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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)

Theory and Practice of Psychological Counseling / 2025,7(3): 117-128 / 2025-03-31 125 189

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• Authors: 祝卓宏¹      ²      陈玥³     
• Information:

  1. 认知科学与心理健康全国重点实验室，北京；
  2. 中国科学院心理研究所，北京；
  3. 浙江大学心理与行为科学系，杭州

• 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。
• DOI: https://doi.org/10.35534/tppc.0703014
• Cite: 祝卓宏，陈玥．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）［J］．心理咨询理论与实践，2025，7（3）：117-128.