Senior Lecturer, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand, and; Clinical Psychologist, Canterbury District Health Board, Christchurch, New Zealand.
Senior Lecturer and Clinical Psychologist, Psychology Department, University of Canterbury, New Zealand.
Australas Psychiatry. 2020 Apr;28(2):156-159. doi: 10.1177/1039856219875024. Epub 2019 Sep 16.
Specialist Supportive Clinical Management (SSCM) is a psychotherapy comprising a clinical management focus addressing anorexia nervosa (AN) symptoms and a supportive therapy component. SSCM has been an active control therapy in randomised controlled trials for AN, but has proven to be an effective therapy in its own right. There has been speculation about how this relatively straightforward therapy works. Some of the commentaries and descriptors used for SSCM, however, do not reflect the content or principles of SSCM. This paper clarifies areas of misunderstanding by describing what SSCM is and what it is not, particularly in relation to commentary about its constituent characteristics.
SSCM utilises well established clinical management for AN (with a sustained focus on normalised eating and weight restoration) coupled with supportive therapy principles and strategies. Common factors across both arms include core counselling skills and a positive therapeutic alliance to promote adherence and retention in treatment for AN. Compared to other comparator therapies to date, SSCM is a simpler therapy without unique or novel theoretically derived strategies. Comparable outcomes with more complex psychotherapies raise the question of whether the combined core components of SSCM may be sufficient for many people with AN.
专科支持性临床管理（SSCM）是一种心理治疗方法，包括针对神经性厌食症（AN）症状的临床管理重点和支持性治疗成分。SSCM 一直是 AN 随机对照试验中的积极对照治疗方法，但已被证明是一种有效的治疗方法。人们对这种相对简单的治疗方法如何起作用一直存在猜测。然而，一些用于 SSCM 的评论和描述并不反映 SSCM 的内容或原则。本文通过描述 SSCM 是什么以及它不是什么来澄清误解的领域，特别是在与评论其构成特征有关的问题上。
SSCM 利用针对 AN 的成熟临床管理方法（持续关注正常进食和体重恢复），同时结合支持性治疗原则和策略。这两个治疗组都包括核心咨询技能和积极的治疗联盟，以促进对 AN 的治疗的依从性和保留率。与迄今为止的其他比较治疗方法相比，SSCM 是一种更简单的治疗方法，没有独特或新颖的理论衍生策略。与更复杂的心理治疗方法相比，相当的结果提出了这样一个问题，即 SSCM 的组合核心成分是否足以满足许多患有 AN 的人的需求。
