案例十 求助者一般资料:男性,33岁,公司经理,未婚。 临床表现:求助者几个月前

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问题:

案例十


求助者一般资料:男性,33岁,公司经理,未婚。
临床表现:求助者几个月前,因为做饭后没有关闭煤气阀,饭后父母发现并关闭,但是给予他严厉的批评,他对此很害怕,并郁闷了好几天,因此还严重失眠两天。从那天以后无论做什么都要反复地确认是否做好。本来心里很清楚已经做好了,但还是会反复地检查,否则就会感到不安,担心“自己再疏漏”。最近在公司也是做每一件事情都要反复地检查,怕出现任何的披露,因此这件事让他很烦恼无法正常上班。这两周开始担心自己是否已经患精神病了,并开始去医院检查,而且情绪低落,厌食,还会胡思乱想,在检查的时候还要反复询问医生自己的病情如何,并要医生保证自己没有患精神病,但是不肯吃药,原因是该药是治疗精神障碍的,而且会有副作用。家人认为他不会患精神病,不主张他去精神科看病,所以让他来做心理咨询,他个人也想解决自己的心理问题。
求助者父母反映:求助者的父母在求助者一岁时又生了一个女孩,所以把求助者送到乡下的奶奶家,奶奶很疼爱他,对他严加保护,不允许他其他孩子一起玩耍,上小学的时候才回到父母身边,那时他很听话,学习非常好。但在高考前出现睡眠不好,高考发挥失利。最后只好去大专院校学习,在校各方面表现优秀,并顺利专升本。本科的时候各科成绩很好,毕业后要考研,但是由于失眠导致落榜。毕业以后就在一家大企业作经理一职,工作出色,经常得到领导的表扬,但是每次到考核的时候就发挥不好,也处理不好人际关系。而且总是找不到合适的对象,对女性朋友很挑剔。

本案例中求助者心理问题的原因包括( )。

A.父母压力

B.认知因素

C.考试压力

D.性格因素

考点:心理咨询师考试心理咨询师二级心理咨询师二级
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一、(15分)便 条卫红: 公司要召开产品订货会,请列出会议出席证(或姓名卡片)所应注意的事项,并为公司2006年产品订货会设计一个会议证。 行政经理 张 涛 2006年8月1日

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决定雅尔塔体系建立的主要原因是

A.联合国的成立

B.美苏两国的军事经济实力

C.雅尔塔会议的基本原则

D.意识形态领域的矛盾

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算法就是用计算机解决问题的()和步骤。

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医院感染监测的内容包括()

A.病原微生物

B.易感人群

C.媒介因素

D.环境

E.以上都是

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Every time you go to the supermarket you come away with your purchases packed in plastic bags. But wouldn’t it be kinder to the environment if you asked for paper bags instead?

The answer is not as easy as it might seem. Environmentalists say there are drawbacks to using both plastic bags and paper bags.

80 percent of groceries in the US are packed in plastic bags and the numbers are becoming huge. Consumers use between 500 billion and 1 trillion plastic bags per year worldwide.

Some experts believe that all these bags harm the environment. Plastic takes hundreds of years to break down and, as it does so, poisonous materials are released into the water and soil.

Further damage is caused if plastic bags enter the sea. For example, endangered sea turtles cannot tell the bags from jellyfish, their main source of food, and often choke on them.

However, this kind of bag does have its advantages.

Paper bags use more energy and create more waste than plastic bags. Plastic bags require 40 percent less energy to produce and cause 70 percent less air pollution. They also release as much as 94 percent less waste into the water than paper ones do.

But paper bags do break down more quickly than plastic bags. They don’t endanger wildlife, either.

So what should we do? One possible solution would be to use biodegradable plastic bags. “Biodegradable” means that the bags break down naturally just like a piece of banana peel when it is left outside.

But until biodegradable technology improves, it might be easier to pack things you buy in reusable cloth bags.

小题1:Compared to paper bags, plastic bags ______.

A.produce 6 percent more waste

B.can be made biodegradable more easily

C.can be used as a source of food

D.save 40 percent of the energy小题2:By saying “The answer is not as easy as it might seem,” (in paragraph 2) the writer means _____.

A. biodegradable plastic bags can compete with paper

B. paper bags seem to be kind to environment

C. it’s difficult to say whether plastic or paper bags are better for the environment

小题3:What does the author suggest people use at the present time?

A.Paper bags

B.Plastic bags

C.Biodegradable plastic bags.

D.Cloth bags.

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