摘要:

Throughout the US health care reform process, members of the alcohol, drug abuse, and mental health working group of President Clinton's Task Force were reminded that the fate of mental health benefits was linked to the success or failure of the larger reform process itself.Compromise was required to achieve the limited benefits within the president's Health Security Act, but the benefit package was universal and viewed as the best possible under the circumstances. In spite of the defeat of the health care reform effort, the mental health profession enjoyed incremental success in five areas.

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Accurate, current data on the clinical epidemiology of deliberate self-harm are not widely available. Predictive values of sociodemographic risk factors for repetition of deliberate self-harm are weak and more may be gained by further examination of clinical and psychological factors. Psychiatric intervention after deliberate self-harm is worthwhile but the evidence about prevention of repetition remains inconclusive for most patients. Assessment after deliberate self-harm is often inadequate; perhaps clearly defined service standards will help.

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The cognitive approach allows the detailed formulation of the idiosyncratic problems of an individual patient guided by a theory that has been subject to rigorous empirical evaluation.This review describes developments in the understanding of depression and highlights the way in which work is developing in previously more difficult areas of psychopathology, such as obsessive-compulsive disorder and hypochondriasis. From the psychotherapeutic point of view, cognitive therapy offers the opportunity of providing effective therapy within the framework of a shared understanding of the patient's difficulties.

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A new international definition of chronic fatigue syndrome employs an epidemiological perspective.Studies in nonspecialist settings confirm the association of the symptom of chronic fatigue with depression but also reveal that the physical illness attribution, typical of hospital-referred patients and associated with a poor prognosis, is relatively uncommon in primary care. It is concluded that further efforts at classification and treatment of patients suffering from chronic unexplained fatigue should take the patients' beliefs, behaviour and emotional state into account as well as their somatic symptoms.

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The past year's crop of follow-up and outcome studies tends to confirm prevailing opinion. Investigators working with hospitalized anorexia nervosa sufferers found that many sufferers continue to suffer from eating disorders, even after several years. There is, however, a tendency to move toward bulimia nervosa and partial syndromes as opposed to noneating diagnoses. Sufferers from bulimia nervosa rarely go on to develop anorexia nervosa. Nevertheless, a need for good follow-up data on population-based samples and treatment trials remains.

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The relationship between personality disorders and neurosis tends to be nonspecific with Cluster ('anxious') personality disorders overrepresented in anxiety and mood disorders.Personality disorders are associated with poorer outcome of treatment for neuroses. Clinical investigators need to go beyond descriptive comorbidity studies to look at the mechanisms by which personality disorder and personality influence neuroses. Several models have been proposed and directions for further investigation are considered.

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

New complexities in the concept of post-traumatic stress disorder and its cause, prevention and prognosis are summarized. Post-traumatic stress disorder is no longer considered to be a single condition and subtypes are emerging. Overlap with the concept of burnout exists, the link being through chronic strain; furthermore it overlaps with DSM-III-R Axis II personality disorders, particularly borderline personality disorder. Other characteristics, such as character traits, ethnicity and lack of training in emergency workers, may be predictive of prognosis.

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Progress in the pharmacotherapy of personality disorders has been slow but steady during the past year.One additional review of the use of medications in personality disorders and several important studies on the pharmacotherapy of borderline personality disorder have been published. In addition, interest has been growing in the drug treatment of dysthymia and these studies may be relevant to the treatment of depressive personality.

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0951-7367    

出版商:OVID    

年代:1995

数据来源: OVID