Application of Rational-emotive Behavior Therapy in a Patient with Panic and Depressive Disordor

理性情緒行為治療於恐慌症伴隨憂鬱症個案之應用

10.29478/TJP.200512.0008

藍菊梅(Chu-Mei Lan)；蘇宗明(Thung-Ming Su)；侯淑英(Shu-Ying Hou)

恐慌症 ； 憂鬱症 ； 理性情緒行為治療 ； panic disorder ； depression ； rational emotive behavior therapy

台灣精神醫學

19卷4期（2005 / 12 / 01）

324 - 330

英文

目的：本文的目的是呈現使用理性情緒行為治療，於一位患有恐慌症及憂鬱症個案的諮商過程。個案報告：此個案為36歲自訴有恐慌及憂鬱的病史，為自願求助的個案，於心理衛生中心接受八次的諮商，每次五十至六十分鐘。諮商過程中，諮商師使用傾聽、同理、探問、心理支持、提供資訊及家庭作業等技巧，個案於最後一次諮商時，可以浮現新的人生觀及快樂感受，而且憂鬱情況改善。結論：理性情緒行為治療法有一套清楚的介入程序，而且很重要的是個人的信念系統會創造出大量的情緒結果。

Objective: This report presents the counseling process of a patient with panic and depression disorder using the technique of Rational-Emotive Behavior Therapy (REBT). Case report: A 38 year-old man had suffered from a panic disorder and depression, from his self-report. The client voluntarily visited the community mental health center for counseling, for a total counseling course of eight times. Each session took 50-60 minutes. During the counseling process, the counselor used the following techniques: listening, empathy, questioning, emotional support, providing information, and giving homework. In the final session, the client emerged with a new life view, feeling happy, and with a lightening of his depressive mood. Conclusion: We believe that the strength of REBT is its clear procedure and the most important point is that emotional consequences are largely created by the individual's belief system.

1. (2004).Drug vs. talk therapy.Consumer Reports,69(10),22-29.
2. Beamish PM,Granello DH,Granello PF,McSteen, PB.,Stone DA(1997).Emerging atandards of care for the diagnosis and treatment of panic disorder.Journal of Mental Health Counseling,19(2),99-113.
3. Bond M(1989).Bond Med. Chinese Psychology.Taipei:The choiceness journal.
4. Ellis A(1995).Dryden W: Rational Emotive Behaviour Therapy.California:Sage Publications Inc.
5. Paper presented at the 106th Annual Convention of the American Psychological Association
6. Ellis A,Corsini RJ(2000).Wedding D: Current Psychotherapies.CA:Thomson.
7. Ellis A,Corsini RJ(2000).Wedding D: Current Psychotherapies.CA:Thomson.
8. Ellis A,Corsini RJ,Wedding D (ed.)(2000).Current Psychotherapies.CA:Thomson.
9. Ellis A,Dryden W(1997).Dryden Weds. The Practice of Rational Emotive Behavior Therapy.New York:Springer Publishing Company.
10. Paper presented at the Proceedings of the international Conference on counseling in the 21st Century
11. Hatcher D,Brown T,Gariglietti KP(2001).Critical thinking and rational emotive behavior therapy.Inquiry: Critical thinking across the disciplines,20,6-18.
12. Paper presented at the Annual Meeting of the American Education Research Association
13. O''Kelly M(2003).CBT, REBT, CT: Do psychologists really know what they are doing?.Aust J Psychol,55,201.
14. Speeches, Conference Papers
15. Weinrach SG,Ellis A,MacLaren C(2001).Rational emotive behavior therapy successes and failures: Eight personal perspectives.J Couns Dev,79,259-268.
16. Wise JH(2002).The S. T. O. P. sign technique.Family Journal: Counseling and Therapy for Couples and Families,10,433-436.

1. 鄭琇分、陳偉任、林耕新、周煌智、周立修(2008)。認知行為團體治療對女性門診憂鬱症患者的療效。臺灣精神醫學，22(1)，37-46。