摘要
本研究的目的是探索沙盘疗法对女性暴食症及非典型性暴食症患者的治疗效果,研究包括两个个体沙盘治疗案例和一个团体沙盘治疗案例,其中团体沙盘治疗中包括4个成员,个体沙盘治疗和团体沙盘治疗各有6次。本研究采用进食态度测验(EAT-26)筛选出可能患有进食障碍的个体,进一步采用进食障碍检查表(EDE,16.0)和临床损伤评估问卷(CIA)对筛选出的可能患有进食障碍的个体进行临床诊断与评估,最后,得到2名女性暴食症患者和4名女性非典型性暴食症患者。2名非典型性暴食症患者参与个体沙盘治疗,剩余4名患者参与团体沙盘治疗。
通过比较患者治疗前后EDE、CIA得分以及各症状指标的变化,结果发现,3名患者(包括1名暴食症患者和2名非典型性暴食症患者)的暴食频率有显著下降,其中暴食症患者的催吐频率也有显著下降;其他3名患者的暴食频率无显著降低,但是,这3名患者中的暴食症患者的催吐频率有所下降,1名非典型性暴食症患者的过度运动频率也有所下降。此外,沙盘治疗之后的访谈以及被试的自我感想中发现,6名被试在对自我的认知、应对方式和与人交往方式的认知都有所改善。
本研究的结果表明沙盘疗法对治疗女性暴食症及非典型暴食症是一种有效的治疗模式。
The present study aimed to explore the effect of the sandplay therapy on female bulimia and under-bulimia, including two individual case and one four-member group case. The sandplay of each form consists of 6 sessions. At first, the Eating Attidude Test (EAT) was used to screen out individuals who might have an eating disorder. The following step was to make clinical assessment and diagnose of the individuals. In the end, six females, of whom two were bulimia and the rest four were under-bulimia, took part in the therapy. Two under-bulimia females accepted individual sandplay therapy, while the other four joined in group sandplay.
The result from comparison of the score on EDE and CIA before and after the sandplay came out that the binge frequency of three women, one bulimia and two under-bulimia, declined and the purge frequency of the bulimia was decreased, too. On the contrast, the symptom of the rest didn't change significantly except that the purge frequency of the bulimia one was reduced and that one under-bulimia patient's frequence of excessive exercise dropped.
The present study indicated that the sandplay was an effective therapy on famale bulimia and under-bulimia.
引文
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