医学模式的转变与对腰痛患者实施认知行为治疗

随着医学模式从生物医学模式向生物-心理-社会医学模式的转变,心理社会因素对腰痛患者疼痛的影响亦日益引起社会的普遍关注.从心理社会因素对腰痛患者疼痛的影响探讨医学模式转变的必要性以及给腰痛患者实施认知行为治疗的可行性.     

个体化用药--医药治疗的革命

遗传药理学和药物基因组学的发展,促进了药物反应种族差异的发现及其机制的阐明,使药物治疗模式开始由过去的诊断导向治疗向根据个体的遗传机构实行基因导向性治疗的新模式转换.     

慢性乙型肝炎治疗目标及策略解析

慢性乙型肝炎治疗的目标是最大限度地长期持续抑制或清除乙肝病毒,减轻肝细胞炎症坏死及其所致的肝纤维化,延缓疾病进展,减少肝硬化、原发性肝细胞癌及其并发症的发生。治疗措施包括核苷类似物抗病毒治疗;干扰素抗病毒治疗;免疫调节治疗;抗炎治疗和抗纤维化治疗,其中抗病毒治疗是关键。     

Positive psychological approaches to therapy

The term positive psychology has become widely used in recent years to refer to the new movement among psychologists who have turned their attention to positive human functioning. In this article we will review what the emerging field of positive psychology tells us about therapeutic practice. The positive psychology movement has led to a questioning of the fundamental assumptions underlying the practice of psychological therapy, and it is our view that the emerging positive psychology research is supportive of those therapeutic approaches which serve to facilitate the client's ability to hear their own inner voice.     

A Cognitive-behavioral Approach to Reconstructing Intergenerational Family Schemas

This article suggests the use of cognitive-behavioral techniques, namely cognitive restructuring combined with family-of-origin sessions, for reconstructing intergenerational family schemas. A case example portrays the use of the techniques as an effective intervention for addressing ingrained schemas, such as in the case of spousal abuse.Portions of this article were drawn from a lecture provided to the University of London’s Institute of Psychiatry at the Maudsley Hospital, UK in August of 2005. The author wishes to acknowledge Mr. Eric Frey and Ms. Katherine Adams for their assistance with the literature search.     

Spirituality, Gender, and Supervisory Style in Supervision

This study used the following guiding question: Is gender associated with variations in perceptions of supervisory style and the frequency with which spiritual issues are addressed in supervision? Results suggest that spirituality is perceived relevant to numerous aspects of supervision. For example, findings indicate that a relationship exists between two characteristics of supervisory style and the frequency with which spirituality is addressed in supervision. Results also intimate that male therapists viewed male supervisors as addressing spirituality more frequently than female supervisors, and female therapists viewed female supervisors as addressing spirituality more frequently than male supervisors. Overall, these findings highlight the significance of spirituality within the context of supervision and underscore the critical need for attention to gender in the study of spirituality within clinical settings.     

肿瘤治疗的过度与不足

当前肿瘤的治疗面临着两个极端治疗过度和治疗不足。通过分析这两种现象的危害、原因以及存在的基础,总结提出应对策略,有利于肿瘤治疗步上更加健康的发展之路。     

子宫内膜异位症的诊断和治疗进展

子宫内膜异位症(endometriosis,EMT)是妇科最常见的疾病之一,是引起痛经、月经不调、不孕等证状的重要原因,发病率呈逐年上升趋势,严重危害妇女的身心健康,影响患者的生活质量。其发病机制不清,疗效差,易复发,一直是妇科研究的热点和难点。多年来随着对EMT发病机制的不断认识,使EMT的诊治得到了进一步的完善和发展。从哲学的角度以认识和发展的观点对子宫内膜异位症的诊断和治疗进展进行综述,以有助于临床上的诊治。     

我国恶性肿瘤的治疗现状与对策

尽管我国现在对恶性肿瘤的治疗已取得巨大成绩,但依然存在诸多问题及误区,一是医患双方对肿瘤治疗认识上存在误区;二是应调整肿瘤防治的思路,要努力做到“三早”,由过去的任其发展转变为有效检控;三是充分利用医疗资源避免晚期恶性肿瘤的过度治疗与必要时终止治疗;四是要不断更新观念,坚持个体化治疗,提高患者的生存质量。