英文原文
As long-term physical health conditions are becoming increasingly prevalent in our society, interventions are needed to help individuals live as well as possible. The research explores participants’ experiences of solution focused brief therapy (SFBT) with a view to determining helpful aspects of this. Eleven service users were interviewed, and interviews were analysed using thematic analysis. Participants’ responsibility for change and the strengths and resources they possessed were highlighted, along with the focus within therapy on goals. A number of specific SFBT techniques that were perceived as helpful during therapy were described such as reframing and competence talk, as well as other factors that enabled engagement with the psychologist.
Participants described their experience of SFBT as different from previous experiences of psychological therapy, as the psychologist was interested in finding out about the participants’ wider goals in life, not limited to those within therapy. Asking questions about what participants wanted to achieve in life instead of solely focusing on their difficulties helped them to feel hopeful for the future, and encouraged them to think about what was important to them. As a result, therapy was described by a number of participants to be the start of their journey back to where they wanted to be in life.
Reiter (2010) proposed that the expectation for change can be developed by focusing on goals within therapy, and that this can engender a sense of hope and optimism for the future. In addition, the process of reviewing movement towards goals can revitalise clients and enhance their belief in themselves. In line with these suggestions, participants in the current research described feeling hopeful, both about their future and the prospect of continued change, following discussions about their aspirations with the psychologist.
The current research explored the use of SFBT with clients with LTCs and their experiences of therapy. Four themes were highlighted in participants accounts, outlining a number of aspects which were important for participants during their therapy. In particular, the way the psychologist worked with participants increased their feelings of empowerment, control and confidence, and enabled them to uncover their own solutions to difficulties and feel better able to manage their illness following therapy. This was helped by the psychologist’s approach which reinforced participants’ strengths and resources to cope, helping them to focus on what they wanted to achieve in their life, in turn engendering hope for their future.
中文翻译
随着长期身体健康问题在社会中日益普遍，需要干预措施来帮助个体尽可能好地生活。本研究探讨了参与者对焦点解决短期治疗（SFBT）的体验，以确定其有益方面。对11名服务使用者进行了访谈，并使用主题分析法对访谈进行了分析。研究强调了参与者对改变的责任以及他们拥有的优势和资源，同时突出了治疗中对目标的关注。描述了一些在治疗中被认为有帮助的具体SFBT技术，如重构和能力对话，以及其他促进与心理学家互动的因素。
参与者描述他们的SFBT体验与以往的心理治疗经历不同，因为心理学家关注的是参与者更广泛的生活目标，而不仅限于治疗内的目标。询问参与者想要在生活中实现什么，而不是仅仅关注他们的困难，这帮助他们感到对未来充满希望，并鼓励他们思考什么对他们重要。因此，一些参与者将治疗描述为他们回到想要的生活状态的旅程的开始。
Reiter（2010）提出，通过关注治疗中的目标可以培养改变的期望，这可以产生对未来的希望和乐观感。此外，回顾向目标迈进的过程可以重振来访者并增强他们的自我信念。与这些建议一致，当前研究中的参与者在与心理学家讨论他们的愿望后，描述了对未来和持续改变前景的希望感。
当前研究探讨了SFBT在长期健康问题来访者中的应用及其治疗体验。参与者的叙述中突出了四个主题，概述了治疗期间对参与者重要的多个方面。特别是，心理学家与参与者的工作方式增强了他们的赋权感、控制感和信心，使他们能够发现自己的困难解决方案，并在治疗后感觉更能管理自己的疾病。这得益于心理学家强化参与者应对优势和资源的方法，帮助他们关注他们想要在生活中实现的目标，从而产生对未来的希望。
文章概要
本研究通过访谈11名长期身体健康问题患者，探讨了焦点解决短期治疗（SFBT）的应用和体验。研究发现，SFBT通过强调目标探索、赋权和资源强化，帮助患者增强控制感、信心和希望。参与者报告了重构、能力对话等技术的有益影响，并描述了治疗如何作为他们回归理想生活状态的起点。研究突出了目标导向方法在改善心理适应和疾病管理中的重要性。
高德明老师的评价
用12岁初中生可以听懂的语音来重复翻译的内容
这个研究就像是在说，当人们有长期的身体健康问题时，比如总是感觉很累的慢性疲劳综合征，有一种特别的谈话治疗可以帮助他们。治疗师会问他们“你将来想做什么”这样的问题，而不是只盯着他们的困难。这让人们感觉更有希望，好像他们可以自己找到办法来让生活变得更好。参与者们说，这样的谈话让他们觉得自己更强大、更有信心去管理自己的健康问题。
焦点解决心理学理论评价
从焦点解决心理学的视角来看，这项研究精彩地展示了目标探索在治疗中的核心作用。研究参与者通过SFBT的干预，不仅识别了自身的优势和资源，更在心理学家的引导下，将注意力从问题转向了未来可能性。这种目标导向的对话方式，完美体现了SFBT“聚焦解决方案而非问题”的基本原则。参与者感受到的赋权感和控制感，正是SFBT强调的“来访者是自身生活的专家”这一理念的生动体现。研究结果证实，通过强化个体的内在资源和未来导向思维，可以有效提升心理适应能力和希望感。
在实践上可以应用的领域和可以解决人们的十个问题
这项研究展示的SFBT目标探索方法可以在多个领域应用，包括慢性疾病管理、康复心理学、健康心理学和社区心理健康服务。它可以解决人们的十个问题
1. 帮助慢性疲劳综合征患者建立积极的生活目标
2. 增强长期健康问题患者的自我管理信心
3. 改善慢性疾病伴随的情绪困扰
4. 提升个体在面对健康挑战时的控制感
5. 培养乐观的未来展望
6. 强化个人的内在资源和应对能力
7. 促进疾病适应过程中的心理调适
8. 改善医患沟通和治疗依从性
9. 增强社会支持和家庭关系
10. 提升整体生活质量和幸福感