感染后咳嗽患儿血微量元素分析与黄芪注射液联合甘草合剂治疗研究

分析儿童感染后咳嗽的临床特点以及与外周血微量元素的关系,观察黄芪注射液联合甘草合剂治疗儿童感染后咳嗽的疗效。对自2006年1月至2008年6月在德州市妇幼保健院儿科门诊治疗的75例感染后咳嗽患儿行外周血微量元素测定,与40例健康小儿微量元素对比,并将75例患儿随机分为两个治疗组进行临床观察：实验组39例,口服黄芪注射液...     

Assessing and Facilitating Children's Cognitive Development: Developmental Counseling and Therapy in a Case of Child Abuse

This article presents practical implications for assessing a child's cognitive development and then facilitating developmental growth. The concepts of developmental counseling and therapy (Ivey, 1986, 1990) are presented as a systematic framework to integrate neo-Piagetian developmental theory into the interview. Specific techniques may be used for assessing cognitive development, expanding horizontal and vertical development, designing systematic questioning sequences, and planning overall treatment. An example of treatment of a case of child abuse illustrates the concepts in action.     

The Congruence of International Children's Rights and Feminist Principles as a Foundation for Therapy with Young People

SUMMARY

The United Nations Convention on the Rights of the Child, an international treaty that supports and protects humans under age eighteen, embodies several principles that are useful in guiding mental health treatment with young people. Here we summarize relevant tenets of the Convention and offer an analysis regarding its relevance to feminist therapy. Topics covered include participation and limited self-determination, privacy and autonomy, supportive community, access to information and care, least restrictive environment, and access to protection and recovery assistance. We then deconstruct the apparent assumptions underlying the Convention through a feminist, post-modern, social constructionist perspective. We conclude that the Convention offers a useful vision for work with children and is consistent in some ways with feminist-informed practice, although attention must be given to factors about which the Convention is silent, including gender, privilege, and assumptions regarding family, child, mental health, and human development.     

因子混合模型:潜在类别分析与因子分析的整合

因子混合模型(FMM)是考虑了群体潜在异质性后的因子分析模型,它将潜在类别分析(LCA)与传统的因子分析(FA)整合在同一框架内,既保留了两种分析技术的优点,同时又展现出独特优势。FMM的应用主要包括描述变量的潜在结构、对被试进行分组以及探测社会称许偏差等。我们建议分别采用FA、LCA与FMM三种模型拟合数据,参考拟合指数和模型可解释性选择最优模型。总结了FMM的分析步骤以及软件使用,并用于探讨大学生社会面子意识的测量模型。未来研究应关注FMM分析过程的简化,继续深化对拟合指数等方面的探讨。     

Families and Adolescent Drug Abuse: Structural Analysis of Children's Roles

This paper presents an analysis of sibling roles in families that have problems related to adolescent chemical abuse. It is based on material gathered during an exploratory research project directed toward structural evaluation of these families. The analysis identifies even sibling roles. The roles of Parental Child, Good Child, and Symptomatic Child are characterized as those with major structural impact. Four auxiliary roles of child Advocate, Analyst, Peacemaker, and Therapist are also described. Structural implications of sibling roles are discussed and suggestions for clinical intervention are presented.     

In Pursuit of Sisterhood: Adult as a Resource for Combined Individual and Family Therapy

Therapists traditionally view brothers and sisters as rivalrous and self-seeking. Under carefully arranged conditions, however, siblings can learn to cooperate with each other to resolve important conflicts in family relationships. This case documents a dramatic change in the relationship between a 29-year-old woman and her father, the outcome of a three-step therapeutic intervention in which sibling dynamics were selectively used by the psychotherapist. As part of her individual therapy, the therapist first aroused the woman's discontent with her status as the neglected “baby of the family.” Next, a series of meetings were held with the woman and her three sisters that permitted resolution of their previous anger and misunderstandings, thus helping them to become a more cohesive group of sisters. The third step brought the sisters, now as allies both of the identified patient and of the therapist, into a constructive confrontation with the parents. This resulted in lasting personal change for the identified patient and improved relationships throughout the entire family.     

非自杀性自伤与接纳承诺疗法的多维解析

接纳承诺疗法干预非自杀性自伤已经被一些临床案例证实疗效显著,与其他传统的心理治疗相比,接纳承诺疗法的干预效果更加持久。首先分析了非自杀性自伤基本含义以及各类特征,从心理动机的角度简要说明了非自杀性自伤发生的原因,再结合接纳承诺疗法的心理病理模型及治疗模型,阐述了接纳承诺疗法是通过提高个体心理灵活性减少非自杀性自伤发生的的理论依据与治疗过程,最后梳理了近年来国外学者通过接纳承诺疗法干预非自杀性自伤的实证研究及效果,为其他研究者实践该疗法治疗非自杀性自伤提供借鉴思路。