中国临床心理学杂志
Chinese Journal of Clinical Psychology 중국림상심리학잡지
- 主管单位: 中华人民共和国教育部
- 主办单位: 中国心理卫生协会
- 影响因子: 1.47
- 审稿时间: 1-3个月
- 国际刊号: 1005-3611
- 国内刊号: 43-1214/R
- 论文标题 期刊级别 审稿状态
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中学生心理健康教育的实验研究
Objective: To study effects of mental health education on mental he alth status of middle school students. Methods:Middle scho ol students from juni or and senior classes were randomly selected for the present study. The mental h ealth education focused on self-confidence、self-improvement、self-discipline. T he effect of education was evaluated by MHT. Results:Both in junior and senior classes, there were clear differences in mental health between the experimental and control conditions. Conclusion: Mental health educatio n pro duced favourable effects on mental health development of middle school students.
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双相情感障碍患者人格特征的初步研究
Objective:To examine differences among recovered Bipolar Ⅰ, Bipolar Ⅱ patients and controls. Methods: Using NEO-PI-R, HAMD and BRMS, we investigated 59 recovered bipolar patients and 59 normal controls matched for age, gender and education. Results: Compared with controls, Bipolar Ⅱ patients showed significant differences in personality traits of Neuroticism, Extraversion, and Openness to Experience. While Bipolar Ⅰ patients obtained higher scores on Gregariousness, Bipolar Ⅱ patients scored higher on traits of Depression, Impulsiveness and Aesthetics. Scores on Warmth were higher in Bipolar Ⅰ patients than in Bipolar Ⅱ patients. Conclusion: Personality traits of recovered bipolar patients were markedly different from matched controls, whereas the differences between Bipolar Ⅰ and Bipolar Ⅱ patients were small.
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1 048名3~12岁儿童适应行为及相关因素的调查
Objective:To investigate adaptive behaviors and related factors in children. Methods: 1 048 children, aged 3 to 12, were administered the Adaptive Behavioral Scale (ABS) of Children, as well as being observed for significant related factors. Results: Overall mean score on the ABS for all subjects in the sample was within normal range. 17 children(1.62%) were diagnosed as adaptive deficient, and there was significant positive correlation between scores on the ABS and parental education levels. Scores of boys were higher when compared to girls. Conclusion: An incidence of 1.62% was diagnosed as deficient in adaptive behaviors among children in our study. Parental education was identified as an important contributing factor.
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龚氏非文字智力量表汉族城市与农村儿童测验结果的比较
Objective: To compare the results of Gong's Nonverbal Intelligence Test between urban and rural children.Methods: A total of 134 male and 129 fema le rural children of 8~12 years were tested with the Gong's Nonverbal Intellige nce Test. Results: The rural children ob tained significantly l ower scores (P<0.05) on all sub-tests except for Digit Symbol of the test, a s co mpared to urban children matched for age and sex.Conclusion: There was significant difference betwe en rural and urban children in intelligence as assessed by the Gong's Nonverbal Intelligence Test.
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违法犯罪成年男性个性特征调查
Objective:To study relationship between personality characteristics and criminal offences in male adult prisoners.Methods: Personality of 175 male adult in prisoners was assessed by Eysenk Personality Questionnaire (EPQ). Results:(1) P,N,E scores of prisoners were higher than those of the norms; (2) P score of the 18~29 age group was considerably higher than that of the 30~45 age group,whereas L score of the 18~29 age group was lower than that of the 30~45 age group;(3) scores on extroversion and emotional unstability were significantly higher , whereas scores on introversion and emotional stability were significantly lower when compared to the norms;(4) a percentage of 43.43% of male adult prisoners showed typical psychotic traits (T>61.5). Conclusion: There was significant relationship between personality and criminal offences.
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海军潜艇部队水兵心理健康状况评估及其结果分析
Objective:To evaluate mental health of sailo rs by the Syptom Checklist-90 (SCL-90). Methods: A total o f 335 sailors were administered the SCL-90 . The results were compared with Chinese norms for the army and general populati on. Results: The SCL-90 total score of sailors was 125.35 ±35.12. The number of endorsed positive symptom items and the mean score of pos itive symptom items were 24.56±17.88 and 2.44±0.38,respectively. The total sco re, the mean factor score, the positive symptom score and overall endorsement fo r positive symptoms were significantly lower when compared with the Chinese norm s for the army (P<0.001). The mental health status of sailors was significan tly b etter than that of the general population. Conclusion: The re remains significant need for strengthening mental heath education for promoti ng mental health of sailors.
