问题 多项选择题 案例分析题

求助者一般资料:周女士,26岁,某公司职员。病症:最近两个多月,对婆婆有一种厌恶的想法和行为,自己感到很苦恼遂自己前来做心理咨询。该女士身材匀称、很漂亮、穿着得体、表情平和,举止大方得体、很有素质。求助者自述:最近和婆婆说话的时候总是顶撞她,否则我就会很不舒服,为此我很矛盾、很痛苦,于是来做心理咨询。以下是求助者和咨询师的一段对话:心理咨询师:你为什么要顶撞婆婆,说吧?求助者:(……沉默)心理咨询师:你认为婆婆说什么针对你的话了吗?求助者:没有!心理咨询师:也就是说,你明白婆婆没有说任何针对你的话,但是你不喜欢婆婆说的话,是这样的吗?求助者:对。心理咨询师:怎么会有这样的感觉呢?求助者:觉得一定要顶撞他,不然会不舒服。心理咨询师:顶撞婆婆你就感觉舒服了?求助者:嗯!心理咨询师:那你为什么还烦恼呢?求助者:因为那是我老公的母亲,和婆婆搞不好关系,那么我们夫妻的感情不会有以前那么好了,还怎么维持我们的这个家,能不烦恼吗?心理咨询师:你的心情已经影响到家庭生活了吗?对你的饮食、睡眠情况有影响吗?求助者:不在家还好,一回到家里就不好了,影响我的情绪,饭吃不好,睡眠还可以。心理咨询师:你以前在家里大家都很宠着你吧!求助者:还可以。心理咨询师:婆婆很疼爱老公吧!那么你对其他人有这样的行为吗?求助者:以前没有。现在有时候会,但是很少。心理咨询师:现在有时候会,那就是说有了。能够详细地谈谈吗?我保证对你的一切都会保密。(此处略去一段谈话)心理咨询师:你小姑子各方面比你优秀吗?求助者:没有。心理咨询师:外表呢?求助者:也不如我。心理咨询师:你婆婆很喜欢你们两个,是吗?求助者:嗯。可是我读的大学是全国名牌,在工作上也很有能力。心理咨询师:她工作能力比你强?求助者:不知道。心理咨询师:你们一起和婆婆一起聊天吗?求助者:有过。心理咨询师:婆婆对她的评价怎么样?求助者:当然是夸奖小姑子的好,但是在我面前又说她有太多的缺点。心理咨询师:那你是怎么想的?求助者:因为我平时在家里有些随便,婆婆经常说我缺点多,所以我认为婆婆表面说她,实际上是在说我。

有效的咨询目标的特征包括()。

A.可以评估的

B.可行的

C.双方接受的

D.具体或量化的

答案

参考答案:A, B, C, D

单项选择题
单项选择题

Like every dog, every disease now seems to have its day. World Tuberculosis (infections disease in which growths appear on the lungs) Day is on Saturday March 24th.

Tuberculosis was once terribly fashionable. Dying of "consumption" seems to have been a favorite activity of garret-dwelling 19th-century artists, h has, however, been neglected of late. Researchers in the field never tire of pointing out that TB kills a lot of people. According to figures released earlier this week by the World Health Organization, 1.6 million people died of the disease in 2005, compared with about 3m for AIDS and l m for malaria. But it receives only a fraction of the research budget devoted to AIDS. America’s National Institutes of Health, for example, spends 20 times as much on AIDS as on TB. Nevertheless, everyone seems to getting in on the TB-day act this year.

The Global Fund an international organization responsible fur fighting all three diseases but best known for its work on AIDS, has used the occasion to trumpet its tuberculosis projects. The fund claims that its anti-TB activities since it opened for business in 2002 have saved the lives of over 1m people. The World Health Organization has issued a report that contains some good news. Although the number of TB cases is still rising, the rate of illness seems to have stabilized; the caseload, in other words, is growing only because the population itself is going up.

Even drug companies are involved. In the nm-up to the day itself, Eli Lilly announced a $ 50m boost to its MDRTB Global Partnership. MDR stands for multi-drug resistance, and it is one of the reasons why TB is back in the limelight. Careless treatment has caused drug-resistant strains to evolve all over the world. The course of drugs needed to clear the disease completely takes six mouths, anti persuading people lo stay that course once their symptoms have gone is hard. Unfortunately, those infected with MDR have to be treated with less effective, more poisonous and more costly drugs. Naturally, these provoke still more. non-compliance and thus still more evolution.

The other reason TB is back is its relationship to AIDS. The (global Fund’s joint responsibility for the diseases is no coincidence. AIDS does not kill directly. Rather, HIV, the virus that causes it, weakens the body’s immune system and exposes the sufferer to secondary infections. Of these, TB is one of the most serious. It kills 200 000 AIDS patients a year. However, some anti-TB drugs interfere with the effect of some anti-HIV drugs. Conversely, in about 20% of cases where a patient has both diseases, anti-HIV drugs make the tuberculosis worse. The upshot is that 125 years after human beings worked out what caused TB, it is still a serious threat.

By referring to AIDS in Paragraph 2, the author intends to show ()

A. the US government is reluctant to spend millions of dollars for Tuberculosis

B. the death rate of AIDS is higher ,than that of Tuberculosis

C. the officials did not pay much attention to the research of Tuberculosis in the past

D. compared with AIDS, Tuberculosis can be cured effectively