Craigie F C
J Fam Pract. 1985 Jan;20(1):65-71.
Office counseling provides an intensive, short-term opportunity for patients to learn new response patterns and coping skills. Progress is enhanced to the extent that patients experiment with and practice new approaches in real-life situations outside the physician's office. Particularly in a family medicine context, with its associated time constraints, it is important for patients' between-session experience to be orchestrated carefully to solidify or act upon learning from brief counseling sessions. Behavioral assignments and other therapeutic homework are essential tools for the family physician to take advantage of between-session opportunities for patients to learn and change. Examples of therapeutic homework include self-monitoring, lists, narrative accounts, questionnaires, action assignments, and published patient education material. This paper provides theoretical background about therapeutic homework and presents guidelines that should increase the likelihood that behavioral assignments will be understood and carried out in an effective way.
门诊咨询为患者提供了一个强化的短期机会，使其能够学习新的反应模式和应对技巧。当患者在医生办公室之外的现实生活情境中尝试并实践新方法时，进步会得到增强。特别是在家庭医学背景下，由于存在时间限制，精心安排患者的咨询间期体验对于巩固从简短咨询疗程中学到的内容或据此采取行动非常重要。行为任务和其他治疗性作业是家庭医生利用咨询间期机会让患者学习和改变的重要工具。治疗性作业的示例包括自我监测、清单、叙述记录、问卷、行动任务以及已出版的患者教育材料。本文提供了有关治疗性作业的理论背景，并提出了一些指导方针，这些方针应能提高行为任务被有效理解和执行的可能性。
