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三维赋能：以过去、现在、未来为导向的高校心理咨询整合模式实践与反思——基于186例案例的实证研究

Three-Dimensional Empowerment: Practice and Reflection on an Integrated Model of University Psychological Counseling Oriented Towards Past, Present, and Future — An Empirical Study Based on 186 Cases

Theory and Practice of Psychological Counseling / 2025,7(12): 869-877 / 2025-12-22 17 4

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• Authors: 吕东
• Information:

  广东财经大学学工部心理咨询中心，广州

• Keywords:
  University psychological counseling; Integrated model; Timeline empowerment; Solution- Focused Brief Therapy (SFBT); Acceptance and Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Psychological assessment
  高校心理咨询; 整合模式; 时间轴赋能; 焦点解决短期治疗; 接纳承诺疗法; 认知行为疗法; 心理测评
• Abstract: To address the complexity and diversity of psychological issues among university students and construct a full-cycle counseling system that incorporates historical roots, current interventions, and future development, this paper proposes an integrated counseling model centered on the “past–present–future” timeline. We selected 186 counseling cases from the psychological counseling center of a university between September 2024 and November 2025. Initial screening and assessment were conducted using the University Personality Inventory (UPI), Comprehensive Mental Health Scale, and Self-Rating Idea of Suicide Scale (SIOSS). Intervention techniques were precisely matched to problems corresponding to different time dimensions: For past trauma repair , we integrated Solution-Focused Brief Therapy (SFBT) with a positive psychology perspective to achieve trauma transformation and strength activation; For current problem intervention, we combined Acceptance and Commitment Therapy (ACT) with Cognitive Behavioral Therapy (CBT) to alleviate immediate distress through cognitive restructuring and the cultivation of psychological flexibility; For future development empowerment, we focused on experience transfer and constructed a stepwise goal planning system. Validated through both quantitative and qualitative methods, this model has demonstrated significant effectiveness in symptom improvement, enhancement of coping abilities, and activation of development motivation. This paper systematically analyzes the practical experiences and adaptation challenges of technical integration, providing empirical support and an operational paradigm for the professionalization and precision development of university psychological counseling. 为应对高校学生心理问题的复杂性与多元性，构建兼顾历史根源、当下干预与未来发展的全周期咨询体系，本文提出以“过去—现在—未来”时间轴为核心的整合咨询模式。选取某高校心理咨询中心2024年9月—2025年11月期间186例咨询案例，通过大学生人格问卷（UPI）、心理健康综合量表、自杀态度自评量表（SIOSS）完成初筛评估，针对不同时间维度的问题精准匹配干预技术：过去创伤修复融合焦点解决短期治疗（SFBT）与积极心理学视角，实现创伤转化与优势激活；当下问题干预整合接纳承诺疗法（ACT）与认知行为疗法（CBT），通过认知重构与心理灵活性培养缓解即时困扰；未来发展赋能以经验迁移为核心，构建阶梯式目标规划体系。经量化与质性双重验证，该模式在症状改善、应对能力提升与发展动力激活方面成效显著。本文系统分析技术融合的实践经验与适配难题，为高校心理咨询的专业化、精准化发展提供实证支撑与操作范式。
• DOI: https://doi.org/10.35534/tppc.0712096 (registering DOI)
• Cite: 吕东. (2025). 三维赋能：以过去、现在、未来为导向的高校心理咨询整合模式实践与反思——基于186例案例的实证研究. 心理咨询理论与实践, 7(12), 869-877.