光量子血疗治疗偏头痛的疗效观察

目的:探讨紫外线照射充氧光量子血疗治疗偏头痛疗效。方法:将90例偏头痛患者随机分为血疗组和对照组,分别给予光量子血疗和盐酸氟桂嗪治疗,比较两组之间的疗效。结果:血疗组治愈11例,有效27例,无效7例,有效率84.4%;对照组治愈12例,有效24例,无效9例,有效率80%;两组有效率比较无统计学差异(P>0.05)。结论:光量子血疗对偏头痛发作有明显的治疗效果,可作为临床治疗偏头痛的方法之一。     

‘Just what is there now,that is what there is’—the effects of theater improvisation training on clinical social workers’ perceptions and interventions

Flexibility, Therapeutic Presence (TP), and collaborative tendency are core capacities in clinical social work as well as in theater improvisation. This mixed-methods pilot study studied the effects of theater improvisation training on 35 graduate-level social work students, who participated in an experiential, semester-long ‘theater improvisation skills for clinicians’ course, compared to a control group of a similar cohort. These variables were measured before, after, and at a three-month follow-up to the course. Additionally, Follow-up semi-structured interviews were conducted with 17 course graduates. Quantitative results showed a significant increase in flexibility and TP immediately following the course compared to the controls, which was not maintained at the three-month follow-up. The qualitative findings indicated an increase in flexibility, open-mindedness, TP, and self-awareness following the training. Triangulation of both sets of data suggests that improvisation training contributed to changes in participants’ general attitudes and perceptions regarding their clinical work. However, longer training is needed in order for these skills to effectively impact their clinical work. The findings suggest that improvisation skills can help clinical social workers increase their flexibility and TP, as well as other important alliance abilities. Implications for teaching and research are discussed.     

The Structure of Empathy in Social Work Practice

This article presents a detailed theoretical framework demonstrating how empathy is used in the practice of social work. This consists of affective, cognitive, and behavioral dimensions of empathy and delineates six latent constructs that make up these dimensions. These constructs are (1) caring, (2) congruence, (3) interpersonal sensitivity, (4) perspective taking, (5) altruism, and (6) the therapeutic relationship. Evolutionary, sociological, and neuroscience theories are used to describe empathy's origins as a historically adaptive and interactional process, and social work theories emphasize empathy as an interpersonal helping strategy and organizing principle essential to the practice of social work.     

Effects of a Therapeutic Community on Korean Substance Abusers in Prison

ABSTRACT. This study tested the effectiveness of a therapeutic community (TC) intervention on imprisoned Korean substance abusers. Volunteer participants from 2 Korean prisons were randomly assigned to either the experimental group (n = 24) with the TC intervention or a control group (n = 24) with optional supportive sessions. Pretest and posttest data were collected on measures of abstinence self-efficacy and problem-solving skills. Participants in the TC intervention showed significant increases in abstinence self-efficacy and problem-solving skills, whereas those in the control group did not. The differences in abstinence self-efficacy for the TC were found for 2 of 3 subscales: Problem-Solving Confidence and Approach-Avoidance Style but not Self-Control. Further study is needed to replicate these findings with larger Korean prison populations and to establish the relationship between these skill dimensions and subsequent drug use and criminal recidivism for this population. Nevertheless, the findings suggest potential benefits of using a TC intervention with imprisoned Korean substance abusers.     

Understanding Cultural Sway: An Essential Component for Competent Practice

Power has a great deal of sway in the therapeutic arena, especially when variant cultures are involved. Social workers have a responsibility when formulating assessments as well as developing and carrying out treatment plans to understand their clients’ unique cultural gestalt. This article will discuss how clients’ variant cultural components impact and influence clinical work by analyzing two interacting forces: the practitioner’s awareness of self and the new concept, cultural sway (culture with the interwoven dynamic of power). A discussion of the presence of awareness and cultural sway in the therapeutic process (assessment and intervention) will follow.     

The Common Factors Model: Its Place in Clinical Practice and Research

The common factors model advances the view that client, relationship, and clinician factors account for a greater proportion of therapeutic change than do specific techniques or types of therapy. In this era of evidence-based practice, in which specific techniques are heavily emphasized, this updated review of the common factors model focuses attention on other components of therapeutic change, including the client's contribution, the therapeutic alliance, and clinician factors. The common factors model has recent and long-standing research support of several kinds. The model affirms many widely used therapeutic practices and has led to the development of several procedures to enhance therapeutic outcomes. This article explores the origins and development of the common factors model; its current research support; and its implications for practice, research, and education.     

Micro Ruptures and Repairs in the Beginning Phase of Cross-Cultural Psychotherapy

The article discusses misunderstandings and misattunements that occur in the beginning phase of cross-cultural psychotherapy. Sources of micro ruptures are outlined, including client maladaptive patterns, therapist misunderstandings, cross-cultural misunderstandings due to cultural variations, and asymmetrical power relations involving the impact of prior experiences or current therapy practices. Multiple clinical vignettes illustrate the rupture/repair process, drawing on Safran and Muran’s (2000) list of direct and indirect techniques.     

Conceptualising ‘The Relationship’ in Intensive Key Worker Support as a Therapeutic Medium

Across various welfare and justice systems, intensive key worker support is a model of working considered effective for individuals and families identified as having multiple and complex needs. The high profile ‘troubled families’ programme in England is the most recent prominent example of such a model. The key worker role is to assess an individual’s needs, carry out support planning, provide and/or co-ordinate the delivery of supportive interventions and complete care plan reviews. This requires the key worker to work on a one-to-one basis with individuals which, in turn, demands the ability to form effective relationships. In this paper and using evidence from a number of studies, I look at how the key worker-client relationship is developed and maintained. I examine the skills, processes and communication strategies that allow key workers to engage clients, build relationships and drive change. I also explore the notion that the key worker-service user relationship is itself a ‘therapeutic’ medium and is therefore a productive practice in its own right. The paper suggests that while key workers might not be trained therapists or counsellors, they might be equipped to address some emotional challenges that individuals with complex needs face and build therapeutic relationships with them.