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医生、护士、患者评价优秀临床护士的差异性研究
Objective:With the development of the medical model, huge changes have also occurred in current nursing practice. This study focused on the evaluation of "excellent nurses" working in hospital. Also, the study also aimed to examine differences among doctors, nurses and patients in their ratings. Methods: 630 doctors, 660 nurses, 552 patients completed an evaluation questionnaire for rating excellent nurses. Results: The questionnaire contained items reflecting important characteristics pertaining excellent nurses. Conclusion:There were significant differences between doctors, nurses, and patients in their ratings of excellent nurses.
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注意缺陷多动障碍儿童智力水平分析
Objective:To evaluate levels of intelligence in children with ADHD. Methods:A total of 129 children with ADHD and 87 normal children were evaluated with C-WISC. Results:Full-scale IQs of most children with ADHD varied between the normal and borderline range, showing incompatible scores on VIQ and PIQ. The overall levels of intelligence of children with ADHD were found be lower than normal controls. Conclusion:There was significant difference in intellectual abilities between ADHD children and normal children.
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美沙酮与丁丙诺啡联用治疗海洛因依赖的临床效果
Objective:To explore the effectiveness of methadone combined with buprenorphine on the alleviation of heroin withdrawal symptoms. Methods: One hundred and twenty patients with heroin dependence were randomly divided into two groups , namely the methadone combined buprenorphine treatment group (n=60)and the methadone alone treatment group (n=60). Rating scales were employed to assess the treatment outcomes. Results: Compared with patients in the methadone alone treatment group, patients in the combined treatment group reported fewer withdrawal symptoms, especially in first four days. They also subjectively considered the combined treatment as more acceptable. This effect was more pronounced in patients with relatively high levels of initial withdrawal symptoms. Conclusion: Methadone with buprenorphine was proved to be a favourable combination treatment in terms of reducing withdrawal symptoms, as well as improving the short-term detoxification success rate, especially in patients with severe heroin withdrawal symptoms.
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精神分裂症儿童适应行为及影响因素的分析
Objective: To examine characteristics and relevant factors of adaptive behaviours in childhood schizophrenia. Methods: The adaptive behaviors of schizophrenic children were rated by Child Adaptive Behavior Scale. Data on relevant factors were collected by a specifically developed scale. Results: Relationship with parents, schooling, family education, parental culture, and family configuration were related to development of adaptive behaviors in schizophrenic children. Conclusion: The study of adaptive behaviours and their relevant factors was valuable in predicting prognosis of childhood schizophrenia.
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海洛因依赖者心理健康状况调查
Objective:To study the mental health status of heroin addicts and their need for psychotherapy after detoxification. Methods:The mental health of 83 heroin addicts and 70 normal subjects were assessed by SCL-90, Social Support Rating Scale , EPQ, SAS and SDS. Results:As compared to normal controls, heroin additions were found to score higher on various mental health measures, including SCL-90 total and factor scores, the N score of EPQ, as well as total scores on SAS and SDS. The social support in heroin addicts scored lower than normal subjects. Conclusion:Heroin addicts have severe psychological problems, which warrant long-term psychological rehabilitation after detoxification.
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杭州市社区人群生活质量研究
Objective:Evaluating quality of life of comm unity people in Hangzhou city. Methods:492 community peopl e were sampled from community and tested by Generic Quality of L if e Inventory-74.Results:(1) Generic quality of life of comm unity people was well, and their body and mind were in good health; (2) Effects of mental health、physic health and social function on quality life were over ef fect of material life conditions;(3) Qualities of life of elders、workers、non-p rofession people were worse than qualities of young、profession people and cadre (P<0.01).Conclusion:Quality of life of community peop le of Hangzhou was in good condition, but attentions should be paid to qualities of life of elders and workers.
