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51.
While obsessive–compulsive disorder is widely recognized to have a strong genetic component, psychosocial factors are also acknowledged to be important. The primary focus of this paper is on familial factors associated with OCD in children and adolescents. It explores the family context as a possible risk factor in the development and maintenance of the disorder, including parental modeling, expressed emotion, parenting style, and family accommodation of the child's symptoms. The involvement of the family in the treatment of the disorder is also reviewed. Finally, future directions for research investigating familial factors in childhood OCD are presented. 相似文献
52.
Switankowsky I 《Theoretical medicine and bioethics》2000,21(6):567-580
Cartesian dualism has been viewed by medical theorists to be oneof the chief causes of a reductionist/mechanistic treatment ofthe patient. Although I aver that Cartesian dualism is one culprit for the misapprehension of the genuine treatment of patients in termsof both mind and body, I argue that interactive dualism whichstresses the interaction of mind and body is essential to treatpatients with dignity and compassion. Thus, adequate medical carethat is humanistic in nature is difficult (if not impossible)to achieve without physicians adhering to a dualistic frameworkin which the body and person is treated during illness. 相似文献
53.
The concept of acceptance is receiving increased attention as an alternate approach to the suffering that is often associated with persistent and disabling pain. This approach differs from established treatments in that it does not principally focus on reducing pain, but on reducing the distressing and disabling influences of pain as they concern important areas in patients' lives. The present analyses represent a preliminary evaluation of an acceptance-based approach to chronic pain within an interdisciplinary treatment program. One hundred and eight patients with complex chronic pain conditions completed treatment and provided data for the current study. Treatment was conducted in a 3- or 4-week residential or hospital-based format. It included a number of exposure-based, experiential, and other behavior change methods focused on increasing (a) engagement in daily activity regardless of pain and (b) willingness to have pain present without responding to it. Significant improvements in emotional, social, and physical functioning, and healthcare use were demonstrated following treatment. The majority of improvements continued at 3-months post-treatment. Improvements in most outcomes during treatment were correlated with increases in acceptance, supporting the proposed process of treatment. 相似文献
54.
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
55.
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
56.
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
57.
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
58.
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
59.
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
60.
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