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101.
Eva?M.?EpsteinEmail author Denise?M.?Sloan 《Journal of Contemporary Psychotherapy》2005,35(4):317-330
There is a wealth of data indicating the effectiveness of cognitive behavioral therapy in the treatment of bulimia nervosa.
However, the best evidence indicates a treatment success rate of 50%. The purpose of this paper is to briefly describe cognitive
behavioral treatment of bulimia nervosa and to offer suggestions on how this therapy approach may be tailored to best serve
the needs of individual clients. Such tailoring should ultimately lead to even greater treatment success. 相似文献
102.
Hypochondriasis is a debilitating condition in which patients are persistently preoccupied with the possibility of being seriously ill. Its is a costly problem for the health care system whose treatment has not received systematic attention until recently. Although based on few controlled studies, results indicated that various brief cognitive-behavioral techniques produce significant changes in illness fears and attitudes. A list of therapeutic questions that require further study is presented and some indications for both therapists and patients are given. 相似文献
103.
A review of the debate on the Empirically Supported Treatment Program is presented. It is argued that underlying the specifics of the debate are fundamentally incompatible paradigms: a meaning vs. a medical model. The findings from two gold standard multi-site studies are reviewed to conclude that the control condition meets requirements for an empirically supported treatment. The empirical finding of the failure of clinical training to improve treatment outcomes is explained by the focus on rational factors in training. It is recommended that training of therapists focus on enhancing experiential capacity rather than mastery of manualized treatment approaches. 相似文献
104.
Nix RL Pinderhughes EE Bierman KL Maples JJ;Conduct Problems Prevention Research Group 《American journal of community psychology》2005,36(3-4):307-325
This study examined whether the link between risk factors for conduct problems and low rates of participation in mental health
treatment could be decoupled through the provision of integrated prevention services in multiple easily-accessible contexts.
It included 445 families of first-grade children (55% minority), living in four diverse communities, and selected for early
signs of conduct problems. Results indicated that, under the right circumstances, these children and families could be enticed
to participate at high rates in school-based services, therapeutic groups, and home visits. Because different sets of risk
factors were related to different profiles of participation across the components of the prevention program, findings highlight
the need to offer services in multiple contexts to reach all children and families who might benefit from them.
Ellen Pinderhughes's and Karen Bierman's colleagues in the Conduct Problems Prevention Research Group are, in alphabetical
order, John D. Coie, Duke University; Kenneth A. Dodge, Duke University; E. Michael Foster, University of North Carolina;
Mark T. Greenberg, Pennsylvania State University; John E. Lochman, University of Alabama; and Robert J. McMahon, University
of Washington. 相似文献
105.
Doctor's Expertise and Managing Discrepant Information from Other Sources in Genetic Counseling: A Conversation Analytic Perspective 总被引:1,自引:0,他引:1
The study examines a recurrent interactional pattern in genetic counseling. It describes clinical geneticists' responses in
situations in which clients have presented information from other sources that is potentially discrepant with information
given by the doctor. The data consists of 12 video-recorded sessions of genetic counseling in Finland, and the method is conversation
analysis. There are two primary ways the doctors respond: either they accept the client's information as such, but show that
it is not discrepant with the doctor's information, or they reject the client's information. In the latter case they mitigate
the ‘wrongness’ of the client's information. The clinical geneticists seem to be working with a dilemma: they need to find
a balance between ensuring correct understanding of the information and showing respect for the expertise of others. A particularly
complex case is also analyzed and reflected on. 相似文献
106.
Jay B. Sisun is a Clinical Research Assistant at Taunton State Hospital. Glen A. Eskedal is the Chair and Professor of Education
and Human Services at Suffolk University. Of challenge to developmental psychologists and mental health practitioners is the
management of positive and negative symptoms associated with schizophrenia and their effects on mastering psychosocial developmental
tasks. The intent of this article is to provide specific information pertinent to understanding this disorder, to understand
the age-appropriate struggle for individuation, and to offer recommendations for effective treatment. 相似文献
107.
