Brodziak Andrzej, Różyk-Myrta Alicja, Wolińska Agnieszka
Instytut Medycyny Pracy i Zdrowia Środowiskowego w Sosnowcu.
Instytut Pielęgniarstwa Państwowej Wyższej Szkoły Zawodowej w Nysie.
Psychiatr Pol. 2015;49(6):1373-7. doi: 10.12740/PP/59543.
In this letter to the Editor, the authors comment recent publications about the attempts to remote realizations of Cognitive Behavioral Therapy (CBT) in the treatment of anxiety disorders in elderly. The distinguished clinical situation is a part of a wider problem that can be named as "global crisis of aging populations". The use of CBT in many geriatric clinical situations is very effective, however, such therapy is very time-consuming, what hamper its widespread utilizations in practice. The authors therefore propose to support this form of treatment by determining so-called 'therapeutic tasks'. They derive the rationale for the proposed method from the analysis of the acting elements of various, new forms of CBT in combination with the analysis of sources of psychological resistance (resilience) of those older people who are doing well. The essence of the method proposed by the authors is assigning tasks which facilitate to patients' remembering of their 'trajectory of life'. The patients are then much more aware of unresolved psychological conflicts. The next tasks aid the patients to search for solutions to such mental problems and create a balanced imagery of their lives.
在这封给编辑的信中，作者评论了近期关于尝试远程实现认知行为疗法（CBT）以治疗老年人焦虑症的出版物。这种独特的临床情况是一个更广泛问题的一部分，这个问题可被称为“全球老龄化危机”。在许多老年临床情况中使用CBT非常有效，然而，这种疗法非常耗时，这阻碍了它在实践中的广泛应用。因此，作者提议通过确定所谓的“治疗任务”来支持这种治疗形式。他们从分析各种新形式CBT的作用要素以及分析那些状况良好的老年人的心理抵抗力（恢复力）来源中得出了所提议方法的理论依据。作者提议的方法的本质是分配任务，这些任务有助于患者记住他们的“生活轨迹”。然后患者会更加意识到未解决的心理冲突。接下来的任务帮助患者寻找解决此类心理问题的方法，并构建他们生活的平衡图景。
