Chapter 5: Family Preservation in Foster Care:

Treatment foster care is described in repect to the permanency continuum, particularly the importance of family connectedness for children placed out of home. The placement of specialist foster care in the treatment continuum is identified along with the associated advantages and challenges to be met.     

中医食疗对肿瘤患者生存质量影响的临床研究

中医食疗对肿瘤患者生存质量影响的临床研究     

个人生活规则的探索与修正——韦斯勒之认知评价疗法的当代解读

认知评价疗法的核心概念是"个人生活规则",它是指个体的一种认知结构,代表个体对心理和社会性事件的法则化的看法和道德伦理的规定性。个体所产生的各种情绪和对自我的看法、评价皆与个人生活规则相关。个体心理问题之所以出现,在于个体所持有的个人生活规则缺乏一定的适应性,故心理治疗就是要对个人生活规则加以调整和修正。认知评价疗法吸收了诸多人文主义的观点,体现了心理疗法间相互融合的趋势。     

A physical therapy environment design concept for children with cerebral palsy in accordance with patient behavior and therapy effectiveness

This research aims to study the effects of interior environmental features on the effectiveness of physical therapy among children with cerebral palsy. The research assumes that interior environment primarily determines the central attention of the patients, which further institutes the level of cooperation and thus the effectiveness of therapy. Distinctive interior settings in three state hospitals are utilized to test the effects of different environmental settings on child patients＇ level of attention. A ＇~structured observation＂ together with an ＂achievement rating＂, measured by the patients＇ cooperative level, are utilized to gauge the success of therapy conducted within the three different environmental settings. Statistical result reveals a pattern of correlative linkages among the interior features, the level of central attention and the effectiveness of therapy. Behavioral responses are found to be positively correlated with the level of patient cooperation. The analysis of behavioral response discloses three types of environmental stimuli--crowding in the treatment rooms, present of particular interior features such as windows, and activities outside the treatment rooms visible to the patients. Desirable response is also found to be increasing along with the number of interior stimulus features. A design guideline for treatment room is finally established. Two groups of interior environmental features could be manipulated to elevate the effectiveness of therapy--the physical environment which includes room size, and the spatial location of therapy activities within the interior environment.     

Parent–Child Interaction Therapy with Domestic Violence Populations

Domestic violence continues to be a significant social problem impacting our society. Battered women and their children experience a myriad of negative consequences as a result of domestic violence. Of the possible negative sequelae that mothers and children experience, the disrupted parent–child relationship has received relatively little attention in the literature. Though psychosocial interventions are available to treat women who experience violence and children who witness violence, few interventions focus on the parent–child relationship. This article describes parent–child interaction therapy (PCIT), a relationship-based intervention. Although not initially developed to treat domestic violence, PCIT has unique characteristics that make it a promising intervention with this population. A rationale for the use of PCIT with battered women and their children is presented.     

中药序贯疗法联合克龄蒙治疗人工流产术致月经过少疗效观察

目的 观察中药序贯疗法联合克龄蒙治疗人工流产术后月经过少的临床疗效。方法 将60例人工流产术致月经过少患者随机分成对照组和治疗组，每组30例，治疗组给予中药序贯用药联合克龄蒙口服，对照组仅给予克龄蒙口服，疗程均为3个月经周期。观察两组患者治疗前后月经量和卵泡早期性激素［促卵泡激素（follicle stimulating hormone，FSH）、黄体生成素（luteotropic hormone，LH）、雌二醇（estradiol，E2）水平。结果 治疗组临床疗效明显优于对照组（P<0.05）；治疗组患者月经量增加程度明显高于对照组（P<0.05）；两组患者治疗后血清FSH水平较治疗前均明显下降（P<0.05）、E2水平均明显上升（P<0.05），两组患者治疗前后FSH、E2差值比较，差异无统计学意义（P>0.05）。结论 中药序贯疗法联合克龄蒙治疗能显著增加人工流产术致月经过少患者的月经量。     

