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ID:12626912
大小:30.00 KB
页数:8页
时间:2018-07-18
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1、BackgroundInformation 家庭和社区介入治疗可以帮助每个家庭成员认识和解决家庭中的问题,促进相互理解、相互帮助,避免患者在治疗后又回到一个病态家庭中去;也可以帮助患者摆脱依赖,同时也消除患者给家庭成员造成的心理创伤。 Whenthecureisnotworththecost ThankstoresearchbytheNationalInstitutesofHealthandacademicscientistsduringthelastthreedecades,wenowhavepr
2、oventreatmentsfordepression,addictionandothermentaldisorders.Butalltoooftencliniciansdonotusethem. Withoutfinancialincentivestoprovidetreatmentsthatareknowntowork,manymentalhealthprofessionalsstickwithwhattheyknow,orpickuponthelatestfad,orevenintroducetheirownuntestedinnovatio
3、ns--whichinturnarespreadbytestimonialsandcredulousnewsmediacoverage. Similarly,oneofthemostcommonapproachestoalcoholismtreatmentinvolveshavingcounselorsandfellowalcoholicsconfrontpatientsandforcethemtoidentifythemselvesasalcoholics.Butresearchfindsthatthemoreacounselorconfront
4、s,themoreapatientdrinksandthemorelikelyheistodropoutoftreatment.Andnoassociationbetweenacceptingthelabel"alcoholic"andquittingdrinkinghasbeenfound.Counselorempathy---notconfrontation-isconnectedwithrecovery. AccordingtoareviewbytheInstituteofMedicinein2006,only10.5percentofalc
5、oholicsreceived"careconsistentwithscientificknowledge"ofthedisorder;similarly,43percentofchildreninpsychiatrichospitalsaregivenantipsychoticmedicationdespitenotsufferingfrompsychosis.Toughbootcampsfortroubledteenagers--whichhavebeenproventobeineffectiveandpotentiallyharmful--t
6、hrive,while"multi-systemicfamilytherapy,"whicheffectivelytreatsteenagersathome,isavailableonlythroughthejuvenilejusticesystem. Takethewell-knownapproachfeaturedonthecableTVrealityshow"Intervention"aimedatgettingaddictsandalcoholicsintotreatment.Here,thefamilyandsometimestheemp
7、loyergatherwithacounselor,confronttheaddictandthreatentoshunhimorfirehimifhedoesn'tenterarehabilitationcenter.A1999studycomparedthisstyleofintervention---whichcanbackfireandleadtobrokenfamilies---toalessconfrontationalapproachknownas"communityreinforcementandfamilytraining,"wh
8、ichisaimedathelpingthefamilynurturetheaddict'sownmotivation.M
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