典型儿童强迫症个案的整合主义心理治疗分析

分析一例典型儿童强迫官能症的整合主义心理疗法理念和治疗过程,及其治疗的有效性,探讨整合主义心理治疗的发展趋向和综合成因。结论：整合主义心理治疗是一种有效治疗手段,符合一般发展规律,在减轻患者强迫症状,增强社会功能方面均有较好的效果。     

震后早期心理辅导探讨

5·12汶川大地震后,心理援助的重要性受到前所未有的关注.震后人们会出现不同程度的心理应激反应,相当比例的人会出现心理应激障碍.针对这些问题应进行适当的早期心理辅导.早期心理辅导应以创伤后危机干预为思路,以缓解应激障碍相关症状、预防创伤后危机障碍的发生为主要目标,采取心理急救、严重事件应激晤谈、认知行为疗法等方法进行治疗.另外,从这些方法中可归纳出共同的、可用于早期心理辅导的原则:支持性原则、正常化原则、重视社会支持原则、个性化原则等.     

米氮平治疗广泛性焦虑症的临床观察

目的探讨米氮平治疗广泛性焦虑症(GAD)的临床疗效及安全性。方法共85例广泛性焦虑症患者入组,米氮平治疗46例,对照观察组39例,共观察8周,使用HAMA判断疗效,并记录不良反应。结果74例完成研究(米氮平41例,对照组33例)。研究终点,米氮平组HAMA减分平均为12.5±5.8,对照组减分平均为7.7±6.5,两组比较差异有统计学意义(t=3.35,P(0.01);米氮平治疗后14天及其后各随访点HAMA减分与观察组比较差异均有统计学意义;米氮平治疗GAD的有效率71%,显著优于观察组(39%)(2χ=7.32,P<0.01);米氮平的主要不良反应为体重增加、食欲增强、嗜睡及头晕。结论米氮平治疗GAD有效,依从性高,不良反应不多见,可作为临床治疗GAD的一种选择。     

Importance of active listening in treating workers with musculoskeletal disorders

Abstract

Female assembly workers reporting constant neck and shoulder pain, despite ergonomically acceptable working conditions, were interviewed. As a starting point in the interviews, the patients were asked to describe their general situation at work. Their reports were fed back and discussed with company management in a wider group meeting and resulted in an improvement in their attitudes to those workers. A climate of confidence and well-being was created, which the women experienced as genuine. The workers' report of pains improved dramatically and absence due to musculoskeletal disorders was reduced by more than 90% during the following year.     

Bipolar disorder and the college student: A review and implications for universities

Abstract

Objective: This brief report provides a review of the prevalence and expression of bipolar disorder in the college student population. Implications for college teachers and universities working with students with bipolar disorder are presented. Methods: Responses from the National College Health Assessment (2009–2017) reference groups were collated to estimate whether the prevalence of students with bipolar disorder has been increasing over time. Results: Data indicate that although overall prevalence is low, the presence of students with bipolar disorder has increased over the past decade. Conclusions: To help students with serious mental illness, including bipolar disorder, succeed in higher education, practices consistent with the philosophy of supported education should be adopted. Special attention will need to be paid to students’ financial and academic challenges.     

Multifamily therapy in the community mental health network: A pragmatic randomized and controlled study

Multifamily therapy (MFT) is a psychotherapeutic group intervention for patients with severe mental disorders (SMDs) and their families. The present study is a multicenter, randomized, and controlled trial that analyzes the benefit of MFT during outpatient treatment. The recruited patients were randomly assigned to the experimental group (n = 26), which received 24 MFT sessions in addition to their treatment as usual (TAU), or to the control group (n = 29), which received only TAU (individual and family sessions). Six months after the inclusion in the MFT, the experimental group showed a significant decrease in number of visits to the psychiatric emergency services, number of psychiatric admissions, and the days of admission. The need for hospital care 6 months after recruitment was also lower in the experimental group compared to the control group. These results suggest that the implementation of MFT during outpatient treatment facilitates community management of people diagnosed with mental health problems.     

广告"零代理"的经济学分析

广告代理中的“零代理”并非零利润;其实质是提高进入价格,阻止其他企业进入的企业行为;我国广告市场的无序竞争是滋生“零代理”的土壤,“零代理”又必然带来广告市场新的无序竞争。     

市场失灵与政府介入

现代市场经济中市场机制的调节 ,能够提高和优化经济资源的配置效率 ,但市场机制又不是万能的 ,市场机制的功能缺陷就称之为市场失灵。宏观调控的政府介入 ,可以消除和弱化市场失灵之负效应 ,并提高经济运行质量