撰文：吳崇欣 刊登於信報 - 2025年10月21日 經常被問「甚麼是基模治療」,因為我是香港首位獲國際認證的基模治療導師。 如果讀者們是精神科醫生、心理學家、輔導員等同行,就會明白世界上有很多心理治療的學派, 他們各自有不同程度的科研和實證;近五十年來,被科學研究評為最有效的是「認知行為治療」, 在我十多年前修讀臨床心理學時,他是全球最備受推崇的一個治療模式。 在「認知行為治療」流行的時期,也是著名的英國精神科醫生Dr. Johy Bowlby提出其極具影響力的依附理論(Attachment Theory)的時期。這理論其中一個最重要的貢獻,是提出了孩童與主要照顧者之間的依附關係,會主導一個人的心理發展,主宰他即將用怎樣的視角去理解這個世界、人與人之間的關係和自己,並成為這個人未來人際關係的藍圖。 一個理論與一個治療手法,都需要很長時間去積存不同的科研實證。時日過去,科學研究證明這個理論與這個治療模式均被獲充足的科研支持,並廣為世界各地研究員、學者、醫護人員推崇。可是「認知行為治療」並未有把依附理論包含其中。 而「基模治療」,是「認知行為治療」

我非常榮幸為崇欣的新作《基模治療——療癒童年創傷，重建內心平衡》寫序。崇欣從實習生成長為資深基模治療師、督導，並創立「華人基模治療學院」，專注推廣基模治療於華人社會。這是首本以中文全面介紹基模治療的著作，結合理論與臨床案例，深入淺出，並展現文化適應的洞見。我誠意推薦此書。

我第一次見到Beatrice是在2019年，她展現的不僅是臨床技巧，更有真誠與慈悲。多年來，她從治療師、督導到培訓師，推動基模治療在華人文化中的調適與發展。2023年創立「華人基模治療學院」，開啟了以中文書寫、為華人讀者而設的第一本基模治療專書。這本書標誌著基模治療在當代中國的重要起點。

我第一次见到崇欣是在2019年，那时她刚踏上图式治疗的旅程。一位同事推荐她来接受督导，我很荣幸能在她完成认证的过程中陪伴并支持她。从一开始，她所展现的不仅仅是临床技巧，还有一颗温暖的心、强烈的好奇心，以及对「人」的深切尊重。 这本书，是第一本以中文书写、由华人治疗师为华人读者撰写的图式治疗专书。书中充满真实的来访者故事——那些曾被诊断为进食障碍、解离症或人格障碍的人。但这些故事并不被诊断所定义，而是由文化、跨代创伤和那些临床语言少有提及的系统所形塑。同时，它们也是疗愈的故事——这份疗愈来自文化自身深厚的智慧与力量。 图式治疗常被形容为一门结合「科学与艺术」的治疗取向，它为我们提供了架构与工具，但其核心是关于「人」——那些曾经历创伤、剥削与情感需求未被满足的人们。这些经历不只是临床表现，而是一段段刻印在身体、心灵与关系中的求生故事。要以诚信面对这些故事，治疗师需要的不只是专业知识，我们还必须展现真实的自我。 这意味着，我们发自内心愿意走上来访者也走过的道路，审视自己的图式与盲点，允许这份工作同样改变我们。我们不能躲在专业的背后，而是要保持人性——当

I first met Beatrice in 2019 at the start of her Schema Therapy journey. She quickly stood out for her compassion, curiosity, and cultural insight. Over time she has grown into a respected therapist, supervisor, and trainer, pioneering the cultural adaptation of Schema Therapy for Chinese clients. This book, the first of its kind written in Chinese, is a landmark—bridging East and West and opening a new chapter for Schema Therapy.

Shan is a professional client with a wealth of experience in psychotherapy, and I am now her third clinical psychologist as she has been seeking treatment on and off for nearly a decade.

When Qi came to see me, she was in her twenties and deeply confused. She knew she would sometimes "come and go," as if "sometimes I'm here, sometimes I'm not," and then another version of herself would appear. When Qi came to see me, she was in her twenties and deeply confused. She knew she would sometimes "come and go," as if "sometimes I'm here, sometimes I'm not," and then another version of herself would appear.

Counselling and psychotherapy, Language and communication, Race, ethnicity and cultureConnecting worlds and finding common ground

Schema Therapy is effective for treating eating disorders because many of the concerns faced by patients with eating disorders are often related to attachment needs.

Schema therapy as a needs-based treatment for Personality Disorders

Mindfulness can be integrated with Schema Therapy gracefully.

My experience of supervision in my pursuit of accreditation in ISST has been a game-changer.

How can we integrate the insights I elaborated in the previous article into our clinical practice? Here I share five key strategies for impl

From a Schema Therapy perspective, many Asian adults could be seen as emotionally inhibited. I can understand why this might seem true.

In many Asian countries, society tends to have a more hierarchical structure. In my previous article, I explained that hierarchical society

Applying Schema Therapy to Chinese: Enmeshment with Family

How do your culture shape your ideas?               Schema Therapy, an extension of Cognitive Behavioral Therapy (CBT) founded by Dr. Jeffrey Young, incorporates multiple treatment modes and theories including Emotion-focused Therapy, Psychodynamics and Gestalt Therapy.  Jeffrey observed clients with personality disorders who were unresponsive to CBT or relapsed after initially successful treatment.  To better help these clients, he developed ‘schema’ to represent how our chi