A Study on Multi-level Psychological Support System in Clinical Psychological Practice

临床心理实践中的一个重要问题是对无心理咨询动机的来访者采取有效的干预措施。笔者研究了处理此类案件的有效途径。该方法是基于作者的理论模型，即通过网络提供心理支持，与来访者分享目标，激发自助的努力。在本研究中，作者报告了一些案例，如冲突不大的拒绝入学，没有社会能力的不良学生和没有动机接受咨询的殴打他人的学生。作者通过志愿者、学生、教师、主任医师和咨询师的人际网络协调心理支持。结果，他们的情况变得稳定，许多不成人的行为，如退缩消失，人际关系和生活空间增加。与传统的个别咨询相比，这种心理咨询方法的主要特点是：(1)对他的人际网络进行心理评估；(2)由辅导员到学生家中拜访；(3)在保护学生（来访者）逃离的条件下继续与他保持联系；(4)通过两种类型的人际网络——限制性和接受性——提供心理支持；(5)在校园和咨询室中建立一个“小生境”，使他们感到安全和舒适；(6)培养他的“要求和发明能力”，以实现自助；(7)对他的辅导员保持现实的期望。

Important problem in clinical psychological practice the for the client(IP) who have no motivation to take counseling is the intervention of effective approach. The author studied on an effective approach to such cases. This approach is based on author' s theoretical model which consists of psychological support by networking, sharing the goals with client, and eliciting the effort for self -help.In this study, the author reported some cases such as school refusal with little coflict, a delinquent student without social ability and the student who batterd other people with no motivation to take counseling. The author coordinated psychological supports by human networking of volunteer, students, teachers, chief physician and counselor to such clients. As a result, their conditions became stabilized and many inaduquite behaviors such as withdrawal were disappeared and interpersonl relationships and life spaces increased. The main characteristics of this psychological approach in comparison to the traditional individual counseling were as: (1)psychological asessment of his networks,(2)visiting the studet' s home by counselor,(3)continuing to relate to the student(client) under the preserventive condition of his escape, (4)psychological supports by two types of networking-restrictive and acceptive, (5)making a "niche" in school campus and counseling room that made them safe and comfortable, (6)cultivating his "ability of demanding and inventing" for self-help and (7)keeping realistic expectation toward his counselor.