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大学生新生心理健康调查
Objective: To investigate the mental health of freshmen in Xiamen Un iversity. Methods: A total of 2 226 freshmen of 1998 from Xiamen University comp leted the SCL-90. Results: There were 153 students who sco red above 3 on one or more sub-scales. The most common mental health problems were compulsion, interpe rsonal sensitivity, and paranoia. Students from the College of Foreign Language, Art Education, Medicine, and Humanities reported more mental problems than thos e from the College of Computer and Information Engineering, Physics and Electrom echanical Engineering. Girls were more likely to suffer from phobic anxiety, dep ression, somatization, anxiety, and interpersonal sensitivity than boys, and the y were less hostile than boys. Conclusion: The mental heal th conditions were fou nd to be different for students from different colleges and departments. There w as also significant gender difference in major mental health problems.
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韦里-威斯-彼得斯活动水平评定量表的初步测试
Objective: To evaluate the utility of the Werry-Weiss-Peters Activity Rating Scale (WWPARS) for children with a Chinese background. Methods:In the city of Changsha, 465 normal children aged 8~12 in two primary schools and 27 ADHD children in an outpatient department were tested with WWPARS. Psychometric properties of the scale were analyzed for reliability and validity. Results: While levels of activity increased with age for all children, there was no significant difference between the two groups assessed. The scale attained good reliability and validity. Conclusion: This scale can be applied for evaluation of activity levels for Chinese children.
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药物与心理疗法治疗抑郁障碍的疗效对照研究
Objective: To compare effects of drug and psychotherapy in the treatment of depressive disorder. Methods: 63 depressive patients were randomly divided into two treatment groups: drug or psychotherapy. MMPI, SDSS and HAMD were used for assessing treatment effects on personality and social functions. Results: The effects of psychotherapy and drug were compatible for controlling symptoms of depression. Psychotherapy was superior to drug in preventing relapses, as well as improving cognitive and social functions. Conclusion: Psychotherapy should be applied to depressive patients. Dosage and duration of administering sedative antidepressants should be reduced in the treatment of depression.
