Menninger W W
Menninger Clinic, Topeka, KS 66601-0829.
Bull Menninger Clin. 1992 Spring;56(2 Suppl A):A61-70.
The integrated treatment of disabling anxiety disorders such as panic disorder and social phobia draws on an understanding of psychodynamic theory, cognitive-behavioral theory, and psychopharmacology. Regardless of the treatment employed, clinicians are encouraged to focus on interrelated factors affecting the course of the illness and its treatment, including differential diagnosis, etiology, patient education, symptomatic relief, underlying causes, and therapist anxiety. The author delineates eight key principles that foster the optimal choice or combination of treatment methods, and gives a case example to illustrate how these principles apply.
对惊恐障碍和社交恐惧症等致残性焦虑症的综合治疗借鉴了对心理动力学理论、认知行为理论和精神药理学的理解。无论采用何种治疗方法,都鼓励临床医生关注影响疾病进程及其治疗的相关因素,包括鉴别诊断、病因、患者教育、症状缓解、潜在原因和治疗师的焦虑。作者阐述了八项关键原则,这些原则有助于优化治疗方法的选择或组合,并给出了一个案例来说明这些原则的应用方式。