Who should manage "psychological counseling"?
Who will be a counselor and a therapist? Who will manage the psychological counseling institutions? Who is the client of psychological counseling? At the "2007 Sino-German Psychotherapy Conference" being held in Shencheng, Professor Xiao Zeping of Shanghai Mental Health Center and others raised rather sharp questions and put forward their own views on the current situation that psychological counseling and psychotherapy in China are developing rapidly but it is difficult to distinguish between good and bad.
Various institutions have sprung up.
In recent years, various psychological counseling service units have mushroomed in China. There are more than 70 psychological counseling institutions in Beijing and Shanghai alone, 1 10 psychological counseling institutions. However, taking Shanghai as an example, among the 3 16 employees surveyed, 18.6 1 have never received special training in psychological counseling and psychotherapy. Among the trainees, 85.32% received training in training courses held in this city; However, the training time varies, the most is within 3 months (including 3 months), accounting for 48.8 1%, followed by more than 6 months, accounting for 35.84%; Among the students, "full-time" and "half-time" are basically the same. "According to the most conservative estimate, there are about 65.438+0.9 billion people who need professional psychological counseling or psychotherapy in our life, while there are only a few thousand professionals engaged in psychological counseling and therapy in our country." Professor Xiao Zeping pointed out.
The yogi is very active everywhere.
Xiao Zeping said that at present, the personnel engaged in psychological counseling and psychotherapy in China mainly include three aspects: medical personnel with medical background, school people with liberal arts backgrounds such as psychology or education, and psychology enthusiasts (including people in enterprise talent resource centers, prison cadres, administrative and business managers, and many staff engaged in loose counseling). Active in psychological counseling clinics, college psychological counseling centers, marriage, occupation, children and other psychological counseling services, hotlines and crisis intervention institutions set up in general hospitals or mental hospitals.
The management department is undecided.
However, the question of "who should take care of it" seems to have never been solved. Among the 100 psychological counseling institutions surveyed in Shanghai, 3 are for-profit and 97 are for-profit; There are only 40 registered companies, including 35 approved by the health administrative department, 3 approved by the education administrative department and 2 approved by the industrial and commercial administrative department. Of the 60 unregistered psychological counseling institutions, 37 belong to medical institutions, 19 belong to schools, 2 are enterprises and 2 are social organizations.
"Although the national professional standards have been promulgated and the Ministry of Health has begun to organize professional title examinations, there is no clear professional orientation, no clear main regulatory department, no perfect certificate and qualification certification, and no payment system. Psychological counselors and psychotherapists have not yet formed an independent industry in society." What worries experts is that some training institutions use the guise of "psychological counselors" and "psychotherapists" to take the opportunity to expand the training scale indefinitely and make huge profits.
The contradiction between demand and service is prominent.
Judging from the clients of psychological counseling, Professor Xiao Zeping thinks that the contradiction of "insufficient effective demand and huge potential demand" is also quite prominent. On the one hand, when there is psychological tendency or misunderstanding, even when people feel unwell, people usually think of taking medicine and injections, and few people will take the initiative to see a psychologist. Even when thinking about psychological problems, most people are ashamed to talk about it. On the other hand, unlike the middle class with economic foundation in developed countries who enjoy psychological counseling services, most of the visitors seeking psychological counseling in China are vulnerable groups under the age of 30.