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有自杀和凶杀行为的精神分裂症患者人格特征比较研究
Objective:To examine differences in personality characteristics between suicidal and homicidal schizophrenic patients.Methods:A case-control study was conducted with 27 suicidal schizophrenic patients and 22 homicidal schizophrenic patients. Minnesota Multiphasic Personality Inventory (MMPI) was employed to assess these patients. Results: The results showed no reliable differences on all of the MMPI scale scores. Conclusion: It was concluded that schizophrenic patients with suicidal and homicidal tendencies have similar personality characteristics.
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成人后期抑郁情绪的年龄特征及其相关因素研究
目的:对成人后期抑郁情绪的年龄特征及相关因素进行 研究。方法:选取被试225名,年龄范围55~75岁。采用CES—D量表 和自编背景问卷,测评其抑郁情绪、生活满意感、婚姻满意感、社会支持、健康状况、受教 育水平和经济状况,并进行有关统计分析。结果:进入成人后期 以后,抑郁情绪随年龄增长而呈下降趋势,55~59岁年龄组的抑郁总分显著高于60~64岁、 65~69岁和70~75岁年龄组;生活满意感和社会支持感是预测抑郁情绪产生的直接因素; 婚姻满意感和健康状况通过影响生活满意感和社会支持感对抑郁情绪产生间接作用。结论: 成人后期抑郁情绪随年龄增长而减轻,这种改变与自我感受到的满意度和支持感有关。
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乙型脑炎患者智力及记忆测验结果分析
目的:研究流行性乙型脑炎病后致残症状中存 在的认知功能障碍。方法:对以往5 ~24年间诊断为乙脑的32例患者和44名健康对照作智力测验和记忆测验。结果: 乙脑患者中 分别有25%和34%表现为智力低下和记忆缺陷,其FIQ、VIQ、PIQ及MQ 与健康对照组比较有显 著性差异。两组人群智力分测验除领悟、积木、拼图外,均有显著性差异,记 忆 各分测验结果均有显著性差异。结论:乙脑病后可引起认知功能障 碍,且其症状隐匿较难发现。
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无症状性脑梗死患者智能障碍及相关因素研究
目的:探讨无症状性脑梗死(ACI)患者的智能障碍及相关因素。方法:用韦氏智力量表对经CT或MRI证实的56例ACI患者进行神经心理学检查,并与症状性脑梗死(SCI)组及正常对照组比较。对ACI病例中智能障碍组与非智能障碍组的梗死灶数量和部位、既往史及受教育程度进行对比分析。结果:36例ACI患者智力低于正常,其中13例出现智能障碍;ACI组分测验值与SCI 比较无差异,但明显低于正常对照组;右侧梗死组中PIQ 明显低于VIQ(P<0.05);智能障碍组受教育程度低、糖尿病史、多发性梗死、双侧梗死、颞叶梗死、侧脑室旁及丘脑梗死者与非智能障碍组相比有显著差异(P<0.01~0.05);智能障碍与文化程度呈负相关,与高血压病程呈正相关。结论:多发性梗死、双侧梗死、皮质及皮质下梗死与智能障碍发生密切相关,尤其是颞叶、侧脑室旁及丘脑梗死更易出现智能障碍;文化水平低、高血压、糖尿病是ACI 智能障碍的危险因素。
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幼儿人格评定量表的编制及其信效度研究
目的:编制一套可独立使用的标准化幼儿人格评估工具。方法:根据幼儿人格发展的阶段特征,从理论上假设幼儿人格发展包括六个维度,初始量表共有60个项目,由幼儿的主要养育者根据他(她)所掌握的幼儿实际表现来回答问题。1996至1999年在全国九个地区共取样2 341名幼儿,年龄在2岁半~3岁半之间。结果:因素分析结果得出4个主要因素,分别为探索主动性、合群和适应性、情绪稳定性和自我控制、独立性,后保留45个项目;对全量表和分量表的项目一致性进行检验,α系数为0.77~0.90;各分量表间均存在显著的正相关(P<0.001);各条目的重测相关除第16条外均达显著性水平(P<.01)。结论:本量表结构与幼儿人格发展的四个主要方面相一致,内部一致性高,同时具较高的重测信度,适用于对幼儿进行人格发展趋向的评估。
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强迫症患者事件相关电位及地形分布图研究
目的:探讨强迫症患者事件相关电位P300 及其地形分布图特征。[ HT5”H〗方法:应用百胜伽利略REPORTER 型脑诱发电位仪对36例强迫症患者进 行听觉事件相关电位P300 及其地形分布图检查。结果:与正常对照 组(33人)相比,强迫症患者波形稳定差,23例(63.9%) 出现额叶波形变异或两侧不对 称;N2、P3的潜伏期明显后移;波幅下降;36例患者的P3地形分布图均失正态分 布,正常顶区高功率消失。左侧能量色差低于右侧3级以上的有19例(52.8%),额叶能量 差低于其它脑区3级以上 的有10例(30.3%)。并发现临床 上单纯强迫行为或强迫思维者多表现为顶叶处内源性成分能量缺乏;而一组病情较重的混 合性患者或者伴有其他症状者多表现为顶叶伴额叶或左侧能量降低。结论:事件相关电位P300 及其地形分布图可作为研究强迫症患者认知功能的一项客观指标 和重要辅助诊断。
