针刺配合耳穴压豆治疗失眠36例

目的 观察针刺配合耳穴压豆治疗失眠的疗效。方法 将72例失眠患者随机分为治疗组（针刺配合耳穴压豆）和对照组（口服佐匹克隆）,每组各36例,观察两组的临床疗效。结果 治疗组治愈率和总有效率分别为58.3%、94.4%,对照组分别为30.5%、75.0%,两组治愈率和总有效率比较,差异均有统计学意义（P<0.05）。结论 应用针刺配合耳穴压豆治疗失眠,效果良好。     

和血汤和养精通络汤序贯治疗联合雌孕激素周期治疗人工流产后月经过少30例

目的 观察养血和血、养精通络中药序贯治疗联合雌孕激素周期治疗人工流产后月经过少的临床疗效。方法 将70例人工流产后月经过少患者随机分成中西医结合组（30例,予中药序贯治疗联合雌孕激素周期治疗）、中药组（20例,予中药序贯治疗）和西药组（20例,予雌孕激素治疗）,疗程均为2个月经周期。治疗前后分别观察3组行经时间、子宫内膜厚度和卵泡早期性激素水平。结果 中西医结合组临床疗效以及行经时间和子宫内膜厚度改善程度均明显优于中药组和西药组（P<0.05）。中药组治疗前后性激素水平无明显变化（P>0.05）;而中西医结合组和西药组卵泡刺激素显著降低（P<0.05）,黄体生成素、雌二醇、孕酮均显著升高 （P<0.05）,但两组治疗前后差值比较,差异均无统计学意义 （P>0.05）。结论 养血和血、养精通络中药序贯治疗联合雌孕激素周期治疗人工流产后月经过少能显著提高疗效。     

益气活血通络法治疗糖尿病周围神经病变52例

目的 观察益气活血通络法治疗糖尿病周围神经病变（diabetic peripheral neuropathy,DPN）的疗效。方法 将74例气阴两虚、瘀血阻络型DPN患者随机分为对照组（22例）和治疗组（52例）,对照组给予常规疗法,治疗组在对照组疗法基础上加用益气通络活血中药口服,疗程为30 d。观察两组患者神经传导速度、中医证候积分及血液流变学指标的变化。结果 治疗组临床疗效显著优于对照组 （P＜0.01）,治疗组在提高腓总神经和正中神经的感觉、运动神经传导速度,降低中医证候积分及全血黏度、血浆黏度和纤维蛋白原方面明显优于对照组（P＜0.05,或P＜0.01）。结论 益气活血通络法对DPN有较好的疗效,其机制与改善血液流变性及感觉和运动神经传导速度有关。     

基于16S rRNA基因测序探讨加味交泰丸对腹泻型肠易激综合征患者肠道菌群的影响

目的 探究加味交泰丸对腹泻型肠易激综合征(diarrhea-predominant irritable bowel syndrome, IBS-D)患者肠道菌群的影响。方法 将60例IBS-D患者随机分为中药组和西药组,每组30例。另选健康者10例作为健康对照组。中药组采用加味交泰丸治疗,西药组采用地衣芽孢杆菌治疗。采用IBS严重程度评分系统(irritable bowel syndrome-severity scoring system, IBS-SSS)评估两组患者临床疗效,采用16S rRNA基因测序法检测肠道菌群。结果 两组患者治疗前IBS-SSS评分比较,差异无统计学意义(P>0.05);治疗4周后,两组患者的IBS-SSS评分均较治疗前显著下降(P<0.05),且中药组评分降低程度更显著(P<0.05)。与健康对照组比较,IBS-D患者的肠道菌群α多样性显著降低(P<0.05),β多样性也有显著差异(P<0.05),但中药及西药治疗对肠道菌群的多样性无显著影响;在属水平上,加味交泰丸治疗显著增加了优势菌Eubacterium＿eligens＿g...     

