Dialectical Behavior Therapy Techniques for Counseling Incarcerated Female Adolescents: A Case Illustration

Dialectical behavior therapy (DBT) may successfully address the needs of female juvenile offenders, but systemic barriers prohibit adherence to the full DBT protocol. The authors built a rationale for using select DBT techniques with female adolescent offenders and provided a case illustration.     

科学探究的认知机制研究述评

科学探究涉及一个复杂的认知过程，Klahr和Dunbar的SDDS模型、Kuhn的模型以及双过程模型对此过程进行了描述；另外研究者们还对科学探究过程不同阶段需要的认知技能和认知策略以及影响因素进行了研究。     

《黄帝内经》的历史评价与读法

《黄帝内经》仅代表当时医学理论水平,它是以自然哲学的思维来解释自然科学问题的理论假说,虽然发现了许多客观的规律与结论,也有不少错误的猜测.因此,读《黄帝内经》要注意三点:一是书中概念多,但定义少,需要辩证体会；二是要以实践来验证其理论的真与伪；三是书中有些概念的含义与现代不同,要区别对待.     

辩证思维在重症急性胰腺炎治疗中的运用

重症急性胰腺炎的治疗水平在近几十年已有了很大的发展,但是SAP的死亡率依然居高不下,严重威胁患者生命。这类患者的病情复杂,需要运用多种治疗方法进行综合救治。从多种治疗方法中选择合适的方法并进行合理的治疗很难准确把握,需要我们用哲学的思维来看待胰腺炎的诊治,辩证地对其进行有针对性的治疗,从而提高重症急性胰腺炎的治疗水平。     

辩证认识处理烧伤创面

人体是对立统一的有机整体,烧伤后皮肤局部形态结构和功能发生改变,进而引发局部与全身病理生理变化,烧伤创面处理贯穿于烧伤治疗的全过程。辩证认识和正确处理烧伤创面,提高烧伤治愈率;并将皮肤组织工程、整形外科等先进的技术手段和方法应用于烧伤创面的修复治疗,降低烧伤患者晚期畸形发生率,最大程度地让患者重返社会,恢复正常的生活和工作,这是现代烧伤治疗的目标。     

宏观与微观辩证论治的临床运用

本文提出以中医(宏观)辩证论治与西医(微观)辩病论治相结合诊治病症。作者通过列举临床诊治几种疾病为例,证实这种先进模式是成功之举。并要改革部份中药的剂型和给药途径,选择特效优质中(草)药,以新型高效稳定的中药针剂等作为突破口,对部分内科急重病症采用静脉点滴或肌注直接给药。     

特需医疗服务需方特征及意向调查分析

为了解特需医疗服务需方的特征及其影响因素,挖掘特需医疗服务市场的发展潜力提示思路。以问卷调查、个别访谈定性研究为主,并综合运用了统计资料及数据库资料的提取与分析等多种研究方法。结果显示,特需医疗服务市场容量大,并且持续增长;特需医疗服务需方选择医院的主要依据是医疗技术水平、服务设施、环境和先进的设备;医疗质量不高在特需医疗服务市场中反映较为普遍。特需医疗服务市场潜力巨大,特需医疗服务的发展应以目标人群的需求为导向,实施个性化服务策略。     

Preliminary Evidence for the Effectiveness of Dialectical Behavior Therapy for Adolescents

This meta‐analysis evaluated the effectiveness of dialectical behavior therapy for adolescents in reducing symptoms of depression, anxiety, self‐injury, and suicide risk. Twelve between‐group studies (N = 834) were chosen that met the inclusion criteria. Results revealed small‐to‐medium Hedges's g effect sizes for all 4 symptoms compared with control and alternative treatment groups. However, the small number of effect sizes available for each analysis limited the generalizability of the findings. Implications and suggestions for future research are discussed.     

Using the Linehan Risk Assessment and Management Protocol With a Chronically Suicidal Patient: A Case Report

The Linehan Risk Assessment and Management Protocol (LRAMP) is an empirically supported, comprehensive framework used to assess suicide risk and protective factors, and provide a guide for the therapist to consider reasonable options for intervening on suicidal behavior. This protocol includes a structured checklist for assessing, managing, and documenting suicide risk. It also structures the documentation to clearly describe the presentation, assessment, in-session interventions, decision-making process, and follow-up to other members of the treatment team. This paper describes a case in which the LRAMP was used to guide the assessment, intervention, and documentation of the suicidal behavior of a patient, “Ann,” being treated with outpatient Dialectical Behavioral Therapy in a community mental health clinic. Each section of the LRAMP is discussed as it was used with this complex patient, who had history of high utilization of acute psychiatric services. Application of the LRAMP included the assessment of risk and protective factors, and the use of an individualized crisis plan that engaged the patient, her family, the therapist, and the clinical team, to decrease acute risk, continue outpatient treatment, and avoid inpatient hospitalization. The considerations for documenting clinical decision-making with chronically suicidal patients are discussed.