一位工科专业的大二女生，因人际交往困扰前来咨询，通过访谈及交往焦虑量表(IAS)测评被评估为高社交焦虑。进入大学以来，她面临诸多人际困扰，且日益加重。来访者极为担心害怕自己在公众场合表现不佳，认为自己一无是处，习惯对即将发生的特定社交情境作出灾难化预期。在确定来访者知、情、意与自知力相对稳定前提下，基于生态主义视角探索症状背后的原因，把认知行为疗法的理论和回归疗法的焦虑循环圈概念结合起来，协助来访者识别情绪–认知–行为的系列反应，使用叙事疗法的外化、寻找特例事件等技术帮助来访者发现自己的积极心理品质，协助来访者重建合理信念、增强社交活动的自信。经过九次咨询，来访者自我报告症状有所缓解，八个月后回访，心理状态稳定。
A sophomore girl majored in engineering, came to consult because of interpersonal problems, and was evaluated as high social anxiety through interviews and Interaction Anxiousness Scale assess-ment. Since she entered the university, she has faced many interpersonal problems and it is getting worse. The client is extremely worried that she will perform poorly in public, think herself is useless, and are used to making catastrophic expectations for specific social situations that are about to happen. Under the premise that the client’s cognitive, affection, consciousness and self-knowledge are relatively stable, I explored the reasons behind the symptoms from an ecological psychology perspective, combine the theory of cognitive behavior therapy with the anxiety cycle concept of re-gression therapy, and assist the client in identifying a series of emotional-cognitive-behavioral reac-tions. During consultation, I used techniques such as narrative therapy externalization and finding special events to help the client discover her positive psychological qualities, strengthen her con-fidence in rebuilding reasonable beliefs, and enhance social activities. After 9 counseling sessions, the client self-reported that her symptoms had eased. Returned visit a year later, her mental state was stable. The case suggests a potential effective approach with this kind of case.
Mayo-Wilson, E., Dias, S., Mavranezouli, I., Kew, K., & Pilling, S. (2014). Psychological and Pharmacological Interventions for Social An-xiety Disorder in Adults: A Systematic Review and Network Meta-Analysis. Lancet Psychiatry, 1, 368-376. https://doi.org/10.1016/S2215-0366(14)70329-3
