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Lan Yujuan




Joined: 19 Aug 2008
Posts: 1

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PostPosted: Wed Aug 20, 2008 8:56 pm  Post subject:  希望九洲志愿者兰玉娟的分享 Reply with quoteBottom of PageBack to top

在北川县擂鼓镇做志愿者期间,我与张佳英,李恒三位心理系研究生有幸参加了Lisa、Daniel、Ale、Dona和Rob等心理治疗专家组织的本体感觉创伤治疗培训。

五天的培训虽然短暂却使我们受益良多,首先是开拓了我对于创伤心理治疗的视野。就像Daniel老师说得那样,传统的心理治疗切入点大多在认知与行为方面,对于同属大脑重要功能的本体调节这一方面则关注不足。而就一个经历创伤事件的个体来说,极端情绪唤起引发的生理失调也是创伤的重要表现,在创伤的心理治疗中加入本体调节这个环节,整个治疗才算完整。

我的第二个收获是对治疗师在咨询中应有什么状态有了新的认识。记得有一次课让我们用触碰的方式帮助病人寻找资源,具体操作包括治疗师扶持病人的肩部、触碰脚部等。我在刚刚做的时候有些紧张,在扶持病人的肩时按压得比较紧,手心明显的出汗,站立的姿势明显前倾。后来艾里老师来到我身边,他把手轻轻放在我的背部,让我感觉他的手掌。我顿时觉得温暖和轻柔,自己的身体也慢慢松弛下来。艾里老师让我把这种感受传递给我的病人,并对我的站姿和手臂力量等细节部分进行了提醒,经过他的指导,我慢慢的进入自身平衡,手臂和身体很放松,感觉非常好。我相信我的病人也体会到我状态的改变了。通过这次实践,我觉得不论何时何地,治疗师本身的身体平衡与放松是很重要的,之后我们与苏贵珍老师交流了这个感受,她说的一句话也让我们颇受启发,治疗师要达到这样一种状态,那就是病人接受你的帮助可以,不接受你的帮助也可以。治疗师应该始终以非侵入性的,邀请的态度与来访者互动,而不是期望自己一定要帮助病人、治好病人,才能使治疗师更好的进入自身平衡。

第三点收获是贯穿学习始终的和对自己启发最大的,这就是“寻找资源”。本体感觉创伤治疗的核心就是“资源”二字,Lisa在结课之前也跟我们强调了这一点:任何时候,寻找资源。我们在过去的辅导中常常是关注来访者的问题多于关注他(她)的资源——能够帮助他恢复、提升、进步,让他(她)感觉舒服、愉快、轻松的因素或条件。其实我们每个人都具有大量的资源,不论是我们身体上的、精神上的还是现实生活中的。只是我们常常忘记去寻找和激发这些资源,也没有借此化解自己的心理困顿。通过这次学习,我知道了怎么去帮助来访者寻找自己的资源,更强化了自己寻找资源的意识。Donna在指导我做个案治疗的时候说,很多来访者会一遍遍重复自己的问题,也有的时候当谈及身体上不舒服的部位时会加重他们不舒服的感受,这时我们要帮助和鼓励他们找到资源并专注于资源,体会舒服的感受,让资源扩散到全身。我想,当我们在现实生活中遇到任何困扰、当我们的心灵疲惫时,同样可以用这种方法帮自己找到力量,更快乐的面对未来。相信你的来访者会改善,同样也相信自己会改善,我们需要的只是时间。

另外,培训所采用的教学方法也让我耳目一新。这次培训主要是训练学员的实际操作能力,故我们的参与环节有很多,包括:互动游戏、三人小组练习、现场治疗演示、田野实践等。不论是理论讲解还是实际操作,每个环节之间都有老师的亲自指导,之后是成员分享学习感受。这在我们平时的学习中是相当少的,而这也是我最欣赏的体验式学习。