Wasilewski BW 《Science and engineering ethics》2004,10(1):179-188
With the example of treatment of menopause-related vegetative and emotional disturbances, the author verifies the effectiveness
of the use of Ignatia amara containing complex homeopathic remedies (IACCHR) as an alternative to placebo. Substantial improvement
in psychological and psychosomatic symptoms was observed. Climacteric complaints diminished or disappeared completely in the
majority of women (95.7% by patient evaluation and 96.2% by physician evaluation). Compared to standard pharmaceuticals, IACCHR
treatment was tolerated better and lower risk of side effects was observed. The results obtained in this work indicate the
significant therapeutic potential of this group of treatments, which is in line with the therapeutic effect of the placebo.
Nevertheless, the showing of specific effects in pharmacological tests disqualifies the investigated treatments from use in
a clinical trial in place of a placebo.
An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research
Today,” held in Warsaw, Poland on 12–13 April, 2003. 相似文献
108.
Behavioral treatment of insomnia in older adults: an open clinical trial comparing two interventions
Pallesen S Nordhus IH Kvale G Nielsen GH Havik OE Johnsen BH Skjøtskift S 《Behaviour research and therapy》2003,41(1):31-48
Fifty-five insomniacs, 60 years or above, participated in a behavioral treatment program, comparing two interventions (sleep hygiene+stimulus control vs sleep hygiene+relaxation tape). Half of the subjects were randomized to a waiting-list condition prior to treatment. No significant changes were observed during the waiting-list period. During the treatment period however, the subjects improved on several sleep parameters, and treatment gains were maintained at a 6-month follow-up. The effects of treatment were greater for nocturnal measures (e.g. sleep onset latency and total sleep time) as compared to daytime measures (e.g. life satisfaction, daytime alertness) and not-targeted behavior (medication use). There were no differences in treatment effects for the two interventions. 相似文献
109.
Rentz TO Powers MB Smits JA Cougle JR Telch MJ 《Behaviour research and therapy》2003,41(11):1337-1353
The aims of this study were to investigate exposure-based treatments for cynophobia (dog phobia) and to test a newly developed hybrid imaginal exposure treatment that we have named active imaginal exposure. The treatment introduces an in vivo coping component to imaginal exposure whereby the patient physically performs coping responses to an imagined feared stimulus. Eighty-two participants meeting DSM-IV criteria for specific phobia (animal subtype) were randomly assigned to one of three 30-min. treatments: (a) active-imaginal exposure (AI), (b) imaginal exposure alone (IE), or (c) graduated in vivo exposure (IV). Participants completed a behavioral approach test at pre, post, and four-week follow-up. Significant pre- to posttreatment improvement was observed in all three treatment conditions. Response rates at posttreatment were 51.9, 62.1, and 73.1% for the IE, AI, and IV groups respectively. Likewise, effect sizes at posttreatment were 0.76, 1.41, and 1.55 for the IE, AI, and IV groups respectively. Although in the predicted direction, the between group differences were not significant. A similar pattern of results was observed at follow-up. Further, safety behavior utilization during treatment was associated with less improvement--particularly in the two imaginal treatment conditions. Exposure treatments of dog phobia appear feasible and effective in reducing phobic fear and avoidance associated with dog phobia. Furthermore, preliminary evidence suggests that our active-imaginal exposure treatment may be a viable alternative to in vivo exposure. 相似文献
110.
Mueller MM Piazza CC Moore JW Kelley ME Bethke SA Pruett AE Oberdorff AJ Layer SA 《Journal of applied behavior analysis》2003,36(4):545-562
Four different multicomponent training packages were evaluated to increase the treatment integrity of parents implementing pediatric feeding protocols. In Study 1 we exposed 3 parents to a training package that consisted of written protocols (baseline), verbal instructions, therapist modeling, and rehearsal training. Results suggested that the package was successful in increasing treatment integrity of the feeding protocols to high levels. Study 2 investigated three different parent-training packages comprised of components used in Study 1. Two parents were exposed to written protocols, verbal instructions, and modeling; 2 parents were exposed to written protocols, verbal instructions, and rehearsal; and 2 parents were exposed to written protocols and verbal instructions. Results of Study 2 showed that each parent-training package produced very high treatment integrity. Follow-up data in the clinic and home for 5 participants suggested that the results were durable for up to 3 months. These results demonstrate a first step in the transfer and application of research findings into routine clinical practice because we evaluated several methods for training parents to implement behavioral feeding protocols, and we demonstrated that these methods resulted in high levels of treatment integrity in a controlled clinical setting. 相似文献