问题 问答题 案例分析题

求助者,男性,45岁,已婚,大学文化,某部委公务员。主诉:因右腹部不适觉得患了肝癌,但无人能诊治而痛苦两年。求助者自述:出生于干部家庭,大学毕业,在某国家机关担任领导职务。两年前,我发现一个下属总是捶右腹部,就建议他到医院去检查,结果发现竟是肝癌,不到半年就去世了,我很震惊。我有时候右腹部也不舒服,也愿意捶打右腹部,联想到下属,我很害怕,我应酬较多,喝酒也多,喝酒伤肝我知道,可避免不了。我的下属不喝酒还得了肝癌,我喝酒,肝能好得了吗?我觉得自己也得了肝癌,就到医院去检查,他们查来查去,都说没什么问题。北京的大医院我基本上都去过了,可就是没人能查出我的病来。我是领导也不好和别人讲,和朋友一说起这事,他们就说我是杞人忧天。我也承认是有些杞人忧天,但还是想想就烦,这两年弄得我心情很不好。原来我很有希望争一下副部长的职位,现在什么都不想了,有时连班都懒得上,晚上经常失眠,要靠安眠药才能勉强睡会儿。并且经常感到头、胸、肩等部位疼痛,医生给开了好多药物,无效。别人建议做心理咨询,就来了。咨询师观察、了解到的情况:求助者双眉紧锁,面部表情及眼神表露出烦躁、疲倦。不爱讲话,但讲到自己的不适症状时,绘声绘色、滔滔不绝,具体而形象。求助者出身于干部家庭,家教严格。由于是家中唯一的男孩,父母对其身体健康很重视。求助者从小就事事争第一,但性格偏内向,有些胆小怕事,人际关系尚可。工作勤勤恳恳、任劳任怨。两年前,下属死于肝癌,感到自己也得了肝癌,因此到处看病,但没有一家医院诊断为肝癌,因此烦躁、易怒,有时为一点儿小事与家人或下属争吵。每日忧心忡忡,感到全身乏力,休息后也不能缓解,经常借故不参加集体活动。依据以上案例,回答以下问题:

怎样选择摄入性谈话的切入点?

答案

参考答案:

选择摄入性谈话的切入点如下:(1)根据求助者主动的提出的求助内容,来深入了解相关的资料。(2)根据在咨询中观察到的疑点,来深入了解相关的资料。(3)根据心理测验结果初步分析中发现的问题,来深入了解相关的资料。(4)根据上级咨询师下达的谈话目标,来深入了解相关的资料

单项选择题
完形填空

阅读下列短文,根据短文内容,从短文后的选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。把正确答案填在答题卡上。

Ali is from a Middle Eastern country. He now stays in the USA. He smokes a lot of cigarettes every day. He has smoked for nine years. Ali says, “I tried to give up smoking in my hometown, but it was impossible. My parents smoke. My brothers smoke. All my friends smoke. At parties and at meetings, almost all the men smoke. Here in the United States, not as many people smoke.  ____小题1:____ ”

Many smokers are like Ali: they want to stop smoking.  ____小题2:____ They know it can cause cancer and heart disease. But it is difficult for them to give up smoking because cigarettes have a drug in them. The drug is nicotine. People who smoke a lot need nicotine.

____小题3:____  The nicotine makes him sick. In a few days, the smoker’s body is used to the nicotine, and he feels fine. Later, the smoker needs nicotine to keep feeling fine. Without nicotine, he feels bad.

____小题4:____  Many people who quit will soon smoke again. At a party or at work they will decide to smoke “just one” cigarette. Then they will smoke another cigarette, and another. Soon they become smokers again.  ____小题5:____     

A.It will be easier to change the smoking habit here.

B.It is very hard to quit smoking.

C.Thus nicotine makes smokers addicted to cigarettes.

D.When a person first begins to smoke, he usually feels terrible.E. The smokers know that smoking is bad for their health.  

F. But it is said that medicine is needed to stop them from smoking.

G. Maybe there is only one easy way to quit smoking: never start.