吞咽行为治疗结合针刺舌根部穴在假性延髓麻痹吞咽障碍中的应用

目的 观察吞咽行为训练结合针刺舌根部穴对假性延髓麻痹吞咽障碍的临床疗效。方法 选择114例假性延髓麻痹吞咽障碍患者，按照随机数字表将其分为行为组、针灸组及观察组，每组38例。行为组给予吞咽行为治疗，每日1次，每次30 min；针灸组给予针刺舌根部穴治疗，每穴顺时针捻转3～4下，隔日1次；观察组给予吞咽行为训练和针刺舌根穴治疗。治疗20 d后，采用洼田饮水试验、才藤吞咽障碍分级和摄食-吞咽功能分级评价3组临床疗效。结果 3组基于洼田饮水试验、才藤吞咽障碍分级和摄食-吞咽功能分级的疗效比较，差异均有统计学意义（P<0.05）。观察组基于洼田饮水试验、才藤吞咽障碍分级和摄食-吞咽功能分级的疗效均优于行为组和针灸组（P<0.05），而行为组与针灸组的疗效差异均无统计学意义（P>0.05）。结论 吞咽行为训练结合针刺舌根部穴可明显改善假性延髓麻痹吞咽障碍患者的吞咽功能。     

内热针治疗跖筋膜炎临床观察

目的 观察内热针治疗跖筋膜炎的临床疗效。方法 将56例跖筋膜炎患者随机分为两组，每组28例。治疗组采用内热针治疗，对照组采用封闭治疗。治疗前、治疗后2周和治疗后2个月，分别采用视觉模拟量表（visual analogue scale, VAS）评价患足疼痛程度，采用美国足踝外科协会踝-后足量表（American orthopaedic foot and ankle society-ankle hindfoot scale, AOFAS-AHS）评价患足综合功能。结果 与治疗前比较，治疗后2周和治疗后2个月，两组VAS评分均显著降低（P<0.05），AOFAS-AHS评分均显著升高（P<0.05）；治疗后2周，两组VAS和AOFAS-AHS评分比较，差异均无统计学意义（P>0.05）；治疗后2个月，治疗组VAS评分显著低于对照组（P<0.05），AOFAS-AHS评分显著高于对照组（P<0.05）。结论 内热针和封闭治疗跖筋膜炎均有较好的近期疗效，内热针的远期疗效优于封闭疗法。     

Effectiveness of Functional Family Therapy for Mandated Versus Non‐Mandated Youth

This study compares the outcomes for youth mandated to participate in Functional Family Therapy (FFT) to those whose participation was referred but voluntary. FFT is a short‐term intervention for delinquents and status offenders, along with their parents. The study sample consists of 120 cases: 70 youth and parents who were mandated by the Family Court to participate in FFT and 50 youth and their parents who were referred to FFT by other agencies. The sample is diverse in terms of gender, race and ethnicity. The outcome variables consist of a set of scales obtained from the Strengths and Needs Assessment (SNA). Changes in life domain functioning, child strengths, acculturation, caregivers' strengths, caregivers' needs, child behavioral emotional needs, and child risk behaviors are assessed. The analysis indicates that both groups improved across all domains. Overall, being mandated to participate in FFT does not predict greater improvements in outcomes. The findings suggest that status offenders and minor delinquents who participated in FFT could be processed less formally without foregoing the therapy outcomes.     

职务犯罪心理研究

职务犯罪是在病态心理支配下所进行的行为。通过对职务犯罪的心理病变进行的病理学研究 ,认为职务犯罪心理系二因致病。在内因方面 ,需要偏离导致职务犯罪者对官职、财富与“美色”的病态追求 ,动机偏离导致职务犯罪行为人对“奋斗目标”产生疯狂的“热情” ;在外因方面 ,社会因素是职务犯罪的媒化剂。职务犯罪的主要病态心理类型包括精神压抑症、胜利恐惧症、骄横跋扈症和奢侈症。并就此提出了职务犯罪的心理疗法