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大学生心身健康水平及其相关因素的四年追踪观察
目的:追踪观察大学生自入学至毕业约四年内的心身健康水平 及其相关因素的动态变化。方法:以群体分层抽样法,共抽取受试 样本541人,实际有效样本442人。采用中国身心健康量表(CPSHS)、艾森克个性问卷(EPQ)、 防御方式问卷(DSQ)、生活事件量表(LES)、社会支持评定量表(SSRS),大学生在入学体检 时 、入学三个月和毕业前分别进行测试。结果:毕业前学生心身障碍 的检出率(14%)明显高于入学时(9.0%)。男生EPQ-P,入学后随校龄 增加而递增,并以毕业前分值高。从入学三个月始,大学生对不成熟防御机制的动用频率 逐步增高。毕业前大学生的生活事件明显多于其它时段,并以家庭问题为主,而入学时则以 社交与其它问题为多。结论:大学生在校期间以毕业前心身障碍的 检出率高,大学生心身 健康水平主要与其个性、家庭有关的生活事件数量、主观社会支持、性别、年龄有密切关系 。其中,社会支持是大学生心身健康的保护因素。
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住院病人护士观察量表的因子分析
目的:提高住院病人护士观察量表(NOSIE-30)在精神科 临床的实用性。方法:对只有 项目名称、项目评分等级的原量表制定项目定义和评分标准。培训后合格的研究者对164 例 首发精神分裂症住院病人每两周进行一次NOSIE评定,共评估994人次。将994份资料随机分A 、B两组,按照A 组资料进行主成分等分析的结果修订原量表,然后用B组资料进行验证并与 原量表比较。结果:A组资料因子分析发现每个因子的结构与原量表 的7个分量表不尽相同。 根据不同情况进行项目调整。后保留30项中的26项。形成5个分量表。在B 组资料比较原 量表与修订量表时,5 个分量表的特征均优于7个分量表。结论:本 研究结果表明原NOSIE-3 0R 7个分量表并不能反映病人的独立症状群,为了提高该工具的实用性,应该重新修订其分 量表。
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注意对冲突监测事件相关电位N270的影响
目的:探讨注意对冲突监测事件相关电位N270的影响。方法:30名健康志愿者分成两组,一组人判断连续呈现的一对数字的颜色是否相同,不考虑数值(注意颜色);另一组人判断连续呈现的一对数字的数值是否相同,不考虑颜色(注意数值),在头皮同步记录事件相关电位。结果:颜色不同和/或数值不同的数字对均可在第二个数字呈现后引起事件相关电位N270, 颜色和数值完全相同的数字对则不引起该负波。与不被主动注意状态相比,刺激特征冲突被注意时引出的N270波幅更高,持续时间更长,起始潜伏期不变。结论:冲突监测系统的启动不受注意影响,而一旦启动后则受到注意系统的调节。
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强迫症的临床特征及人格类型研究
目的:探讨强迫症及亚型的人格和临床特征,为诊断、治 疗及预后估计提供参考。方法:对82例强迫症患者进行MMPI测试, 采用纪术茂等编制的MMPI-B自动分析系统进行统计分析。结果:强 迫症患者的F、Hs、D、 Hy、Pd、Pt、 Sc以及男性病人的Si、Mf和女性病人的K量表的原始 分均明显高于常模(P<0.001),T分(年龄回归T)编码型为72/27型伴4、6量表高分;基本 量 表因子分析结果显示强迫症主要负荷四个人格因子(可解释变异的78%):神经质因子N、精神 质因子P、多疑因子S及社会内向因子I;采用Q型聚类分析将82例强迫症分为三个亚组,三组 间73种量表T均分间均有著性差异(P<0.000)。结论:强迫症各 亚型的心理特征及伴随的临床现象各有不同。
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生物反馈放松训练对Ⅱ型糖尿病患者糖代谢影响的追踪研究
目的:了解生物反馈放松训练对Ⅱ型糖尿病患者糖代谢的影响;方法:将符合研究标准的患者随机分配入实验组和对照组,两组完成实验的有效例数分别为55例和73例。实验组除常规糖尿病药物治疗外辅以生物反馈放松训练,对照组只给以常规治疗。两组均于治疗前、后不同的时间点测定空腹血糖、餐后两小时血糖、糖化血红蛋白、三餐前后1小时血糖。结果:经治疗1个月后两组的空腹血糖、餐后两小时血糖、平均血糖、糖化血红蛋白均有明显的下降,实验组的下降幅度及速度高于对照组;治疗后实验组的血糖波动明显减小,且保持持续下降的趋势,对照组无明显变化;在追踪期间,实验组糖代谢的改善与坚持放松练习与否、放松程度有关。结论:生物反馈放松训练能改善Ⅱ型糖尿病患者糖代谢,有效控制血糖波动,坚持放松练习者效果更好。
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脑不同部位损害与失写症
Writing behavior is affected by many factors and depends on the functional integrity of the nervous system. Its neuropsychological mechanism remains unknown. The agraphic features involving different parts of brain damage are dissimilar. The neuroanatomic location of agraphia and its possible brain mechanism are reviewed.
