摘要:

&NA;Teasell RW, Shapiro AP: Strategic‐behavioral intervention in the treatment of chronic nonorganic motor disorders.Am J Phys Med Rehabil1994;73:44‐50Chronic nonorganic motor disorders pose particular difficulties because of a combination of diagnostic confusion and intractability to psychotherapeutic or behavioral interventions. Three cases are presented, all of whom failed a rehabilitation approach that emphasized basic behavioral principles of shaping and reinforcement. Despite this initial failure, all three patients showed dramatic and rapid improvement after implementation of an intervention combing elements of strategic and behavior therapy. The strategic element consisted of placing patients in a double bind by telling them full recovery constituted proof of an organic etiology and failure to recover constituted conclusive evidence of a nonorganic or psychiatric etiology. These cases also illustrate the difficulty in distinguishing between conversion and factitious disorders.

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

&NA;Dougherty CJ: Quality‐adjusted life years and the ethical values of health care.Am J Phys Med Rehabil1994;73:61‐65This paper defines the QALY, the quality‐adjusted life year, and examines the ethical dimensions of its potential uses in health care, with special reference to rehabilitation. The implications of QALYs are analyzed with respect to three central ethical values in health care: freedom, happiness and fairness. QALYs may be useful in expanding patient freedom and in securing greater social happiness in the allocation of resources. However, QALYs raise important problems of fairness and have a bias toward curative interventions.

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1994

数据来源: OVID