Gavino A, Godoy A, Rodriguez-Naranjo C, Eifert G H
Facultad de Psicologia, Universidad de Malaga, Spain.
J Behav Ther Exp Psychiatry. 1996 Jun;27(2):107-17. doi: 10.1016/0005-7916(96)00019-5.
Traditional psychiatric diagnostic labels fail to differentiate patients on the basis of the function of the problematic behavior because such labels do not specify the nature of the individual's behavioral deficits or excesses. In contrast, behavior therapy strives to classify clinical phenomena based upon their functional characteristics guided by theoretical considerations. Yet, the anomaly exists that for a given disorder there is frequently a long list of suggested treatments that all have some degree of demonstrated efficacy. Similarly, there are a number of apparently different disorders that have been successfully treated with the same general technique. The implications of this paradox will be discussed in the context of treatments for depression. Our recent work suggests that different types of depression respond to different interventions depending on whether interventions match or do not match those types.
传统的精神病学诊断标签无法根据问题行为的功能对患者进行区分，因为此类标签并未明确个体行为缺陷或过度行为的本质。相比之下，行为疗法力求依据理论考量所引导的功能特征对临床现象进行分类。然而，存在这样一种异常情况，即对于某一特定病症，常常有一长串建议的治疗方法，而所有这些方法都有一定程度的已证实疗效。同样，有许多看似不同的病症都通过相同的一般技术成功得到了治疗。这一矛盾的影响将在抑郁症治疗的背景下进行讨论。我们最近的研究表明，不同类型的抑郁症对不同干预措施的反应取决于干预措施是否与那些类型相匹配。
