以認知理論應用於憂鬱症病患之經驗

The Experience of the Patients Diagnosed with Depression by Applying for the Cognitive Therapy

吳秋玉(Chiou-Yuh Wu) ； 黃俊仁(Chun-Jen Huang)

《東港安泰醫護雜誌》 10卷3期 (2004/09) Pp. 141-151

https://doi.org/10.7078/TSMHMNJ.200409.0141

摘要

本篇個案報告目的為探討一位憂鬱症患者，歷經一次失敗婚姻經驗後，在無法調適壓力時，出現以身體症狀、哭泣行為及多次口頭自殺言語來因應問題，護理過程中發現個案由於長期存有負向思考而產生之健康問題有：睡眠型態紊亂、個人因應能力失調、自我概念紊亂等。筆者透過人際關係的建立及認知治療理論應用，修正個案非理性的想法，使其學會分辨自己的想法和現實之間的真實差距，以正向的因應方式來面對壓力，減少負向自動化的思考模式。

關鍵字

憂鬱症 ； 負向思考 ； 認知治療

並列摘要

The goal of this case study is discussing the condition of a patient diagnosed with major depression, experienced a broken marriage. However, the patient was not able to cope with the stress, while the behavior of crying, repetitive oral suicidal attempts, and physical symptoms have appeared. During the treatment, due to the long-term negative cognition, some physical problems have appeared, such as messy sleep-awake cycle, irrational coping capabilities, confusing self-value. Based on the therapist-patient relationship and the theory of cognitive therapy, the patient’s irrational believes have been improved. Positive coping capability is important to hinder the automatic negative cognitive thoughts. Cognitive therapy could effectively change the patients irrational believes; to provide other solutions for the patient to deal with their problems. Additionally, correcting patients' irrational believes leading to disturbing emotion, behavior, and thought is important, learning new coping capabilities, and meanwhile applying to their daily life.

並列關鍵字

Depression ； Negative cognition ； Cognitive therapy