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    心理访谈20060805-不敢尿尿的男孩

    不敢尿尿的男孩
     
    主持:小琴
    专家:李子勋
    嘉宾:小斌和他的父亲
     
    小斌是一名高中生,他的学习成绩本来很优秀,但这两年来因为一件小事使得他极为颓丧,现在
    的成绩已经落到全班倒数:原来他不敢在人多的公厕尿尿.这两年父亲带着他到医院检查了很
    多次,都没有什么效果一家人都为这事着急.
    小斌第一次有这种经历,是在上高一时,有一次厕所里人很多,好几个同学催他快点,小斌一着
    急反而尿不出来.有了这一次经历,小斌觉得自己完蛋了,并且从此非常讨厌这种生理需要,刻
    意压制尿意.当他把这件事告诉父母时,他们也并没有在意,觉得只是小事一桩,后来看到对儿
    子的影响非常大,父亲便开始寻医问药.小斌因为这个问题一直没有解决,心情十分郁闷,也不
    大愿意跟父母交流,变得有些不听话了.
     
    分析:
    1.厕所焦虑是每个男孩子都会遇到的成长经历,焦虑来源有三,1)同伴之间对生殖器的关注和
    比较产生羞涩;2)对当众暴露生殖器以及排泄行为有不道德感;3)厌恶厕所的肮脏.厕所焦虑可
    以归之于社交焦虑.
    2.由于排泄是人体必须的生理需求,多数青少年会在很短时间内顺利克服厕所焦虑.由于父亲
    没有正确对待和指导,致使小斌对厕所焦虑产生了错误的认识,认为这是疾病,因而放弃了主观
    努力,并采取了逃避策略.
    3.小斌可能在潜意识中将厕所焦虑作为一个客观的藉口以掩盖一些主观过失,例如不想学习,
    不愿努力或智力因素以及反抗父母权威等,并将焦虑泛化,认为因此一事导致自己各方面都变
    得很糟糕.
     
    建议:
    1.小斌应放弃逃避策略,直面厕所焦虑,采取多喝水等方式逼迫自己排尿,父亲可做一些诱发其
    尿意的事情,比如用茶壶向马桶里倒水产生排尿的声音等.
    2.父亲通过阅读发展心理学等方面的书籍,了解一些儿童及青少年在成长过程中会遇到的问题
    ,正确及时的引导孩子的行为.在小斌的厕所焦虑方面应弱化关注程度.

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