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二十一世纪临床心理学的臆测
In the past century there have been major advances in the development of clinical psychology. The article discusses separately the present status and developmental trends of research, training, and practice of clinical psychology. It also offers a projective view on the development of clinical psychology both in China and abroad.
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心理治疗中治疗师与来访者的性关系
For a long history, therapists have been prohibited against engaging in sexual involvement with a client. While the modern codes of clinical ethics contain no explicit mention of this topic, accumulative research have began to show that a large proportion of therapists have in fact violated this prohibition. The fact that such intimacies place the client at risk for exceptional harm has been recognized and acknowledged in different cultures. Until relatively recently, our understanding of therapist-client sexual involvement was based mainly upon theory, common sense, and individual case studies. Only in the past quarter century has a considerable body of systematic investigations informed us on diversified issues related to the topic with empirical data. The article summarized some of the findings in this area.
关键词: 心理治疗 empirical data -
心理评估质量控制规定及从业人员道德准则
1991年当中国心理卫生协会心理评估专业委员会成立时,为了管理好心理测验和医学用的临床评定量表的出版和使用等工作,制定了“心理评估质量控制规定”试用本,于1994年公布。近几年来,我国的心理评估工作发展迅速,应用范围增广。根据试用此规定的经验和我国当前的情况,在试行本的基础上,提出了“心理评估质量控制规定”修订本。 (一) 心理评估工具的修订或编制 1.心理评估工具编制 (1)评估工具中均应附有详细的指导手册,内容包括:指导语、实施方法、记分方法、常模、信效度资料与注意事项等。(2)指导手册应对常模分数及形式慎重地予以说明,对常模样本应有明确的定义和清楚的说明,如:年龄、性别、职业、民族、地区分布、文化、样本量等。(3)指导手册应详细列举与评估技术有关的信、效度资料,以供心理评估技术使用者判断和参考。(4)指导手册应清楚说明心理评估技术的目的、应用范围与局限性。(5)内容健康,避免歧义性、通俗易懂、对被测群体适用。(6)每种评估工具及指导手册经过若干时间应予以重新修订,通常为10~15年。 2.心理评估工具的登记注册 (1)任何单位、机构、组织或个人所编制或修订的心理测验和其他评估工具,都必须到中国心理卫生协会心理评估专业委员会(或中国心理学会心理测量专业委员会)申请登记注册。(2)申请登记注册的心理评估技术须经专家科学论证审核鉴定,经审核合格者才予以登记注册,统一分类编号,并定期在专业刊物上公布。(3)经登记注册予以公布后的心理评估工具方可发行与出售,只限具有测验使用资格者购买和使用。 (二) 心理评估工具的出版和管理 目前在我国尚无出版和管理心理测验的专门机构,而专业人员和社会又需要心理评估技术作为一种手段来解决实际问题,或作为科学研究和教学的工具。因此,为满足社会需要和专业发展的目的,制定如下规定。 1.中国心理卫生协会心理评估专业委员会在心理评估工具的出版和管理中发挥监督和指导作用。 