Graham Philip
Emeritus Professor of Child Psychiatry, Institute of Child Health, London, UK.
Child Adolesc Ment Health. 2005 May;10(2):57-62. doi: 10.1111/j.1475-3588.2005.00119.x.
The aim of this article is to consider the current and likely future status of cognitive behaviour therapy (CBT) for disturbed children and adolescents. Two definitions of CBT, narrow and broad, are provided and their core components described. Subsequently the historical development of these therapies and their reception by psychotherapists with different orientations is discussed. Assessment and therapeutic CBT approaches are described and the strength of the evidence for their use is briefly reviewed. Finally the challenges these therapies are currently meeting that might enhance or diminish their value are outlined. It is concluded that CBTs offer a most promising approach in the child and adolescent field and are likely to establish and maintain an important place in the therapeutic armoury of the next generation of professionals concerned to help children and young people with psychiatric disorders.
本文旨在探讨针对行为失常儿童及青少年的认知行为疗法（CBT）的现状及未来可能的发展态势。文中给出了CBT的两种定义，即狭义定义和广义定义，并描述了其核心组成部分。随后讨论了这些疗法的历史发展以及不同取向的心理治疗师对它们的接受情况。阐述了CBT的评估和治疗方法，并简要回顾了支持其应用的证据力度。最后概述了这些疗法目前面临的可能增强或削弱其价值的挑战。结论是，认知行为疗法在儿童和青少年领域提供了一种极具前景的方法，并且很可能在下一代致力于帮助患有精神疾病的儿童和年轻人的专业人员的治疗手段中占据并保持重要地位。
