社交焦虑是很常见的,严格上来说,每个人或多或少都有一些。而它的关键特征,在于(一)害怕别人负面的批判,和/或(二)害怕被他人拒绝。
以下是一些常见的社交焦虑的核心恐惧:
- 我的紧张不安
- 注意到我的颤抖
- 我涨得通红的脸
- 我卡着说不出话来
- 我很无聊/我的话让人无法明白
- 我很难堪和不适
- 我不知道该说什么/我什么都没说
- 我很弱
- 我很蠢
- 我不自信
- 我无能
- 我很没用
- 我不应该做这份工作
- 我很无聊/无趣
- 不值得花时间听我说话
- 我做得不够好
有哪些是你在社交场合常有的顾虑吗?
社交焦虑是很常见的,严格上来说,每个人或多或少都有一些。而它的关键特征,在于(一)害怕别人负面的批判,和/或(二)害怕被他人拒绝。
以下是一些常见的社交焦虑的核心恐惧:
有哪些是你在社交场合常有的顾虑吗?
That’s a quote from one of the participants in the Anxiety Support Group, during our 4th meeting few months back.
Sad?
Angry?
Disappointed?
In a Crisis?
Challenged?
In fear?
It’s temporary… As long as you do something about it, or stop struggling with it. Sooner or later, it’s going. Bear with it!!
Happy?
Loved?
Contented?
Fulfilled?
It’s temporary too! Everything comes and goes. Meanwhile, enjoy it while you can.
Only one thing lasts much much longer than temporary
Plastics!!!!
开始面谈时:
对于问题的评估:
目前的运作评估:
风险评估和灌输希望:
评估自我概念和自尊心:
评估家庭历史和社会支持:
评估习惯,物质使用和滥用:
评估过去改变和治疗的尝试(应对方式):
结束会谈并灌输改变的希望
[注:这些问题是在艾伯特心理学家协会(2004年11月和2005年1月)赞助的两个临床评估研讨会期间根据参与者的反应制定和修改的]
Dobson D & Dobson K(2009).基于证据的认知行为疗法实践。24-5.吉尔福德出版社
Note: This is a very different post, it consists of mainly (think-out-loud) personal feelings and opinions, not so professional but I no longer have a personal blog to write this. So please do skip if you’re here for more proper topics and information.
I used to feel quite frustrated as a female therapist, kind of like vulnerable not being able to do home visits as needed. Because of this, I turned down quite some people and felt bad couldn’t help those who are not able to leave home.
Until two days ago, this news of a male psychiatrist “sexually harass his rape victim patient” became viral. (I’m not sure if it’s really viral, as in, if I were not in this field, would I come across this piece of “news”?).
I’m a visiting consultant in the same private hospital with this doctor (no, not the one where the victim consulted him). I don’t know him personally, in fact, I have never met him. But we have referred cases to each other, spoken over the phone for a number of times, and exchanged emails.
After a discussion with my male psychiatric colleagues, we suspect that we know who the victim is, she has consulted each of us before. (Two years ago she found me online, some weeks later I referred her to see one of the psychiatrists, and then not long ago she came to see another one of them).
Yet, I don’t know what happened, and having said so much, I don’t intend to talk about this news. Though I hope the psychiatrist will be found as soon as possible, whether or not he has done it. (It’s fairly unprofessional for those major medias to simply take the information from worldofbuzz and reported it as news as if everything that was said by the victim was 100% true).
No I’m not siding anyone. Not that because he’s my colleague or we are from the same field that I’m siding anyone. But, this incident makes me realised, how vulnerable those clinicians, especially the male ones can be. Because I’m sure 99.99% of the people who read about this news would find the doctor disgusting. (Similar to the politician case, who was accused by his maid of raping).
No I’m saying who’s right or wrong or indicating anything. I’m just saying, it’s important to listen to both sides of the story, if possible, especially before you condemn anyone, or leave strong comments. (Of course, it wouldn’t be possible if the person is missing… Well, then any conclusion can be drawn?)
As of now, I feel lucky, because I’m a female therapist. Of course females do molest and sexually assault others! But at least the stereotype and prejudice are not there to begin with.
I’ve also heard of cases of doctors-to-be or specialists-to-be, during their studies or trainings, were complaint of sexually related wrong-doing (convicted or not I can’t be sure), yet eventually they were still allowed to graduate or to start practicing. I think universities are not there to just educate and train their students to become doctors, it’s also very important to determine, whether or not this person can be a doctor, in that sense. It’s not just about passing the exams academically. HEY med school professors, you are putting the patients out there at risk, if you know and do nothing about it.
So, if I may, I have three hopes here:
For the med schools, your roles are more important than just education and training.
For the law-makers, I think we need sexual offenders register (or sex offender registry in the US) in this country. Not just the child one (which was launched earlier this year, bravo!).
I hope all the doctors and therapists and counsellors out there learn to protect themselves, male or female.
Suicidal behaviour doesn’t just mean the attempt or act of killing oneself, but also includes talking about it, thinking about it, threatening others about it, imagining it and even fantasising about it.
Here are some common reinforcers of suicidal behaviour:
Maybe you want to read about this too: Euthanasia
Please give yourself a second chance. Malaysia suicide hotlines:
The Befrienders
03-7956 8144/ 03-7956 8145
www.befrienders.org.my
Life Line Association Malaysia
03-4265 7995
http://lifeline.org.my/cn/
Agape Counselling Center Malaysia
03-7785 5955 / 03-7781 0800
http://www.agape.org.my