基于关系框架理论的临床实践新路径：基于过程的行为疗法（PBBT）
A New Path in Clinical Practice Based on Relational Frame Theory: Process-Based Behavior Therapy (PBBT)
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- Keywords: Process-based behavior therapy; Relational frame theory; Arbitrary applicable relational responses; Hyper-dimensional multi-level framework基于过程的行为疗法; 关系框架理论; 任意适用关系反应; 超维多层次框架
- Abstract: With the development of the concept of Process-Based Therapy (PBT), Process-Based Behavior Therapy (PBBT) has emerged as a concrete intervention method. Rooted in the latest developments of Relational Frame Theory (RFT), PBBT provides a comprehensive and clear perspective for clinical intervention and case conceptualization by analyzing an individual’s psychological processes across multiple levels and dimensions. The therapy divides self-relating into three layers: the Manifest Layer, the Character Layer, and the Essence Layer, while also analyzing the S+ (strengthening) and S- (avoidance) functions at each level. This offers a multi-dimensional approach to clinical interventions. This article details the theoretical basis, key concepts, and essential components of PBBT, compares it with other therapeutic approaches, and highlights its unique features. Additionally, through a clinical case study, the application of PBBT in treating social anxiety disorder is illustrated. By analyzing self-relating patterns and functional responses, PBBT helps patients effectively reduce anxiety symptoms, improve social skills, and enhance overall quality of life.随着基于过程的治疗（Process-Based Therapy，PBT）概念的发展，基于过程的行为疗法（Process-Based Behavior Therapy，PBBT）应运而生。PBBT基于关系框架理论（RFT）的最新发展成果，通过剖析个体的自我关联模式和功能反应，帮助揭示心理困扰的深层次原因。该疗法将自我关联划分为表现层、特质层和本质层，并分析各层次上个体的S+功能（正向功能）和S-功能（负向功能），提供了一个多维度的临床干预视角。本文详细介绍了PBBT的理论依据、核心概念及其关键构成要素，并通过与其他疗法的对比，阐明了其独特性。同时，结合临床实际案例，展示了PBBT在社交焦虑症治疗中的应用，通过分析自我关联模式和功能反应，帮助患者有效减轻焦虑症状，改善社交能力和生活质量。近年来，临床心理学领域正经历着从传统综合征方法向基于过程的方法转变，这一变革反映了对心理痛苦深层机制的探索，旨在提供更精准、个性化的治疗方案。传统的综合征方法基于症状群体进行精神障碍诊断，如抑郁症、焦虑症等，治疗方案也依据症状共性进行制定。然而，该方法忽视了个体心理过程的独特性，难以满足个性化治疗需求。基于过程的方法则聚焦于心理事件背后的基本心理过程，认为这些过程是心理痛苦的核心，提供了更为个性化的治疗策略。
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“启-承-转-合”ACT单次咨询模型及实践案例报告
The “Qi-Cheng-Zhuan-He” Single-Session Therapy Model and Practice Case Report
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Authors:
祝卓宏¹, ², 陈玥³, 王大成⁴ / Theory and Practice of Psychological Counseling / 2025,7(1): 31-42 / 2025-02-13
- Keywords: Single-Session Therapy; “Qi-Cheng-Zhuan-He” Single-Session Therapy Model; Acceptance Commitment Therapy单次咨询; “启-承-转-合”单次咨询模型; 接纳承诺疗法
- Abstract: The “Qi-Cheng-Zhuan-He” Single-Session Therapy Model is a recent development in the adaptation of Acceptance and Commitment Therapy (ACT) to the Chinese context, with clinical research confirming its significant efficacy in single-session therapy. Improving the effectiveness of single-session therapy through this model is of great importance for clinical practice in psychological counseling. This paper introduces the concept and significance of the single-session therapy model, explains the theoretical background and developmental process of the “Qi-Cheng-Zhuan-He” model in detail, and presents specific application cases. The aim is to advance the development of the “Qi-Cheng-Zhuan-He” model and promote its practical application in clinical interventions.“启-承-转-合”单次咨询模型是接纳承诺疗法（Acceptance and Commitment Therapy，ACT）中国化的最新发展成果，已有临床研究证明其在单次咨询中的显著疗效。应用这个模型有效提升单次咨询的效果，对于心理咨询的临床实践具有重要的意义。本文首先介绍了单次咨询模型的概念和意义，之后详细阐述了“启-承-转-合”单次咨询模型的理论背景、发展过程，并且展示了具体的应用案例，旨在促进“启-承-转-合”单次咨询模型的发展，推广其在临床干预中的实际应用。
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一例应用接纳承诺疗法（ACT）单次咨询模式的焦虑抑郁案例报告
A Case Report for Anxiety and Depression Using Single-session Acceptance and Commitment Therapy (ACT)
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- Keywords: Single-session Acceptance and Commitment Therapy; Anxiety and depression; Case report接纳承诺疗法单次咨询模式; 焦虑抑郁; 案例报告
- Abstract: This case adopts the model of single-session acceptance and commitment therapy named “Qi Cheng Zhuan He” in Chinese, to provide psychological counseling for client who was facing major practical problems and was in a state of anxiety and depression and can only came once. The satisfaction and harvest level of the client was high, and his mentality became more positive and flexible. Under the background that most of the mainstream methods of psychotherapy and counseling come from the West, the presentation of the single-session counseling process of this case is of great significance in exploring more efficient psychological counseling methods and technologies that are more suitable for Chinese local culture and Chinese people.本案例运用接纳承诺疗法单次咨询模式——“启承转合”模型，针对因面临重大现实问题而陷入焦虑抑郁状态且只能进行一次咨询的来访者开展心理咨询服务。咨询结束后，该来访者的满意度和收获程度较高，其心态也变得更加积极、灵活。在心理治疗与咨询的主流方法大多源于西方的背景下，对本案例单次咨询过程加以呈现，有利于探索更适应中国本土文化、适合中国人群、更高效的心理咨询方法与技术。
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