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Clinical Psychology Department

Release Date:2014-06-13

About the department

The department of clinical psychology is a core component of the Shanghai Mental Health Center (SMHC). It is composed of the psychosomatic ward and psychological counseling center, which are integral to the function of the Mental Health Center’s mission

· The Psychosomatic ward

The psychosomatic ward was founded in 1988. It is an open ward which utilizes an integrated treatment model, a blend of biological treatment and psychotherapy, embodying the idea of the modern “Biological-Psychological-Social” model. Most patients admitted to the ward suffer from diseases intimately associated with the psychological process, such as anxiety, depression, eating disorder, and numerous other less common psychiatric diseases. The department has three chief doctors, two associate chief doctors, three attending doctors, three residents, and 8 nurses on the wards. The inpatient ward has 48 beds on the unit, including 12 VIP beds. The ward has won fame throughout the country, with patients coming from distant parts of China for care at the Psychosomatic ward.

Characteristics of the ward:

1、Open management

The open management model makes the ward more acceptable to patients. The patients are able to return to their home on the weekends, which helps the patient improve their family, community, and overall societal relationships.

2、Biological treatment combined with psychotherapy

The treatment model in the psychosomatic ward is integrated: Biological treatment is combined with psychotherapy. The biological treatments available include medication, M-Electroconvulsive Therapy (M-ECT), along with many kinds of adjuvant physical treatments.

All patients in the ward receive group psychotherapy based on the psychodynamic model of the mind. Moreover, the patients receive individualized psychotherapy according to their diagnosis and individual needs. Diverse therapies, such as individual psychodynamic therapy, cognitive behavior therapy, family therapy, art therapy, Naikan therapy, Morita therapy and hypnotic therapy are all utilized. All doctors on the ward have received comprehensive psychotherapy training, along with clinical supervision. This allows the psychotherapy ward to take a leading role in the country.

Patients receiving treatment on the psychosomatic ward:

Neurosis (including generalized anxiety disorder, panic disorder, phobia, obsessive compulsive disorder, somatoform disorder, and neurasthenia)

Depression (including dysthymia)

Psychological Disorders of Various other Kinds(hysteria, adjustment disorder, eating disorder, non-organic sleeping disorder, personality disorder, habit and impulse disorder and psychosexual disorder)

A Variety of acute transient mental diseases, often related to stress or other environmental factors.

· Psychological Counseling Center

The psychological counseling center was founded in 1992, making it one of the earliest department in the country ,providing systemically treatment and teaching in psychotherapy and psychological counseling. In December 1998, the outpatient clinic building for psychotherapy and psychological counseling was founded. The clinic is currently the largest clinic for psychotherapy and psychological counseling in the country. The department provides a variety of treatments and services, ranging from general psychological problem (e.g., interpersonal adaptation and marriage and learning difficulties) to more severe psychological disorders and mental disease. The center provides integrated and individualized treatment, combining medication with psychotherapy. Therapies provided include individual therapy, group therapy, couples therapy, and family therapy. There are also a multitude of individual therapies to choose from. A patient may be treated using psychodynamic therapy, cognitive behavior therapy, hypnotherapy, Morita therapy, or Naikan therapy, depending on their clinical needs. All psychotherapists in the department receive comprehensive psychotherapy training and long- term clinical supervision to hone the psychotherapist’s skills. These factors make the psychotherapists at The Shanghai Mental Health Center the leading role in the country.

Specialty Psychotherapy Clinics:Anxiety Disorders Clinic

To promote the early recognition and effective treatment of anxiety disorders, the Department of Psychology staffs founded a specialized clinic which takes care of those men and women suffering from anxiety. The clinic combines both medications and psychotherapy to optimally manage these difficult to treat disorders. This special outpatient clinic provides services to patients with the following disorders:

       Anxiety: including acute and chronic anxiety

       General Anxiety, both acute and chronic

       Phobias, such as agoraphobia, social phobia, and specific phobia.

