#16
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Íåò, õîñïèñîâ íåò. Íî äåòñêèå îíêîãåìàòîëîãè÷åñêèå îòäåëåíèÿ, ê ñîæàëåíèþ, â ÷åì-òî èõ çàìåíÿþò. Òàêîå îòäåëåíèå ó íàñ åñòü, è èíîãäà, ê ñîæàëåíèþ â âèäå ðàçîâûõ àêöèé, òàì óñòðàèâàþò òàêèå ïðàçäíèêè äëÿ äåòåé.
Ïîääåðæèâàþ âàøó òî÷êó çðåíèÿ. |
#17
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Öèòàòà: Gilev: "À ñêàçêîòåðàïèþ ìîæíî îáñóäèòü, òåìà èíòåðåñíàÿ, íî ê ìåòîäàì ëå÷åíèÿ øèçîôðåíèè îíà îòíîøåíèÿ íå èìååò".
Êàê îòäåëüíûé ìåòîä, êîíå÷íî íå èìååò, íî â êîìïëåêñå ïðèìåíÿþò, êàê è ìíîãèå äðóãèå àðò-òåðàïåâòè÷åñêèå ïðèåìû. Èçâåñòåí áîëüøîé îïûò êëèíèêè Ìåíòåðøâàéãå â Ìþíõåíå.  èíñòèòóòå Áåõòåðåâà â Ïåòåðáóðãå ýòèì çàíèìàþòñÿ ïîä ðóêîâîäñòâîì ïðîô. Â.Ä.Âèäà - îòäåëåíèå â îñíîâíîì äëÿ áîëüíûõ ñ ýíäîãåííûìè ïñèõîçàìè - òàì öåëàÿ "áàòàðåÿ" àðò-òåðàïåâòè÷åñêèõ ãðóïï: òåàòð-, òàíö-, ìèëèå-, ðèòìî-... Îá ýòîì ìîæíî ÷èòàòü Ãþíòåðà Àììîíà è, êñòàòè, Â.Ä.Âèä, "Ïñèõîòåðàïèÿ øèçîôðåíèè". |
#18
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Êíèãó èíòåðåñíî ïî÷èòàòü, ëþáèìà ìíîãèìè àíòèïñèõèàòðàìè, îñîáåííî Âèä Â.Ä. - "Ïñèõîàíàëèòè÷åñêàÿ ïñèõîòåðàïèÿ ïðè øèçîôðåíèè". Äîâîëüíî ìíîãî êðèòèêè ìåäèêàìåíòîçíîãî ëå÷åíèÿ è ïðåóâåëè÷åíèå ðîëè ïñèõîòåðàïèè. Õîòÿ ñàì îí äåëàåò âûâîä, ÷òî ïñèõîòåðàïèÿ íà èñõîäû çàáîëåâàíèÿ, à â ïðèíöèïå è íà åãî òå÷åíèå, âëèÿíèÿ íå îêàçûâàåò.
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#19
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#21
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Öèòàòà:
http://www.piter.com/attachment.php?...747&at=exc&n=0 |
#22
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Psychiatr îäîáðèë(à): À åñëè áû Âû åù¸ ññûëêè íà ýâèäåíñû ïî àðòòåðàïèè âûëîæèëè, òî áûë áû îäîáðÿìñ ñ +
Âîò, íàïðèìåð, ñàéò êëèíèêè Ìåíòåðøâàéãå. http://www.klinik-menterschwaige.de/ ß ïî-íåìåöêè íå î÷åíü, íî òàì ìîæíî íàéòè êîå-÷òî. Åñòü åùå êíèãà "Î÷åðêè äèíàìè÷åñêîé ïñèõèàòðèè. Îïûò òðàíñêóëüòóðàëüíîãî èññëåäîâàíèÿ", åå ìîæíî ñêà÷àòü çäåñü: http://www.zipsites.ru/psy/psylib/info.php?p=2696 ×àñòü îãëàâëåíèÿ: 7. Òåðàïåâòè÷åñêèå ìåòîäû â äèíàìè÷åñêîé ïñèõèàòðèè Ã. Àììîíà 7.1. Ìåòîäû ïñèõîòåðàïåâòè÷åñêîãî âîçäåéñòâèÿ 7.1.1. Ìèëèå-òåðàïèÿ (òåðàïèÿ ñðåäîé) 7.1.2. Èíäèâèäóàëüíàÿ è ãðóïïîâàÿ ïñèõîòåðàïèÿ 7.1.3. Òàíöòåðàïèÿ 7.1.4. Ìóçûêîòåðàïèÿ 7.1.5. Àðòòåðàïèÿ (òåðàïèÿ æèâîïèñüþ) 7.1.6. Òåàòðòåðàïèÿ 7.1.7. Òåðàïèÿ âåðõîâîé åçäîé 7.1.8. Òåðàïåâòè÷åñêèå àñïåêòû áîëüøîé ãðóïïû 7.1.9. Äðóãèå âèäû òåðàïèè |
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#23
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Óâàæàåìûé êîëëåãà, Shadrov!
