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目的探讨对１８岁以下心理问题者进行系统家庭治疗的应用情况。方法运用规范的系统家庭治疗技术进行访谈、干预７３例家庭，随访５１例；用彩色摄像和高灵敏度录音系统记录每次治疗访谈和随访访谈的全部过程，用相应调查表进行反馈。结果随访治疗有效率８６３％；社会功能显著改善；６项家庭动力学指标中，有５个维度差异有显著性：１系统逻辑向多元宽容方向移动；２僵化的关系现实有所软化；３关系控制减弱；４疾病观念向“患者可以有所作为”转变；５个性化程度增高。结论系统家庭治疗技术适用于中国青少年儿童家庭，可逐渐推广、应用。
Objective To explore the application of systematic family therapy to those under 18 years of age. Methods Interventions were made on 73 families and 51 families with standardized home-based therapy. The whole process of each treatment interview and follow-up interview was recorded with color camera and high sensitivity recording system, and feedback was made with the corresponding questionnaire. Results The follow-up treatment efficiency was 863%; social function was significantly improved; among the six family dynamics indexes, there were significant differences in five dimensions: 1) the logic of the system shifted toward multiple toleration; 2) the rigid relationship was realistic Softening; 3 relationship control weakened; 4 disease concept to “patients can make a difference” change; 5 increased degree of personalization. Conclusion System family therapy is suitable for Chinese children and adolescents and families and can be gradually promoted and applied.