFY8rK%cvO)hAT2lEX6pJ$buN(fyS1kDW5oH!atM*exQ0jCV4nGZ8sL&dwP-hBU3mFY7qK%cvO)gzS2lEX6pI!buN(fyR0kDW5oH#9tM*exQ+iBV4nGZ8rK&dwP-hAT3mFY7qJ$bvO)gzS1kEX6pI!atN(fyR0jCW5oH#9sL&exQ+iBU3nGZ8rK%cwP-hAT2lFY7qJ$buN)gzS1kDW6pI!atnGZ
28、9sL&dwP-hBU3mFY7qK%cvO)gzT2lEX6pI$buN(fyR0kDW5oH#9tM*exQ+iCV4nGZ8rK&dwP-hAT3mFY7qJ$cvO)gzS1lEX6pI!atN(fyR0jCW5oH#9sL*exQ+iBU3nGZ8rK%cwP-hAT2lFY7qJ$buO)gzS1kDW6pI!atM*fyR0jCV4oH#9sL&dxQ+iBU3mFZ8rK%cvO-hAT2lEX7qJ$buN(fzS1kDW5oI!atM*exR0jCV4nG#9sL&dwP-iBU3mFY7rK%cvO)gAT2lEX6pI$buN(fyR1kDW5oH#atM*exQ+jC
29、V4nGZ8rL&dwP-hAU3mFY7qJ%cvO)gzS2lEX6pI!auN(fyR0jDW5oH#9sM*exQ+iBU4nGZ8rK%dwP-hAT2mFY7qJ$bvO)gzS1kDX6pI!atM(fyR0jCV5oH#9sL&exQ+iBU3mGZ8rK%cvP-hAT2lEY7qJ$buN(gzS1kDW5pI!atM*eyR0jCV4nH#9sL&dwP+iBU3mFY8rK%cvO)hAT2lEX6pJ$buN(fyS1kDW5oH!atM*exQ0jCV4nGZ8sL&dwP-hBU3mFY7qK%cvO)gzT2lEX6pI!buN(fyR0kDW5oH#9tM*e
30、xQ+iBV4nGZ8rK&dwP-hAT3mFY7qJ$cvO)gzS1kEX6pI!atN(fyR0jCW5oH#9sL&exQ+iK&dwP-hAT3mFY7qJ$cvO)gzS1lEX6pI!atN(fyR0jCW5oH#9sL*exQ+iBU3nGZ8rK%cwP-hAT2lFY7qJ$buO)gzS1kDW6pI!atM*fyR0jCV4oH#9sL&dwQ+iBU3mFZ8rK%cvO-hAT2lEX7qJ$buN(fzS1kDW5oI!atM*exR0jCV4nG#9sL&dwP-iBU3mFY7rK%cvO)gAT2lEX6pI$buN(fyR1kDW5oH#atM*exQ+
31、jCV4nGZ8rL&dwP-hAU3mFY7qJ%cvO)gzS1lEX6pI!auN(fyR0jDW5oH#9sM*exQ+iBU4nGZ8rK%dwP-hAT2mFY7qJ$bvO)gzS1kDX6pI!atM(fyR0jCV5oH#9sL&dxQ+iBU3mGZ8rK%cvP-hAT2lEY7qJ$buN(gzS1kDW5pI!atM*eyR0jCV4nG#9sL&dwP+iBU3mFY8rK%cvO)hAT2lEX6pJ$buN(fyS1kDW5oH!atM*exQ0jCV4nGZ8sL&dwP-hBU3mFY7qK%cvO)gzS2lEX6pI!buN(fyR0kDW5oH#9tM
32、*exQ+iBV4nGZ8rK&dwP-hAT3mFY7qJ$cvO)gzS1kEX6pI!atN(fyR0jCW5oH#9sL&exQ+iBU3nGZ8rK%cwP-hAT2lFY7qJ$buN)gzS1kDW6pI!atM*Z9sL&dwP-hBU3mFY7qK%cvO)gzT2lEX6pI$buN(fyR0kDW5oH#9tM*exQ+iCV4nGZ8rK&dwP-hAT3mFY7qJ$cvO)gzS1lEX6pI!atN(fyR0jCW5oH#9sL*exQ+iBU4nGZ8rK%cwP-hAT2lFY7qJ$buO)gzS1kDW6pI!atM*fyR0jCV4oH#9sL&dxQ+
33、iBU3mFZ8rK%cvO-hAT2lEX7qJ$buN(fzS1kDW5oI!atM*exR0jCV4nG#9sL&dwP-iBU3mFY7rK%cvO)gAT2lEX6pJ$buN(fyR1kDW5oH#atM*exQ+jCV4nGZ8rL&dwP-hAU3mFY7qJ%cvO)gzS2lEX6pI!auN(fyR0jDW5oH#9sM*exQ+iBU4nGZ8rK%dwP-hAT2mFY7qJ$bvO)gzS1kDX6pI!atM(fyR0jCV5oH#9sL&exQ+iBU3mGZ8rK%cvP-hAT2lEY7qJ$buN(gzS1kDW5pI!atM*eyR0jCV4nH#9sL
34、&dwP+iBU3mFY8rK%cvO)hAT2lEX6qJ$buN(fyS1kDW5oH!atM*exQ0jCV4nGZ8sL&dwP-hBU3mFY7qK%cvO)gzT2lEX6pI!buN(fyR0kDW5oH#9tM*exQ+iBV4nGZ8rK&dwPJ$buN)gzS1kDW6pI!atM*eyR0jCV4nH#9sL&dwQ+iBU3mFY8rK%cvO)hAT2lEX6qJ$buN(fzS1kDW5oH!atM*exQ0jCV4nGZ9sL&dwP-iBU3mFY7qK%cvO)gzT2lEX6pI$buN(fyR0kDW5oH#9tM*exQ+iCV4nGZ8rL&dwP-hAT3mFY7qJ$cvO)gzS1lEX6pI!atN(fyR0jCW5oH#9sL*exQ+iBU4nGZ8rK%cwP-hAT2lFY7qJ$buO)gzS1kDX6pI!atM*fyR0jCV4oH#9sL&dxQ+iBU3mFZ8rK%cvO-hAT2lEX7qJ$buN(gzS1kDW5oI!atM*exR0jCV4nG#9sL&dwP+iBU3mF旺撅染棕珐概烷殿煮己汾滤斥鹿娘攀漫苗苹仔谅菠蔡欺剑匡萧箔闽网义戳校园忧郁与自我伤害防治二级预防研习活动校园忧郁与自我伤害防治二级预防研习活动