2.心理测验或评定量表的修订或编制单位应具体负责出版和管理,包括测验技术培训。 3.任何单位或个人在未经拥有某心理测验或量表版权者的同意时,不得擅自复制这测验或量表,也不得擅自编制或复制这测验或量表的电脑软件,违者视为侵权行为,必将追究法律责任。 4.测验出版销售单位在推广心理评估工具时,应提供详细的测验指导和技术手册,以说明测验编制和标准化的程序,同时还要提供有关测验信度和效度方面的资料。 5.在指导实施的手册中,应说明编制该测验常模样本的人数和代表性、编制该测验的目的、测验本身的限制及不完善的方面,务使人们了解测验的性能、避免作出不恰当的解释。 6.在手册中,应说明对评估结果作适当解释所需要的专业训练。 7.评估技术的广告应实事求是,不宜使用过于夸张广告词。 8.评估工具应控制在一定范围内销售,只能向具有测验使用资格的专业人员提供。 9.心理评估工具只能在具有资格的专业技术人员和测验操作人员中使用,不得转借、转让给他人。 (三) 心理评估人员的资格和责任 心理评估是临床心理学的重要组成部分,只有合格的专业人员实施这项技术才能发挥其应有的效能。心理评估人员包括专业技术人员和测验操作人员,均须接受严格的心理评估技能培训。 1.心理评估专业技术人员应同时具备下列条件。 (1)具有心理学、医学或相关学科的本科以上学历。(2)在具体实践中还应具有相关学科的知识,尤其是脑科学的知识。(3)接受过心理评估专业委员会或国家部委认可的心理评估技术培训班的专门培训,取得相应的资格证书,对某些复杂的测验(如智力成套测验、洛夏测验、神经心理成套测验等)尚需取得该项技术的单项证书。(4)对心理测量理论具有较全面的了解,并有两年以上使用多种心理评估技术的经验。(5)能够正确指导测验操作人员实施心理评估操作技术。 2.测验操作人员必须在专业技术人员指导下使用心理评估技术,同时须具备以下条件。 (1)具有医学、心理学或相关专业的中等专科以上学历。(2)具有与人交往的技巧,对人类行为有基本的了解。(3)接受过心理评估专业委员会或国家部委认可的心理评估培训班的培训,取得相应的资格证书。(4)在专业技术人员指导下,具有两年以上从事多种心理评估技术操作的经验。(5)能向心理评估专业技术人员提供准确的测验结果及有关资料。 3.以上两类人员应保证能遵守职业道德和心理评估质控,并且既往没有违反心理评估人员道德准则的记录。 4.测验操作人员负责向专业技术人员提交测验结果及报告,但没有解释权,其签名的报告不具有法律上的权威性;专业技术人员签名的报告才具备法律效力,并应承担法律责任。 5.对于违反心理评估质量控制规定和职业道德者,心理评估专业委员会在掌握确凿证据后,有权对其进行书面警告、公开点名批评和否定从事心理测验的资格。 (四) 心理评估技术的使用 1.一般规定 (1)使用心理评估技术是为解决实际问题,应严格掌握使用指征,绝不能滥用测验和有关工具。(2)因教学和研究需要使用心理评估技术时,要确保不使工作关系之外的非专业人员接触心理测验内容,以免损害其功能。(3)向非专业人员(学生、大众)演示或在著作中介绍心理评估技术时,应着重说明工具的性质,不能用测验中记分条目内容,只能用手册中的条目例子作说明。(4)在教育或康复训练等干预研究中,不能以标准评估工具的内容或类似项目作训练的内容。 2.测验结果的解释 (1)测验结果的解释只能由具有相应资格的专业技术人员担任。(2)测验分数也和测验材料一样,只能对已取得相应资格的人员公开。(3)将测试结果告知被评估者本人或委托人时,通常应附有适当的解释。(4)在必须告知第三方(如单位负责人、家属、教师或其他有关人员)时,通常只告知其测验结果的解释,而不是测验分数,以防错误解释或错误引用。(5)在通知测验结果或解释性结论时,应尽可能避免使用专业术语,如心理年龄(MA)、智商(IQ)等,以免引起误解。(6)解释者要了解测验本身的限制,避免夸大测验结果的解释,尤其在没有得到其他资料支持时,更应慎重。 3.测验的保密问题 (1)心理测验和类似的评估工具,须在被评估者事先末曾得悉其内容时,才有价值。因此,不得在公开媒体(包括期刊、书籍、报纸、电视、广播等)上公开测验内容,以免损坏评估工具的性能,即使对于那些内容无需保密的测验,亦须在征得版权拥有者同意之后,方可在专业出版物中引用。(2)在任何情况下,只让有资格使用测验的人员才可以接触或运用测验;不具资格者,不得任意翻阅测验资料。测验手册,工具和记录纸都不能放入书架和易为人所翻阅的地方。(3)在讨论测验性能的专业出版物中,需要引用测验条目时,只能采用模拟样本项目或手册的例子,测验记分条目不能公开。(4)心理评估人员应负责保管心理评估工具,使其内容和答案不致泄漏,保证其应用的准确性。(5)心理测验材料不得用于电视或其他娱乐节目的活动。(6)心理测验的材料,不可随意割裂使用或解释。(心理评估人员道德准则见下期)中国心理卫生协会2000年5月
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