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31.
现代医学模式形成与疾病治疗 总被引：5，自引：1，他引：5
周绍辉 《医学与哲学(人文社会医学版)》2000,21(8):5-8
现代生物心理社会医学模式已经成为卫生界领导及广大医务人员的共识 ,并以此指导临床医疗实践。临床诊断正在增添新的内容 ,疾病治疗这个概念也拓宽了她的外延 ,人文科学在医学中越来越显示出她独特的不可替代的地位和作用 ,生物治疗、心理治疗、哲学治疗是未来的三大块治疗模式 相似文献
32.
无效治疗--医者的困扰 总被引：1，自引：0，他引：1
关于无效治疗的争论越来越受到社会各方面的重视,但由于各自的利益和出发点不同,社会各方对无效治疗的观察角度和侧重点不同。从医务工作者的角度,就无效治疗的概念、判定及无效治疗实施过程中的利益冲突和解决对策进行讨论。 相似文献
33.
Brian D. Greer Wayne W. Fisher Billie J. Retzlaff Ashley M. Fuhrman 《Journal of the experimental analysis of behavior》2020,113(1):251-262
Quantitative models of resurgence (e.g., Behavioral Momentum Theory, Resurgence as Choice) suggest that resurgence is partly a function of the duration of extinction exposure, with longer histories of extinction producing less resurgence. This prediction is supported by some laboratory research and has been partially supported by clinical translations that did not isolate the effects of extinction exposure prior to testing for resurgence. The degree to which different histories of extinction impact the likelihood of treatment relapse in therapeutic applications of differential reinforcement is of great interest to the clinical community, including insurance carriers and other financial providers. In the present study, we isolated the effects of extinction history for severe destructive behavior across 6 participants referred for treatment services and examined resurgence of destructive behavior when alternative reinforcement terminated. Our within-subject evaluation showed no difference in the level of resurgence or persistence of destructive behavior following short and long exposures to differential reinforcement with extinction. We discuss our failure to replicate in relation to experimental-design considerations for investigating this and other relapse phenomena in future research with clinical populations. 相似文献
34.
Kristen P. Jones Judith A. Clair Eden B. King Beth K. Humberd David F. Arena 《Personnel Psychology》2020,73(3):431-458
Pregnancy reflects a common experience for women in today's workforce, yet recent data suggest that some women scale back or leave the workforce following childbirth. Considering these effects on women's careers, researchers have sought to understand the underlying dynamics of these decisions. Here, we explore a paradoxical reason for weakened postpartum career attitudes: help that women receive during pregnancy. We integrate stereotype threat and benevolent sexism theories to explain how the effects of help on postpartum intentions to quit may be transmitted through reductions in work self-efficacy. In doing so, we consider the role of perceived impact—or the extent to which help interferes with versus enables women's perceived ability to continue performing their work role. Results of a weekly diary study of 105 pregnant employees suggest that work-interfering help led to decreased self-efficacy for work during the following week. Furthermore, there was an indirect effect of average help received at work during pregnancy on postpartum intentions to quit the workforce through reductions in work self-efficacy that was stronger insofar as help was work-interfering versus work-enabling. Taken together, our results highlight unintended negative consequences that occur when others provide ineffective support to women at work during pregnancy. 相似文献
35.
Megan Granski Shabnam Javdani Valerie R. Anderson Roxane Caires 《American journal of community psychology》2020,65(1-2):201-222
There is high variability in efficacy for interventions for youth with disruptive behavior problems (DBP). Despite evidence of the unique correlates and critical consequences of girls’ DBP, there is a dearth of research examining treatment efficacy for girls. This meta-analysis of 167 unique effect sizes from 29 studies (28,483 youth, 50% female; median age: 14) suggests that existing treatments have a medium positive effect on DBP (g = .33). For both boys and girls, the most effective interventions included (a) multimodal or group format, (b) cognitive skills or family systems interventions, and (c) length-intensive programs for (d) younger children. Boys demonstrated significantly greater treatment gains from group format interventions compared to girls, which is particularly important given that the group program format was the most prevalent format for boys and girls, with 14 studies involving 10,433 youth encompassing this category. This is the first meta-analysis to examine the effect of program characteristics in a sample of programs selected to be specifically inclusive of girls. Given that girls are underrepresented in intervention research on DBP, findings are discussed in terms of gender-responsive considerations and elucidating how key aspects of program structure can support more effective intervention outcomes for youth. 相似文献
36.
Eman Tadros Erik Ribera Olivia Campbell Halle Kish Taylor Ogden 《The American journal of family therapy》2020,48(5):495-508
AbstractThe U.S. correctional system has become the epicenter for public health and mental health crisis. This article discusses literature documenting incarcerated transgender individuals’ mental health treatment. The severity of mental illness treatment issues within the system amongst transgender and other LGBTQ?+?individuals, clearly displays the need for interventions tailored to this population. Recommended interventions are centered around post traumatic response and cater to those who exist in marginalized populations with consideration given to the significance of family strain and support. Overall, there is a need for a shift in mindset and available services to treat incarcerated transgender individuals. 相似文献
37.
Deane E. Aikins Robert H. Pietrzak Joseph C. Geraci Todd Benham Paul Morrissey Steven M. Southwick 《Military psychology》2020,32(5):419-427
ABSTRACT Low treatment utilization in Soldiers with combat-related Posttraumatic Stress Disorder (PTSD) is an ongoing issue. The critical concern is to better understand factors which prohibit a Soldier with PTSD who wants help from seeking treatment (an “inclined abstainer”). A total of 537 Active Duty Soldiers on a US Army post completed a brief survey comprising psychometrically validated measures of stigma, behavioral health treatment beliefs, resilience, PTSD symptoms, and treatment intentions. Health-care records were prospectively tracked for 12 months to determine the relation between survey answers and treatment utilization. Sixty-three percent of those who acknowledged having a mental health-related problem did not seek help within a one-year period. Greater severity of PTSD symptoms was associated with an increased likelihood of behavioral health engagement. Soldiers that were classified as “inclined abstainers” were also more likely to endorse negative beliefs about psychotherapy and report higher levels of resilience as compared to “inclined actors.” These results suggest that a treatment model of PTSD emphasizing self-efficacy and self-reliance, while addressing negative beliefs about psychotherapy, may help promote engagement of behavioral health services among Active Duty Soldiers. 相似文献
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Treatment adherence is relevant for clinical and economic outcome in affective disorders as well as psychosis. Knowledge concerning the disease and its treatment might influence patients' willingness to follow the health‐care providers' recommendations and mutual decision‐making. In the current study, we investigated how Internet surfing for health‐related issues and attitude toward the relevance of the online information impact treatment adherence in major depressive disorder (MDD) and schizophrenia (SZ). A total of 83 outpatients (59 MDD, 24 SZ) participated in a survey. A multiple linear regression model with “exposure,” “attitude,” “diagnosis,” and their interaction as regressors was significant predictive of medication‐adherence rating scores, R2 = .179; 95% CI [0.00, 0.32]. In the MDD group only, more extended exposure to Internet surfing for health‐related issues and attribution of higher personal relevance were associated with poorer medication adherence at a statistical trend level, p = .060 and p = .077, respectively. In both groups, being female as well as higher age and intelligence were associated with favorable adherence, p = .003, p = .044, and p = .039, respectively. Considering the limitations (e.g., small sample size), our findings add to previously published data contributing to a better understanding of how Internet use may impact treatment adherence in MDD and schizophrenia. 相似文献