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211.
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
212.
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
213.
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
214.
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
215.
晏婴以极忠尽谏闻名,而其劝谏的主要内容便是要齐君效法古之贤君爱民、重民,体现出中国传统文化中的民本思想.本文以《晏子春秋》为据,描述晏婴的谏诤形象和高超的进谏艺术与技巧. 相似文献
216.
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
217.
This study examined similarities and differences in social support and self-efficacy for abstinence between women and men
recovering from substance addiction. The sample consisted of 87 residents of Oxford House (OH) self-run, community-based recovery
homes. Analyses revealed similarities between women and men in terms of the composition and utilization of support networks
and abstinence self-efficacy. Also, for both sexes, length of residency in OH was significantly related to decreased social
support for alcohol and drug use and increased self-efficacy for abstinence. However, multiple-group SEM analyses demonstrated
that social support for alcohol/drug use fully mediated the link between length of residency and abstinence self-efficacy
for women, but not for men. Findings suggest that the process of gaining self-efficacy to remain abstinent is distinct for
women and men, and that social support plays a different role in women's recovery than it does in men's. 相似文献
218.
Chinman M Hannah G Wandersman A Ebener P Hunter SB Imm P Sheldon J 《American journal of community psychology》2005,35(3-4):143-157
Research has shown that prevention programming can improve community health when implemented well. There are examples of successful prevention in local communities, however many continue to face significant challenges, demonstrating a gap between science and practice. Common strategies within the United States to address this gap are available (e.g., trainings), but lack outcomes. Building community capacity to implement high quality prevention can help communities achieve positive health outcomes, thereby narrowing the gap. While there is ample research on the efficacy of evidence-based programs, there is little on how to improve community capacity to improve prevention quality. In order to narrow the gap, a new model of research—one based in Community Science—is suggested that improves the latest theoretical understanding of community capacity and evaluates technologies designed to enhance it. In this article, we describe this model and suggest a research agenda that can lead to improved outcomes at the local level. 相似文献
219.
Bates BR 《Journal of genetic counseling》2005,14(6):423-434
Critics of genetic discourse are concerned that deterministic and discriminatory views of genetics are increasingly becoming
adopted. These views argue that current genetic discourse becomes a source of power whereby powerful institutions harm people
with so-called “bad” genes. This essay argues that current analyses of the power of genetics discourse are grounded in an
improper reading that disempowers patients. Deploying Michel Foucault's concept “care of the self,” this essay claims that
genetics discourse is better understood as a way that patients take on power through rhetoric rather than a force that has
power over patients. Through a close reading of the “My Family Health Portrait” program, this paper argues that patients experience
a process of “subjection” wherein they become agents of and objects of genetics discourse both. This alternative mode of analyzing
the power of genetics discourse has implications for our collective understanding of the operations of the care of the self
and the uses of genetic information that we propose. 相似文献
220.
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