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不同从业系统心理咨询师和心理治疗师的理论取向 被引量:13

Therapeutic orientation in Chinese counselors and psychotherapists practice in different work settings
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摘要 目的:调查教育、医疗和"其他"从业系统中心理咨询与治疗从业者的理论取向。方法:采用多级分层方便抽样,在中国内地6个行政区选取从事心理咨询与治疗工作的从业者1232名,包括教育、医疗和"其他"从业系统,以及经济发达、中等发达和欠发达城市。使用心理咨询与治疗从业人员现状调查问卷中的"疗法和疗效"部分,调查从业者的常用疗法和首选疗法。结果:3个系统从业者常用疗法的前3位依次为认知疗法、行为疗法和精神分析。3个系统从业者首选疗法的前3位依次为认知疗法、精神分析和认知行为疗法(CBT)。其中,教育系统首选认知疗法的比例高于"其他"从业系统(47.8%vs.35.2%),医疗系统和"其他"从业系统首选精神分析的比例高于教育系统(16.6%,21.1%vs.10.0%),教育系统和医疗系统首选CBT的比例高于"其他"从业系统(11.5%,14.4%vs.5.2%),均P<0.05。结论:本研究提示,3个从业系统的心理咨询与治疗从业者均更多地选择认知疗法、行为疗法、认知行为疗法、精神分析等"经典"的疗法。 Objective: To determine the psychotherapeutic orientations adopted by Chinese practitioners practice in health-care system,educational system and other departments. Methods: A nation-wide survey of a multi-stage convenience sampling was conducted.Totally 1232 counselors and psychologists completed a questionnaire "National Status Quo Survey on Counselors and Psychotherapists in China",and the samplings came from 6 regions of China,which contained 3 city-level according to the socioeconomic development,including health-care system,educational system and other system. Results: Cognitive therapy,behavioral therapy,and psychoanalytic model were the top 3 common used therapeutic orientations by practitioners in all the three work settings.And cognitive therapy,psychoanalytic model,and cognitive-behavioral therapy (CBT) were the top 3 primary therapeutic orientations used by practitioners in all the three work settings.Those worked in educational system used cognitive therapy significantly more than those worked in the other departments (47.8% vs.35.2%,P〈0.05),those worked in health-care system and other departments used psychoanalytic model significantly more than those in educational system (16.6%,21.1% vs.10.0%,Ps〈0.05),those in educational system and health-care system used CBT significantly more than their counterparts worked in other departments (11.5%,14.4% vs.5.2%,Ps〈0.05). Conclusions: It suggests that the classical psychotherapies such as cognitive therapy,behavioral therapy,psychoanalysis,and cognitive-behavioral therapy are used more in the three work settings in China.
出处 《中国心理卫生杂志》 CSSCI CSCD 北大核心 2013年第8期578-582,共5页 Chinese Mental Health Journal
基金 国家"十一五"科技支撑计划项目--十种心理咨询与心理治疗技术的规范与示范研究(2009BAI77B07)
关键词 心理咨询师 心理治疗师 从业系统 理论取向 横断面研究 counselors psychotherapists work settings therapeutic orientations cross-sectional studies
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