针药并治脑梗死50例

目的：观察针药并用治疗脑梗死的疗效。方法：100例脑梗死病人被随机分为治疗组和对照组，并观察两组的疗效。结果：在疗程结束后，两组疗效有显差异（P＜0．05），治疗组疗效优于对照组，结论：针药并用治疗脑梗死的疗效优于单纯针刺组。     

高压氧配合针推治疗重型颅脑外伤后66例

目的:研究高压氧加针灸推拿治疗对重型颅脑外伤恢复的作用。方法:153例重型颅脑损伤后患者分为3组,分别行单纯药物治疗(Ⅰ组)、常规药物 高压氧治疗(Ⅱ组)及常规药物 高压氧 针灸推拿治疗(Ⅲ组)。其中Ⅰ组42例,Ⅱ组45例,Ⅲ组66例。入院时与治疗后进行GCS评分及治疗后GOS评定,比较疗效的变化。结果:Ⅲ组治疗后GCS与治疗前比较及治疗后GOS评定有明显改善(P<0.05)。结论:高压氧配合针灸推拿治疗能显著提高重型颅脑外伤后患者的治疗效果。     

Empathy through Animals: Generating Evidence‐based Outcomes for Empathy Development

Low empathy is a prominent trait associated with juvenile offenders. Many juvenile justice service providers strive to reduce risk factors associated with juvenile delinquency, while producing evidence‐based outcomes for targeted programming. The Youth Services Agency (YSA) Nature Center provides empathy development through animal therapy to adjudicated youth. This project generates evidence‐based outcomes and quantifies the impact of animal therapy on empathy development of adjudicated youth at the YSA Nature Center by utilizing self‐assessment tools. Results indicated trends that animal therapy increases the emotional empathy of YSA clients. Qualitative evidence implied that animal therapy had notable therapeutic value to YSA clients.     

认知—行为治疗理论的新进展

目前,对于认知－行为治疗的认识、术语使用以及实际操作上都还很混乱。本在对这一理论派别进行简要回顾的基础上,借助对各种与环境相关的障碍和一般化障碍的讨论,以及对调整意识信念和潜意识记忆内容的讨论,简要地阐述了认知－行为治疗理论的新进展。本认为,指向意识可触及信念的治疗是与有关情绪和动机的认知理论相关的;而指向潜意识表达的治疗则与学习理论和认知心理学中的有着实验研究相联系。     

Incorporating trauma-informed care into evidence-based sex offender treatment

Abstract

As we move forward in the field of sex offender treatment, clinicians should consider incorporating principles of trauma-informed care (TIC) into evidence-based sex offender treatment models. Early adverse experiences are prevalent in the general population and more so in criminal and sex offender populations. Early trauma paves the way for maladaptive coping and interpersonal deficits, which can lead to abusive behaviour. Content-oriented sex offender treatment models emphasising cognitive-behavioural skills should integrate process-oriented components that address the ways in which early trauma shapes adult cognitions and behaviour. Relational approaches to therapy can enhance clients' interpersonal skills and improve general well-being. This type of personal growth would be expected to mitigate future offending as the client adopts and successfully practices healthier, non-destructive strategies for meeting emotional needs.     

Evaluation of the assessment and treatment of a child sex offender: A case study

Abstract

There is indisputable necessity for engaging child sex offenders in effective therapy to reduce recidivist rates. However, it is becoming increasingly recognised that, to do this, more contemporary psychological methods of treatment are being utilised instead of, or as well as, imprisonment.

To establish what constitutes effective therapy requires the constant search for new and successful treatments. To achieve this, it is advantageous to follow preexisting successful methods of treatment but to acknowledge that therapy must be adapted according to an individual's unique presenting difficulties and therapeutic needs.

This paper details assessment techniques, evaluation of psychological dysfunctions, the therapy plan and treatment outcome of a convicted child sex offender. Specifically, Mr X's background history, psychological dysfunctions and progress, using a functional analysis approach, are examined in detail with critical review of the therapeutic intervention.