Ãîâîðÿ îá ýâèäåíñàõ, ÿ èìåë â âèäó íå÷òî ïîäîáíîå: Öèòàòà:
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#24
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Îíî æå:
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Randomised studies are possible in this field. The use of drama therapy for schizophrenia and schizophrenia-like illnesses should continue to be under evaluation as its benefits, or harms, are unclear. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Music therapy as an addition to standard care helps people with schizophrenia to improve their global state and may also improve mental state and functioning if a sufficient number of music therapy sessions are provided. Further research should address the dose-effect relationship and the long-term effects of music therapy. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Currently trial based data on Morita therapy is inconclusive. Morita therapy for schizophrenia remains an experimental intervention, new trials are justified and specific outlines for design of future studies are outlined in additional tables. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] There is no clear evidence to suggest that compliance therapy is beneficial for people with schizophrenia and related syndromes but more randomised studies are justified and needed in order for this intervention to be fully examined. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] There are insufficient data to identify a difference in outcome between supportive therapy and standard care. There are several outcomes, including hospitalisation and general mental state, indicating advantages for other psychological therapies over supportive therapy but these findings are based on a few small studies. Future research would benefit from larger trials that use supportive therapy as the main treatment arm rather than the comparator. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Evidence from trials suggests that psychoeducational approaches are useful as a part of the treatment programme for people with schizophrenia and related illness. The fact that the interventions are brief and inexpensive should make them attractive to managers and policy makers. More well-designed, conducted and reported randomised studies investigating the efficacy of psychoeducation are needed. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] We found insufficient evidence to recommend the use of acupuncture for people with schizophrenia. The numbers of participants and the blinding of acupuncture were both inadequate, and more comprehensive and better designed studies are needed to determine the effects of acupuncture for schizophrenia. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Ayurvedic medication may have some effects for treatment of schizophrenia, but has been evaluated only in a few small pioneering trials. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Chinese herbal medicines, given in a Western biomedical context, may be beneficial for people with schizophrenia when combined with antipsychotics. Traditional Chinese medicine is also under-evaluated, but results from one pioneering study that attempted to evaluate TCM should encourage further trials. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] There ought to be further research of nicotine for schizophrenia by parallel group design randomised controlled trials investigating the effects of nicotine on symptoms of schizophrenia as well as on side effects of antipsychotic drugs. We further note that authors and journals should conform to the CONSORT guidelines when publishing the research articles, especially when disclosing all the data available from a particular study. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Results are inconclusive with most outcomes being either non-significant or producing contradictory findings. Currently, adjunctive DHEA should remain an experimental treatment for people with schizophrenia. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Adjunctive estrogen with or without progesterone does not appear to offer convincing advantages over placebo. Before any more research is undertaken in this area, all completed and unpublished work should be made available in order to ensure that more trials are justified. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] CBT is a promising but under evaluated intervention. Currently, trial-based data supporting the wide use of CBT for people with schizophrenia or other psychotic illnesses are far from conclusive. More trials are justified, especially in comparison with a lower grade supportive approach. These trials should be designed to be both clinically meaningful and widely applicable. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Data are inconclusive and provide no evidence for or against cognitive rehabilitation as a treatment for schizophrenia. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Clinicians, researchers, policy makers and recipients of care cannot be confident of the effects of family intervention from the findings of this review. Further data from already completed trials could greatly inform practice and more trials are justified as long as their participants, interventions and outcomes are applicable to routine care. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Current data do not support the use of psychodynamic psychotherapy techniques for hospitalised people with schizophrenia. If psychoanalytic therapy is being used for people with schizophrenia there is an urgent need for trials. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] The studies in this field are few, small, poorly reported and outdated. Hypnosis could be helpful for people with schizophrenia. If we are to find this out, better designed, conducted and reported randomised studies are required. This current update has not revealed any new studies in this area since 2003. P.S. Schizophrenia: psychotherapy, psychological treatments, psychosocial treatments |
#25
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Êàêîé-òî ìðà÷íûé îáçîð "òîãî, ÷òî ëèáî íèêàê íå ïîìîãàåò, åñëè íå âðåäèò äëÿ ëå÷åíèÿ øèçîôðåíèè".
Äóìàþ ÷òî óïîìèíàíèå àêóïóíêòóðû áûëî èçëèøíèì â ïñè-ðàçäåëå. |
#26
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Öèòàòà:
Öèòàòà:
Ê òîìó æå, äëÿ âðà÷à îáëàäàíèå çíàíèåì òîãî, ÷òî ïîëåçíî, à ÷òî áåñïîëåçíî è äàæå âðåäíî, èìõî, ãîðàçäî ëó÷øå, ÷åì âèòàíèå â îáëàêàõ... Ïî êðàéíåé ìåðå, àäåêâàòíîå èñïîëüçîâàíèå ýòèõ çíàíèé âðà÷îì òî÷íî ëó÷øå äëÿ ïàöèåíòîâ. |