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Researchers conducting psychotherapy process research aim to understand the process by which efficacious psychotherapies achieve therapeutic benefits. A key challenge in this research is how to maximise what can be learned from naturalistic longitudinal data. We provide a selective overview of research examining the process of change in cognitive therapy of depression. While the efficacy of this treatment is widely recognised, a consensus regarding how the treatment reduces depressive symptoms and provides protection from relapse and recurrence has yet to be reached. We review the current state of the research addressing the process of change in cognitive therapy, highlighting how specific methodological features can be used to better understand the process by which this treatment achieves its effects. We highlight the importance of two key challenges to making causal inferences from a process–outcome relation: (a) establishing the temporal precedence of predictors to outcome variables, and (b) evaluating whether any relations identified could be spurious. We argue that methodologically rigorous studies tend to support key claims of the model underlying cognitive therapy of depression. We conclude by considering future directions. For example, we highlight the importance of efforts to understand patient characteristics that may moderate process–outcome relations and could ultimately prove useful in tailoring treatment to best suit individual patients.  相似文献   

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The “lost letter technique” was validated against actual election returns in two randomly selected precincts in Greensboro, North Carolina. The technique was not successful in predicting the outcome of the presidential race. It was found that letters addressed to The Health Research Center were significantly more likely to be returned than letters addressed to presidential candidates. This indicated that the failure to predict was due either to voter apathy in this particular election or to an active dislike of both candidates.  相似文献   

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An Infertility Primer for Family Therapists:   总被引:3,自引:0,他引:3  
A seemingly "self-evident truth" in most people's lives is that one day they will have children. This universal, biopsychosocial assumption goes unchallenged until a couple faces infertility. Although the effects of such a challenge are profound, infertility is often treated as a nonevent — both within our society as a whole, and within the field of family therapy in particular. To assist clinicians who work with this numerically increasing population, and the many others who have been affected by their encounter with infertility in the past, this article discusses the biological/medical, psychological, and social factors that shape the experience of infertility in our society.  相似文献   

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Family Teamwork and Psychotherapy   总被引:1,自引:0,他引:1  
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家庭心理治疗作为一种新的、科学的治疗理念正引起心理治疗专家和学者的普遍兴趣和关注。它着眼于家庭和家庭内部关系,把一种新的治疗理念引入了心理治疗领域。在介绍家庭心理治疗基本问题和国内外发展概况的基础上,论述其在中国存在和发展的必然性及可能性,旨在为我国家庭心理治疗的发展和应用提供参考。  相似文献   

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家庭心理治疗作为一种新的、科学的治疗理念正引起心理治疗专家和学者的普遍兴趣和关注.它着眼于家庭和家庭内部关系,把一种新的治疗理念引入了心理治疗领域.在介绍家庭心理治疗基本问题和国内外发展概况的基础上,论述其在中国存在和发展的必然性及可能性,旨在为我国家庭心理治疗的发展和应用提供参考.  相似文献   

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As family therapists increasingly practice in healthcare settings, they need to be aware of forthcoming changes in healthcare policy and the impact of these changes on their clinical work and the lives of their clients. In this paper, we provide a primer on healthcare policy for family therapists, which describes current and proposed changes in healthcare that will potentially revolutionize healthcare delivery for families. We describe three key initiatives: (1) Triple Aim; (2) the Accountable Care Organization; and (3) the Patient Centered Medical Home. We conclude with a discussion about future directions and healthcare policies that include families.  相似文献   

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具身心理治疗是以身体心理治疗、舞动治疗为代表的,理论上契合具身认知观点、实践中注重身体作用的一种当代心理治疗取向。它将"身体"与"躯体"区分开来,赋予身体解剖学的、感觉运动的、认知的与嵌入环境等不同层面的意义。当前,已有不少研究证实身体有助于改善治疗关系,促进来访者认知、情绪的改变,并发展出一系列注重身体内外感知、姿势或运动的非言语治疗技术。具身心理治疗重构了身体在治疗过程中的概念与角色,发展了新的技术,是传统心理治疗的有益补充;但也存在实证证据不足、理论框架尚未完全整合、容易过分强调身体作用等问题。今后需自觉整合其他治疗流派、开发独特的核心技术,推进循证的具身心理治疗的发展。  相似文献   

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