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51.
Thomas?W.?MillerEmail author Robert?F.?Kraus Chelsea?A.?York 《Journal of Contemporary Psychotherapy》2005,35(4):347-357
Health-focused psychotherapy offers a contemporary model used in assessment, treatment planning and evaluation in addressing
patients with both medical and psychiatric diagnoses. Clinicians in the health and mental health disciplines must know and
understand the importance of standards of care and models of intervention and evaluation in clinical practice for this type
of patient. Examined is the use of a specific model providing a tailored orientation to patient education, along with the
development and use of a clinical algorithm and care pathway for clinical practice. Provided is a case study for applying
the development and use of a clinical algorithm and care pathway for a dual diagnosed patient receiving health-focused psychotherapy. 相似文献
52.
The treatment of hypochondriacal patients can be conceptualized as taking one of three approaches. These typically address one of the following questions: 1) “Should the patient be preoccupied?” 2) “Why is the patient preoccupied?” 3) “What are the interpersonal consequences of being preoccupied?” Interpersonal Psychotherapy (IPT) is specifically designed to address the last of these questions. IPT focuses on understanding the patient’s real distress, exploring the patient’s maladaptive communications, and modifying those communications so that others are more able to meet the patient’s attachment needs. With a focus on communication in a time-limited frame, fostered by a strong collaborative relationship, IPT appears to be an effective method of reducing hypochondriacal behavior. 相似文献
53.
Geoffrey?T.?HutchinsonEmail author Benjamin?P.?Chapman 《Journal of Contemporary Psychotherapy》2005,35(2):145-155
Viktor Frankls Logotherapy and Albert Elliss Rational Emotive Behavior Therapy (REBT) are at seemingly opposite ends of the psychotherapeutic spectrum. However, a close review of the assumptions and philosophy of each school of therapy reveals that these two systems are compatible. We propose that a Logotherapy-enhanced REBT can increase human achievement and happiness by balancing the individual discovery of meaning with the pursuit of reason. This integrated and enhanced therapy will help human beings participate in positive life experiences and take greater responsibility for change. Fruitful and beneficial aspects of a Logotherapy enhanced-REBT are explored with respect to cognitions, emotions, and the reduction of rumination. Conclusions are drawn, limitations are discussed, and future recommendations are outlined. 相似文献
54.
An assortment of factors in modern society can be involved in the etiology and treatment of mental illness. Theories about
etiology usually underlie, and therefore guide, most strategies for treatment. Although a comprehensive bio-psycho-social
approach to mental illness can help to foster the collaboration of an interdisciplinary treatment team, a heavy emphasis on
biological factors or cultural deprivation may reduce the client's feelings of personal responsibility for change. Contemporary
psychotherapy can help clients reduce their tendency to attribute blame to biological predispositions or external societal
factors. Instead, it is more helpful to cultivate attributions for personal responsibility for change, growth, and maturation. 相似文献
55.
Nicholas Long Barbara-Jeanne Austin Mary M. Gound Abesie O. Kelly Adrienne A. Gardner Rick Dunn Stacy B. Harris Kim S. Miller 《Journal of child and family studies》2004,13(1):47-65
The Parents Matter! Program (PMP) has developed three interventions for parents of 4th and 5th grade African-American children (9–12 years old). The overarching goal of all three interventions is to provide parents with knowledge, skills, and support for enhancing their efforts to raise healthy children. The interventions are: (1) Enhanced Communication and Parenting (five 2
-hour sessions), (2) Brief Communication and Parenting (single 2
-hour session), and (3) General Health (single 2
-hour session). This article discusses the development of these interventions, presents an overview of the content of each intervention, and discusses issues related to the facilitation/presentation of these interventions. 相似文献
56.
Effectiveness Research: Transporting Interpersonal Psychotherapy for Depressed Adolescents (IPT-A) From the Lab to School-Based Health Clinics 总被引:2,自引:0,他引:2
Mufson LH Dorta KP Olfson M Weissman MM Hoagwood K 《Clinical child and family psychology review》2004,7(4):251-261
This paper describes the process of modifying and transporting an evidence-based treatment, Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), from a university setting to school-based health clinics. It addresses conceptual issues involved in the shift from efficacy to effectiveness research as well as operational issues specific to the transport of IPT-A into school-based health clinics. Consideration is given to the rationale for an IPT-A effectiveness study, methodological concerns, and the timing of the move from the lab to the community. The authors identify challenges and barriers to initiating effectiveness and transportability research and provide suggestions for overcoming these barriers. Recommendations for conducting research in school-based practice settings are provided. 相似文献
57.
Szawarski Z 《Science and engineering ethics》2004,10(1):57-64
This paper attempts to define the concept of placebo as it is used in the clinical context The author claims that X is a placebo
if and only if X has such a property dp, that whenever in a therapeutic situation T a stimulus S appears, then in attending conditions A, it will cause a beneficial
reaction R in the patient. Formally, the same structure may be used to define any pharmacologically active drug. The main
difference between the drug and a placebo is in the range of possible substitutions for X and the property d. For the active
drug there is only one possible substitution for X and property d and it can be scientifically explained why, and how the
drug works. In the case of a placebo a set of possible substitutions for X and d is open, and so far it is impossible to offer
any scientifically valid explanation of the action mechanism of placebo. 相似文献
58.
Willem?H.?J.?MartensMartens_@hotmail.com" title="WimmartensW@netscape.net Martens_@hotmail.com" itemprop="email" data-track="click" data-track-action="Email author" data-track-label="">Email author 《Journal of Contemporary Psychotherapy》2004,34(4):351-361
Therapeutic use of humor in patients with antisocial personality disorders is scarcely studied until now. However, therapeutic use of humor could contribute to a growth of social-emotional and moral awareness and capacities, enhancement of self-insight and reality testing, and associated therapeutic progress in these patients. Suggestions are made for a) adequate and safe use of humor in the therapeutic context, and b) effective selection of patients. More research is needed into the effects and adequate strategies of therapeutic humor in different categories of antisocial patients. Furthermore, it is also necessary to investigate how humor could be integrated well in various psychotherapeutic approaches 相似文献
59.
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
60.
Victor L. Schermer 《Group》2001,25(3):215-223
Hopper's portrayal of the fourth basic assumption of Incohesion: Aggregation/Massification has two components: (1) a revision of Turquet's theory of BA Oneness to incorporate the polarity of aggregation and massification stemming from annihilation anxiety; and (2) a conception of the difficult patient as having an encapsulated psychosis. Hopper's theory of the encapsulated psychosis offers an important but incomplete perspective in explaining borderline and narcissistic pathology, as well as psychological trauma. In this response to Hopper, I suggest that the fourth assumption is in fact a still more primitive state of boundary opening and closing. I also see a need to differentiate trauma as such from borderline pathology, and further hold that the relationship between Hopper's British Independent theory and trauma theories based on dissociation needs to be clarified. 相似文献