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["整合心理治疗":一项新的临床挑战]

["Integrated psychotherapy": a new clinical challenge].

作者信息

Barolin G S

机构信息

Ludwig-Boltzmann-Institut für Neuro-Rehabilitation und -Prophylaxe, Feldkirch-Tisis.

出版信息

Wien Med Wochenschr. 1998;148(15-16):344-51.

PMID:9857433
Abstract

Integrated psychotherapy according to Barolin wants to be embedded in the general health system and regards the whole "bio-psychosocial entity of man" using psychical means, which can take psychotropic as well as somatotropic effect. It should come out of an isolated ivory tower and seek coordination with each and everyone dealing with the "human entity": medical (like medication, physiotherapy, etc.), nursing, social work, administration, etc. Psychotherapeutic "schools" should serve as a solid base of learning. Practical use however should go beyond schools: patient-centered instead of school-centered. Integrated psychotherapy should reach all persons who need it, within their somatogenic and psychogenic problems, especially the physical ill, up to accompaniment of the dying, especially in rehabilitation, including social environment, old-age groups. For this it needs social integration accepting economic responsibility (in the sense of "social ethics") plus evaluation. Hence, theory and practice of integrated psychotherapy find themselves linked to a higher human-ethical postulate, with a marked communicative component.

摘要

巴罗林提出的综合心理治疗旨在融入一般健康体系,它运用心理手段来关注“人的生物 - 心理 - 社会整体”,这些手段可能兼具精神otropic和躯体otropic效应。它应走出孤立的象牙塔,寻求与每一位涉及“人类整体”的人员进行协作,包括医疗人员(如药物治疗、物理治疗等)、护理人员、社会工作者、行政人员等。心理治疗“流派”应作为坚实的学习基础。然而,实际应用应超越流派:以患者为中心而非以流派为中心。综合心理治疗应涵盖所有有需求的人,包括他们的躯体性和心理性问题,特别是身体患病者,直至临终陪伴,尤其在康复领域,包括社会环境、老年群体。为此,它需要接受经济责任(从“社会伦理”意义上讲)并进行评估的社会融合。因此,综合心理治疗的理论与实践与更高的人类伦理假设相关联,具有显著的沟通成分。

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2
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