在学前阶段的社会退缩:密集精神分析心理治疗中的临床案例
Fiorenzo Ranieri1, Yura Loscalzo2
1Italian National Health Service, Department of Mental Health, UFSMIA Arezzo, 52100 Arezzo, Italy.
Behavioral sciences (Basel, Switzerland)
|May 26, 2023
概括
儿童早期的社会退缩可能预测青少年的自我封闭,称为Hikikomori. 对具有社会退缩的学龄前儿童进行心理治疗对于预防Hikikomori和促进健康的社会发展至关重要.
科学领域:
- 儿童心理学 儿童心理学
- 发展性精神病学是一个发展性精神病学.
- 临床心理学 临床心理学
背景情况:
- 儿童早期的社会退缩越来越被认为是青春期和年轻成年期严重社会孤立的潜在前兆.
- 希基科莫里 (Hikikomori) 是一种以极端的社会退缩和自我孤立为特征的现象,在全球范围内越来越令人担忧.
- 了解从早期社会困难到成年人孤立的发展途径对于有效的预防策略至关重要.
研究的目的:
- 探讨儿童早期社会退缩可能是Hikikomori的前身的假设.
- 介绍一个学龄前儿童的案例研究,该儿童因社会退缩和相关症状而接受了强化精神分析心理治疗.
- 阐明早期干预在预防严重社会孤立发展中的作用.
主要方法:
- 采用一个案例研究方法,详细介绍了一名五岁儿童的精神分析心理治疗,该儿童表现出学校拒绝和社会隔离.
- 强化精神分析心理治疗在大约18个月的时间内进行 (每周进行三次会议一年,然后每周进行一次会议六个月).
- 来自治疗课程的临床片段被用来说明治疗过程及其对儿童发育的影响.
主要成果:
- 这个孩子出现了显著的社会退缩,拒绝上学,回归,情绪紧张,梦和尿液.
- 家庭动态的特点是父母之间的冲突和父母与子女关系中的困难.
- 强化精神分析心理治疗促进了治疗过程,解决了孩子的内部冲突和关系模式.
结论:
- 在学龄前儿童中,早期的社会退缩可能是发展Hikikomori的重要危险因素.
- 强化精神分析心理治疗可以是对经历社会退缩和相关症状的学龄前儿童的有效干预.
- 针对儿童社会退缩的早期治疗干预对于预防长期的社会孤立和自我封闭至关重要.
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