The role of psychotherapy in treating psychiatric disorders.

作者: W. Edward Craighead , Linda Wilcoxon Craighead

DOI: 10.1016/S0025-7125(05)70332-1

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摘要: This article is aimed toward medical practitioners who may have had limited training and experience with psychotherapy for psychiatric disorders. Although medications frequently be the first choice of intervention by physicians, psychosocial factors play a substantial role in development alleviation numerous disorders need to addressed treatment maximally effective. For example, although antidepressant alleviated symptoms depression experienced woman was admitted authors' inpatient unit, she soon returned relapse disorder. It only during her second (third admission) that revealed husband abusing physically each time home. Once this information obtained, it easy see case needed do something about life situation not just get relief from depressive through antidepressants. situations are always obvious, more commonly than contribute clinical problems, plan needs include addressing those factors. In 1980s 1990s, field changed dramatically primary focus on psychodynamically oriented, long-term directive short-term therapies. begins brief description most studied current psychotherapies treating specific rather changing deeper, underlying personality structures. there large literature effectiveness interventions children adolescents as well elderly, focuses adults. All these newer therapies subscribe an empirical approach determining efficacy effectiveness. An exhaustive review outcome data beyond scope article. More recent important trials major highlighted, however, substantiate claims their Longer term still practiced, but better support use shorter term, or adjunctive treatments addition roles disorders, educating patients explaining rationales, encouraging medication compliance.