2. Twenty-third, psychotherapists should engage in psychotherapy in medical institutions; However, it is not allowed to engage in the diagnosis and treatment of mental illness, and it is not allowed to provide drug treatment to patients with mental illness; If it is found or suspected that a person receiving psychotherapy suffers from mental illness, he shall be advised to go to a medical institution that conforms to the provisions of this Law for diagnosis and treatment.
Psychotherapists should engage in psychotherapy in accordance with the technical specifications of psychotherapy operation; The technical specification for psychotherapy operation is formulated by the health administrative department of the State Council.
Article 24 stipulates that the diagnosis and treatment of mental illness shall follow the classification, diagnostic criteria and treatment norms of mental illness stipulated by the administrative department of health of the State Council.
Medical institutions that do not meet the conditions specified in the preceding paragraph shall not engage in the diagnosis and treatment of mental illness.
Article 25 stipulates that the diagnosis of mental illness should be made by a psychiatrist.
3. The visitor is unconscious and does not belong to the scope of psychological counseling. Mental disorder is either a physical disease or a psychological disorder, which are not the scope of psychological counselors.
4. Patients with mental disorders cannot be clients of psychological counselors. If you want to receive psychological counseling, you can only receive psychological counseling after you have recovered from psychiatric medication and your self-function has recovered to a certain extent, and it can only be used as an auxiliary treatment for psychiatrists. Psychological counseling is generally used for the rehabilitation of patients with mental disorders or the recovery of social functions, and cannot be used for the treatment of patients with mental disorders alone.
In other words, for mental disorders, you need to receive psychiatric medication first. Only after psychiatrists have assessed that patients can receive psychological counseling as an auxiliary treatment can psychological counseling be conducted.
Thank you for your invitation. I hope it helps you. [Ross] [Ross] [Ross]
Just like a drunk can't keep his promise. ...
The curative effect of consultation mostly comes from the consultant's re-understanding of experience (suffering), and an unconscious person can't complete this part of the work. The place for diagnosis and treatment of unconsciousness should be a hospital, or it may be a department of neurology, severe mental illness or other diseases. This part of the diagnosis and treatment is not the scope of work of psychological counselors.
First of all, how do you understand and express your so-called "sobriety"?
Hello! The object of psychological counseling is normal adults, and both sides of counseling are equal and non-authoritative, mainly to solve various problems encountered by normal adults. If l visitors are unconscious and have difficulty in basic conversation, then psychological counseling cannot be carried out and does not belong to the object of psychological counseling service. I hope my reply can help you, and wish you health and happiness every day!
I think this is a very good question.
I think the relevant clauses in the negotiation agreement may be related to the consideration of legal risks. But from the perspective of personal clinical work, talk about my thoughts:
As a psychological counselor whose main way of working is talking, I really think that the prerequisite for visitors to receive psychological counseling effectively is to be able to understand the medium of language smoothly.
If the visitor's self-knowledge and reality test are incomplete, it is difficult for us to communicate effectively with him. Imagine a mental patient. They often have hallucinations and delusions, right? When the delusion projection is strong enough, the counselor will find it impossible to communicate with him effectively. You said the same thing to him, and he knows what he thinks. Then this kind of communication is invalid.
Communication is ineffective, which means that your work style is not suitable for this person. Doing this kind of work is a waste of each other's time and money. Aren't we consulting to help each other? Why do you do it when you know you are wasting each other's time and money? Why not recommend him to ask for help from someone more suitable for him?
I also know that there are many psychoanalysis, which will be very long and intensive, and will also work on very serious patients, but this is very different from what we can do in China at present. When a psychoanalysis is intensive, it can synchronize the life of visitors to a great extent, and it can also have a function similar to "re-parenting". To put it bluntly, we think that people with incomplete personality structure are like children raised by mistake. If they are reared in a new environment, there will be new changes. So I don't think we can completely deny the effect of doing so. But this kind of work may mean a long and expensive process.
At present, we do psychoanalytic counseling 1-2 times a week, which is also called dynamic counseling, and the working conditions are limited. At least the way I work at present, if I have only one or two hours a week to talk to this person, and I have to fight his delusion because of his weak reality check function, I don't think it will have the expected effect.
It should be noted that some visitors' personality structure is not stable enough, and they will have temporary mental symptoms due to the stimulation of some psychological factors, but their overall reality test is still complete, and these visitors can work.
I hope my answer is helpful to you.
The clients of psychological counseling are generally sub-healthy, that is, the subject of responsibility is clear, they know that they have inner problems or are dissatisfied with the status quo, and they have a strong desire to save themselves.
Obviously, comatose people are not aware of their psychological problems, can't tell the subject of responsibility, and won't take the initiative to ask for help, so they are not among the clients of psychological counseling.
Psychological counseling mainly depends on the communication between patients and psychologists and the expression of their own consciousness.
If you are unconscious, it's like going to the hospital to see a doctor and register. You don't know what's wrong with you, even if you go to see it next door, there is no result.
Psychological counseling agreement requires this mainly to protect the rights and interests of patients and reduce the waste of money. After all, I am in a coma and have to go to the hospital for treatment.
From the legal point of view, the parties are incomplete persons with civil capacity when they are not awake, and the agreement they signed is invalid.
Psychologically speaking, an unconscious person, without realistic recognition ability, is no longer a suitable psychological counseling object. You should go to a psychiatric clinic.
The difference between a counselor and a psychotherapist is one of them. When you are out of your mind, it's time for the psychotherapist to intervene. Psychological counselors mostly aim at unhealthy people to improve or improve their psychology.