پیوندهای مفید
اخبار و اعلانات
آمار
| تعداد نشریات | 25 |
| تعداد شماره‌ها | 932 |
| تعداد مقالات | 7,652 |
| تعداد مشاهده مقاله | 12,493,169 |
| تعداد دریافت فایل اصل مقاله | 8,884,810 |
سنجش اثربخشی پارادوکس درمانی بر اختلال وسواس فکری- عملی: مطالعه موردی | ||
| مطالعات روانشناختی | ||
| مقاله 1، دوره 14، شماره 4 - شماره پیاپی 53، اسفند 1397، صفحه 7-36 اصل مقاله (7.66 M) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22051/psy.2019.23631.1801 | ||
| نویسنده | ||
| محمد علی بشارت* | ||
| استاد دانشگاه تهران، تهران، ایران | ||
| چکیده | ||
| این مقاله دو هدف اصلی دارد: هدف اول، معرفی اصول و فنون یک مدل جدید رواندرمانی برای اختلال های روانشناختی با عنوان اختصاری PTC (پارادوکس + برنامه زمانی = درمان) است؛ هدف دوم، سنجش اثربخشی مدل رواندرمانی PTC برای درمان اختلال وسواس فکری- عملی (OCD) است. PTC یک مدل رواندرمانی بسیار کوتاه مدت است و برای طیف گسترده ای از اختلال های روانشناختی شامل اختلال های اضطرابی، وسواس های فکری و عملی و اختلال های مرتبط، اختلا های مرتبط با تروما و استرس، اختلال های نشانه های بدنی و اختلال های خورد و خوراک به کار بسته و تایید شده است (بشارت، 1396). در این مقاله، فرایند و نتایج درمان PTC برای یک بیمار مبتلا به OCD به طور کامل گزارش می شود. نتایج درمان پنج جلسه ای PTC برای این بیمار، نشان می دهد که درمان کاملاً موفقیت آمیز بوده است. پی گیری 18 ماهه نیز نشان داد که تغییرات رضایت بخش درمانی از ثبات و استمرار برخوردار بوده و در این دوره هیچ بازگشتی صورت نگرفته است. این نتایج، تاثیرات درمانی عمیق و پایدار مدل رواندرمانی PTC را در کوتاه ترین زمان ممکن تایید می کند. مکانیسم های تاثیرگذاری "برنامه زمانی پارادوکسی"، به عنوان فن اصلی روش درمان PTC، و انطباق آنها با نتایج درمان بیمار در این مقاله شرح داده شده است. مدل رواندرمانی PTC، به عنوان رویکردی بسیار کوتاه مدت، ساده، تاثیرگذار و کارآمد، و در عین حال اقتصادی برای درمان OCD معرفی و پیشنهاد می شود. | ||
| کلیدواژه‌ها | ||
| رواندرمانی؛ پارادوکس؛ برنامه زمانی؛ اختلال وسواس فکری- عملی | ||
| عنوان مقاله [English] | ||
| Evaluating the effectiveness of paradox therapy for the treatment of obsessive-compulsive disorder: A case study | ||
| نویسندگان [English] | ||
| Mohammad Ali Besharat | ||
| Professor, University of Tehran, Tehran, Iran | ||
| چکیده [English] | ||
| The present article has two purposes. Firstly, this article introduces the principles and techniques of a new psychotherapeutic model for the treatment of psychological disorders shortly named PTC (Paradox + Timetable = Cure). Secondly, this article evaluates the effectiveness of PTC for the treatment of Obsessive-Compulsive Disorder (OCD). PTC is a very short-term psychotherapeutic model successfully used for the treatment of a wide range of psychological disorders including anxiety disorders, obsessive-compulsive and related disorders, trauma- and stress-related disorders, somatic symptom and related disorders and feeding and eating disorders (Besharat, 2017). The PTC therapy process and outcomes for an OCD patient is fully described in the present article. Results of a five-session PTC therapy indicated that the treatment of the patient was successfully done. The result of an eighteen-months follow-up showed that the therapeutic changes were satisfactory, stable and permanent, during which no relapse was happened. These results corroborated the deep and permanent effects of the PTC psychotherapeutic model in the shortest possible time. The influential mechanisms of “paradoxical timetable”, as the main PTC technique, and its adjustment to the treatment outcomes of the patient are also explained in the present article. The PTC psychotherapeutic model, as a very short-term, effective, efficient and yet economical approach is introduced and suggested for the treatment of OCD. | ||
| کلیدواژه‌ها [English] | ||
| psychotherapy, paradox, timetable, obsessive-compulsive disorder | ||
| مراجع | ||
|
بشارت، محمدعلی (1382). مقیاس درجه‌بندی ذهنی نتایج درمان. گزارش پژوهشی. دانشگاه تهران. بشارت، محمدعلی (1396). پارادوکس + برنامۀ زمانی = درمان: مدل کامل درمان اختلال‌های روانشناختی- راهنمای عملی، تهران: رشد. بشارت، محمدعلی (1397). پارادوکس + برنامه زمانی = درمان: مدل کامل زوج‌درمانی به روشPTC - راهنمای عملی، تهران: رشد. بشارت، محمدعلی (1398). مبانی نظری PTC. تهران: رشد. Abramowitz, J. S. (1998). Does cognitive-behavioral therapy cure obsessive-compulsive disorder? A meta-analytic evaluation of clinical significance. Behavior Therapy, 29: 339-355. Abramowitz, J. S. (2006). The psychological treatment of obsessive-compulsive disorder. Canadian Journal of Psychiatry, 51: 407-416. Abramowitz, J. S., Blakey, S. M., Reuman, L. and Buchholz, J. L. (2017). New Directions in the Cognitive-Behavioral Treatment of OCD: Theory, Research, and Practice. Behavior Therapy doi:10.1016/j.beth.2017.09.002 American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). WashingtonDC: American Psychiatric Association. Arch, J. J. and Craske, M. G. (2009). First-line treatment: a critical appraisal of cognitive behavioral therapy developments and alternatives. Psychiatric Clinics of North America, 32: 525-547. Ayuso-Mateos, J. L. (2002). Global burden of obsessive–compulsive disorders in the year 2000. GBD 2000 working paper. Geneva, Switzerland: WHO. Beck, A. T., Steer, R. A. and Brown, G. K. (1996). BDI-II: Manual for the beck depression inventory-II. San Antonio, TX: The Psychological Corporation. Besharat, M. A. (2003). Treatment Outcome Subjective Rating Scale. Unpublished research report.Tehran: University of Tehran(Text in Persian). Besharat, M. A. (2017). Paradox + Timetable = Cure (PTC): Perfect model of treatment for psychological disorders (A practical guide).Tehran: Roshd Press(Text in Persian). Besharat, M. A. (2018). Paradox + Timetable = