Florida International University, Miami, Florida 33199, USA.
J Clin Psychol. 2011 Nov;67(11):1140-50. doi: 10.1002/jclp.20848. Epub 2011 Sep 27.
This article discusses treatment failures in child therapy, specifically cognitive-behavioral therapy (CBT) for anxiety and its disorders. The theoretical foundations and principles of CBT are discussed first, followed by a summary of the treatment outcome literature. Also discussed is how treatment failure is defined and gauged in CBT, as well as factors implicated in treatment failure. A case illustration highlights these factors, which resulted in the child not advancing positively in treatment. The article concludes with key practice recommendations.
本文讨论了儿童治疗中的治疗失败案例，特别是针对焦虑及其障碍的认知行为疗法（CBT）。本文首先讨论了 CBT 的理论基础和原则，然后总结了 CBT 的治疗结果文献。本文还讨论了 CBT 中如何定义和衡量治疗失败，以及与治疗失败相关的因素。一个案例说明突出了这些因素，导致孩子在治疗中没有积极进展。文章最后提出了关键的实践建议。
