心理疏导疗法中信息控制模型的建立和应用

心理疏导疗法引入信息论并在理论上建立了一个信息控制模型.该信息控制模型主要以医患系统为核心,通过医患互动实现治疗信息与反馈信息转换,进而促进患者认知结构的改变。     

《食品集》考辨

在明代中叶大量的养生著作中,吴江县医学训科吴禄的《食品集》是一部较有代表性的食疗医书。他以《食物本草》和《饮膳正要》为蓝本,根据自身医学实践的经验进行增删改定,指导吴中百姓日常生活中的安全饮食、健康养生。     

Multisystemic therapy project in Sweden: what factors affect the tendency of social workers to refer subjects to the research project?

This article examines some of the factors that may have affected the tendency for social workers to refer adolescents to a randomised controlled study of multisystemic therapy (MST). If we are to improve integration between researchers and the clinical setting in the future, it is important to consider those factors that affect implementation of research projects and evidence-based treatment methods. Evidence-based methods that lack the support of clinicians will have problems surviving in clinical practice. In the present study, we found that social workers' treatment ideology was associated with referral rate. Social workers who sympathised with the ideology on which MST is based referred patients to the project to a greater extent. Moreover, we found that the perception of a good work climate and good social support correlated positively with the referral rate from the unit. The results suggest that when implementing evidence-based methods, or research projects on treatment methods, researchers should consider whether the method is consistent with the current treatment ideology within the unit. Working conditions in the unit should also be considered.     

Helping families when child sexual abuse is suspected but not proven

This paper reports from a project investigating reactions within families when intra‐familial child sexual abuse was suspected, and family members’ responses to a therapeutic approach. Data were obtained from therapeutic sessions and follow‐up interviews with mothers, children and alleged perpetrators. Before treatment the mothers felt uncertain as to how to interpret the children’s unclear signs. The children had severe symptoms, but had seldom disclosed abuse. The alleged perpetrators were often not informed about the suspicions. The families were in a state of crisis and shock, and communication within the family was characterized by uncertainty about what to talk about and whether the suspicions should be shared. In most cases after treatment the conflicts had been reduced, the children had few symptoms, supervised contact had been established, and the clients were satisfied with the treatment. One conclusion is that therapeutic sessions, where family members share information about concerns and take part in the decisions of how to protect children, seem relevant and helpful to the clients in unclear abuse cases.     

Family support and family therapy – same difference?

This article discusses the relationship between family support and family therapy and the historical ambivalence between them. Decisions on what form of help to offer families based on effectiveness, efficiency and acceptability are therefore crucial. A review of the characteristics and measures of effectiveness is used to articulate the similarities in both interventions. By illustrating the false dichotomy between them, practitioners in both modes can learn from each other to benefit families.     

Issues facing brothers of sexually abused children: implications for professional practice

This paper draws on the author's experience of undertaking play therapy with the brothers of sexually abused children. It illustrates the range of difficulties that such boys may face and identifies implications for professional practice. Difficulties are understood as arising from the struggle to develop a coherent narrative about the abuse, often in the face of incomplete or contested information. The outcome is influenced by the nature of the child's attachment relationships with his non‐abusing parents or carers, his abused sibling and with the abuser himself. This struggle for a coherent narrative about the sexual abuse can have a significant impact on the development of a sense of masculine identity, particularly when the abuser is the boy's own father and/or the abused child is male. In the context of increasing professional awareness of the need to support siblings of sexually abused children it is argued that there should be a specific focus on gender and identity issues for boys.     

Relational problems and psychiatric symptoms in couple therapy

This article describes couples attending family counselling in Sweden. The study group is compared with clinical groups and non-clinical groups. Self-rating instruments were com-pleted by 317 women and 312 men to evaluate the following: marital satisfaction (DAS), expressed emotion (QAFM), family climate (FC), psychiatric symptoms (SCL-90) and sense of coherence (SOC). This group had several problems: marital relationships, disrupted family functioning, dyadic interactions characterised by criticism and open arguments, and multiple psychological symptoms. The women were espe-cially discontent in the relationship, and they exhibited higher symptom strain and lower sense of coherence than the men did. Compared with non-clinical populations, this group was severely distressed and was similar to in-patient families in child psychiatric clinics. The low sense of coherence of the individuals in the group under study means that their sense of having a meaningful life and their ability to comprehend and manage problems were severely compromised. Adequate and comprehensive treatment within the framework of social pro-grammes should be made available to these couples and others in a similar situation.     

From Otherness to Alliance

Abstract

The first part of this article presents the epistemological evolution of the therapeutic frameworks regarding the treatment of transgender individuals and their partners. It outlines a medical approach and two others-the developmental approach and the deconstructive approach, ones not based on the conception of transgender identity as pathological. Two case studies of couples presenting with gender identity-related issues illustrate their application with particular emphasis on the relational process of gender identity formation and on partners of transgender-identified persons.     

Parents' Marital Status,Father-Daughter Intimacy and Young Adult Females' Dating Relationships

Abstract

The affective relationships of young adult females and their fathers were investigated for effects on dating relationships, dating anxiety, and interpersonal trust. Ninety-six college females, 66 with married parents and 25 with divorced parents, completed questionnaires about father-daughter intimacy, dating satisfaction, dating anxiety, and; trust. It was hypothesized that females with divorced vs. married parents, and females scoring lower on the intimacy scale, regardless of family structure, would experience less father-daughter intimacy, lower dating satisfaction and trust, and higher dating anxiety. Multivariate analysis of variance showed that females with divorced vs. married parents experienced significantly less intimacy with their fathers but similar levels of trust, anxiety, and satisfaction. Comparisons of females high and low in father-daughter intimacy showed no differences in trust, anxiety, or dating satisfaction. The relative importance of parents' marital status versus other factors relevant to divorce (e.g., intimacy, presence of a stepfather) will be discussed.     

A Family Therapist's Look Into Interpersonal Neurobiology and the Adolescent Brain: An Interview With Dr Daniel Siegel

Advances in brain research are increasingly having an impact on clinical interventions in all fields of psychotherapy. For adolescent family therapists it is important not only to understand the developing adolescent brain, but also how brain research can influence interventions aimed at interrupting problematic familial interactions. Interpersonal neurobiology and the ideas of Dr Daniel Siegel synthesise the interpersonal with the scientific, offering practical clinical methods of incorporating the research into everyday practice. This article incorporates a verbatim interview with Dr Siegel about the adolescent brain, interpersonal neurobiology and attachment with an outline of key concepts from interpersonal neurobiology including the hand model of the brain, nine functions of the prefrontal cortex, the triangle of wellbeing and eight domains of integration. Clinical applications are suggested using a common presenting problem of escalating conflict between teenagers and their parents.