返回擂鼓之后,我们将所学的知识应用到实际工作中。我们主要借鉴艾里老师教给我们的一些游戏,以班级为单位开展活动课程(每班大约15人左右)。我们追踪孩子们的躯体感受,帮助他们寻找资源,释放,最终恢复到平衡状态。但是在做的过程中也发现了一些问题。比如我们没有足够数量的“保护者”来追踪孩子们的躯体感受。而孩子们认为活动课就是大家一起玩,表现得格外活跃,因此偶尔会出现场面失控的情况。后来我们改进了做法,即以小规模活动为主,这样不论在追踪感受还是场面控制上都更容易,效果也更明显。另外,我自己也在当地治疗过一个个案。他是一位救助站的当地救助员,43岁,亲历了地震,但是对于地震时的记忆很模糊,震后出现记忆力衰退的现象,有关地震的话题都会使他感到害怕。经他允许,我给他做了一次治疗。治疗前他报告说自己头晕脑胀,但是双腿感觉很有力很舒服。治疗中他舒服的感受发生了转移,逐渐延伸到了双臂,但是头晕脑胀的感受仍然在。我让他继续感受舒服的部位,停留,然后察觉舒服感觉的变化。有趣的是,治疗中偶然的传来一阵舒缓的音乐,这位救助员立刻报告说听到这段音乐感觉很轻松和愉快。这虽然是一个偶然,但我想到音乐也是一种外部资源,于是让他花一点时间欣赏这段音乐,并感受身体的感觉,包括舒服的和不舒服的部位。这个过程中我发现他的头在震颤,而他也报告了这一感觉。最后,这位救助员的头部不再有晕胀感,全身也觉得比较舒服。经他同意,我停止了治疗。这次治疗经过让我欣慰,一是自己能使用这种方法治疗真实案例,另外我也为救助员的改善感到高兴。遗憾的是,事后我只遇见过他一面,除了询问他当时的情况之外,没有做进一步的治疗,而此后我们也很快返程了。我想这也是在灾区做心理治疗的困难所在吧。

最后,我们也想对本课程提一点建议。我们希望能在课程结束时,对本体感觉创伤治疗的完整操作步骤作一个总结;如果有可能,也希望老师能根据自己的经验将常见问题及解决方法也作个介绍。在实践过程中希望添加一些小组讨论的环节,让学员评价做法的好坏,导师最后给出指导。

感谢所有的专家和工作人员,你们的人格魅力和辛勤工作让我们感受到莫大的支持和鼓舞。这次的培训是我们永生难忘的经历,我们将带着这种真诚的态度和有效的技术去帮助更多的人。
“希望九洲”擂鼓站志愿者 兰玉娟

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兰玉娟 心理系研究生

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PaulChung
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Age: 63
Joined: 07 May 2008
Posts: 89
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PostPosted: Fri Aug 22, 2008 2:20 am  Post subject:  (No subject) Reply with quoteBottom of PageBack to top

兰玉娟, 很高興見到你的分享. 我要準備出門幾天, 8月26日回來以後再跟你交流.

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Lucy Chung




Joined: 29 Jun 2008
Posts: 8

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PostPosted: Fri Aug 22, 2008 1:30 pm  Post subject:  (No subject) Reply with quoteBottom of PageBack to top

Dear Yujuan,

I am delighted to read your sharing. I remember you and your two friends with much joy in my heart. I saw you in the camp site during the field work in first week, and was surprised that you come all the way to join the course in the second week. You and your friends impressed me very much because you were so keen to learn, so focused when your were doing the exercises, and so sensitive and gentle when you practice. I see hope and feel very confident that what the trainers taught you would be integrated into your service to the people in China. Your sharing also showed deep reflection and growth. Keep up the good work.

Lucy Smile


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Lisa LaDue




Joined: 28 Jun 2008
Posts: 2

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PostPosted: Mon Sep 01, 2008 5:58 am  Post subject:  (No subject) Reply with quoteBottom of PageBack to top


Dear Lan,
It was so wonderful to receive your email and to know how well you learned the skills we taught! Our entire team was very impressed with you three students and it still touches my heart to remember the eagerness you showed to learn - and to be able to help others. I am sure that you will be a tremendous help to many people as you progress through your career. Your tender heart, your quick intellect, your delightful smile and your quickness to learn will surely touch many lives in very positive ways.

I was particularly touched by your story of working with the man who had been dizzy. You learned a very important lesson - that resources can be anything - internal or external. It was a wonderful experience to learn how music helped in your efforts to guide the man toward stabilization. I hope that you will in some way be able to follow-up with this man to see how he is doing. Perhaps you can provide his name and contact information to the next team (Phase 3) that will be arriving in Mianyang for more training in mid-September.

Thank you, Lan, for writing to us and for sharing your experiences and impressions. Please let us know if you have particular questions that we might answer for you.

With warm regards,
Lisa

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Lisa

Co-Coordinator cum Phase 2 Leader SE� China Earthquake Relief Project (CHERP)
Co-Founder and Senior Advisor, National Mass Fatalities Institute, Iowa, USA

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