       Obsessive compulsive disorder

       Anxiety combined with depression

       Anxiety with largely psychological symptoms

       Anxiety Disorders due to General Medical Conditions

       Antenatal and Postpartum Psychiatric Disorders

       Sleeping disorders with significant anxiety

       Eating problem (Anorexia and bulimia)

       Anxiety concomitant with interpersonal relationship difficulties

·Telephone based psychological aid

Since the Shanghai Mental Health Center has significant resources in the areas of research, training, and management of clinical services, the Center has been able to provide an emergency crisis line, The Shanghai Commonweal Hotline for Psychological Aid (021-12320-5). The professors and staff in the psychology department train, supervise, and manage all aspects of this hotline.

The precursor to the above hotline was the Shanghai Psychological Counseling for Mental Health Hotline (021-64383562), founded in November, 1990. This hotline won high praise from the community because it was convenient and efficient at providing psychological services, and performed the important task of helping to intervene during patient’s psychological crises.

Psychotherapy utilized by the Department

 · Psychodynamic psychotherapy

Psychodynamic psychotherapy is practiced in a special setting and is based on the psychoanalytic techniques developed and refined over the last 100 years. Treatment involves analyzing the unconscious resistance the patient may have, along with transference and countertransference. Interpretation of a person’s dreams is also utilized. The core of psychodynamic psychotherapy is an effort to help understand and regulate the patient’s unconscious conflicts and less adaptive defense mechanisms. Patients are able to both relieve their psychological symptoms and develop a maturity of personality.
Main Applications of Psychodynamic Psychotherapy: Neuroses, including obsessive compulsive disorder, anxiety, social phobia, hypochondria etc., hysteria, dysthymia, psychosomatic disease states and personality disorders such as Narcissistic and borderline personality disorder. This form of therapy is not utilized for patients with Schizophrenia or Bipolar Disorder.

· Cognitive behavioral therapy

Cognitive behavioral therapy aims to examine and change the cognitive-psychological images, beliefs and thinking styles of the patient. The therapist cooperates with the patients, finding out about how they view the world. Together, the therapist and patient learn that many of the ‘automatic thoughts’ the patient has are distorted and are far too negative. Therapy involves providing learning and training opportunity to change the patient’s false and negative beliefs and ideas regarding him or herself and replacing them with new, more balanced beliefs and ideas which are closer to reality. In this way, the patient’s symptoms are relieved.

Cognitive behavior therapy is usually time-limited and problem focused. It does not emphasize the past, but instead prefers to look at the patient’s current beliefs. In Cognitive behavioral therapy there is cooperation between the patient and the therapist to identify and change negative thought patterns.

Main Applications of Cognitive Therapy: Anxiety disorders, delusions prominent in schizophrenia, eating disorders, personality disorders, psychosexual disorders, psychosomatic disorders, marriage and family problem, and childhood conduct and behavior problem.

· Family therapy

Family therapy examines the entire family unit’s function, making the family the ‘patient’. As such, Family therapy harnesses the power of the family to help change each individual for the better. Family therapy focuses on family members’ interactions while de-emphasizing each member’s individual psychological conflicts.

Main Applications of Family Therapy: Family therapy can be used for a variety of purposes such as the following Conflicts among family members :

     "Symptoms” in a family member which actually reflects problems in the family system

      Individual conflicts that need family involvement

      Families that either neglect a member or show overly concerned and anxious behaviors towards other family members

      The family becomes a block in an individual’s therapy, or they need to be involved in the individual’s treatment

      Individual therapy can not have the effect of family therapy;

      One of the family members has a particularly conflict inducing and chronic mental illness.

· Group therapy

Group therapy uses the structure and members of the group as the therapeutic tool to help the patient. Through interpersonal interactions between group members the whole group learns to observe, experience, and explore themselves in relation to others, accept aspects of themselves that they felt were negative, regulate and improve their relationships with others. The members of the group also learn new attitudes and ways of behaving and improve their emotional response to others, thus developing better abilities to adapt to life situations and to develop their personal maturity.

