《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。     

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.     

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.     

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.     

临床肺减容术发展历程中的矛盾思辨

晚期肺气肿是进行性恶化的常见呼吸系统疾病。由于内科药物治疗不能彻底遏制疾病的自然进程,外科肺减容术应时而生。但手术治疗有着与生俱来的缺点,因此内科介入肺减容术基于相似的机理出现了,并可与外科手术序贯应用。这种矛盾双方的对立与统一促进了该领域的发展,也是一种解决临床问题的重要辩证思维。     

情境交互作用理论体系：辩证心理学与交互行为心理学

摘要 辩证心理学和交互行为心理学是近年对心理学理论建设和方法论改革影响较大的心理学取向,它们可以共同归纳到心理学的情境交互作用理论体系之下。情境交互作用理论体系打破了传统心理学只关注意识、行为和心理机制的单一维度,认为心理学应该关注机体与情境交互作用中的意义。文章对辩证心理学和交互行为心理学的主要观点和主要假设进行了详细阐释。最后对情境作用理论体系对当代心理学的影响和启示进行了说明,可以为未来心理学的发展指明方向。