Main Applications of Group Therapy:Significant emotional disorders (e.g., depression), neurosis (e.g., anxiety, obsessive compulsive disorder, phobia, somatoform disorder etc.), sleep disorders, interpersonal relationship problems, learning problems, eating disorders, family problems, and schizophrenia once in remission.

· Hypnotic therapy

Hypnotic therapy uses the phenomenon known as ‘hypnosis’ to treat their mental disorders. Hypnosis narrow’s the scope of the patient’s consciousness. In this state, the patient is more receptive to changing their ideas and behaviors. There are many methods used to induce the hypnotic state of consciousness. Repetition of certain words, along with a slow, deliberate tone by the therapist, aids in this process. During hypnosis, the patient sometimes has access to memories and thoughts which are blocked by the conscious state . The therapist, once a hypnotic state is achieved,   uses psychological techniques such as analysis of content, interpretation, abreaction, age regression, and copying to help the patient achieve wellness. While in hypnosis, the patient can also, integrate the therapist’s positive language or actions into their own system of thinking, thus further helping the patient to psychologically mature.

Main Applications of Hypnotherapy:Hysteria, hypochondria, phobic disorder, and psychosomatic disorder.

Staff of the department

Adviser to the Department of Psychology:

Prof. Dr. Zeping Xiao

Prof. Xiao has the following titles and distinctions-Vice director of the Shanghai municipal Health Bureau, pre-president of Shanghai Mental Health Center(2001-2011), Tutor of Doctoral Students in psychiatry and mental health in Shanghai Jiaotong university, Vice President of Pacific Rim College of Psychiatrists, Member of International Federation of Psychotherapy, Committee Member of Chinese Mental Health Association, Chair of Psychoanalytic committee of Chinese Mantel Health Association, Chair of Shanghai Mental Health Association, Board Member of Chinese Psychiatry Society, Board Member of China Life Care Association

Department Chief:

Prof. Dr. Haiyin Zhang

Prof. Zhang received Morita training during 1994-1995 in Japan.AS a visiting scholar in 2004 he has been to the Suicide Research and Intervention Center at Rochester University in the US. Dr Zhang was also one of the founders of the Shanghai Psychological Crisis Intervention Hotline. He is also the chief and director of the Clinical Psychology Department Director of Medical Psychology for Shanghai Jiaotong University. Other titles include the Chinese Association for Mental Health’s Vice Chair of Psychotherapy, the psychological counseling committee, and the psychoanalytic committee, vice chair of the psychoanalytic committee, along with being a member of the Chinese Medical Association’s behavior and psychosomatic medicine committee, and the Board of Experts in psychotherapist qualification for the Chinese Ministry of Health.

Associate Directors of the Department of Psychology:

Prof. Dr. Jianyin Qiu

Dr. Qiu is the Chief Doctor and Vice Director of Department of Clinical Psychology at the Shanghai Mental Health Center, vice director Shanghai Jiaotong University’s Department of Medical Psychology at the Mental Health Department, director in the psychological counseling and psychotherapy research unit at the Shanghai Mental Health Center. Dr. Qiu is a member and secretary of the Chinese Medical Association’s brunch for women’s mental health. He is a member of the psychosomatic committee. Dr. Qiu is also a general secretary and member of psychoanalytic committee for the Chinese Association for Mental Health, a committee member of the Shanghai Behavioral Association, a member of American Association for Group Therapy, a supervisor for the Chinese Psychological Association. Finally, Dr. Qiu is a visiting scholar of social medicine at Harvard University, the Mental Health Institute of Nottingham University, UK, and the psychiatry department of Hong Kong Chinese University’s affiliated hospital.

Dr. Jue Chen

Dr. Chen is an associate professor and vice director of medical psychology in the Mental Health Department at Shanghai Jiaotong University, along with being a vice director of the Department of Psychology at the Shanghai Mental Health Center. Dr. Chen is also a member of the Chinese Association for Mental Health’s psychoanalytic committee, along with directing the family therapy brunch for psychological counseling. Dr. Chen is also a member of the American Association for Group Therapy and a member of the Asian family therapy and research Academy.

 

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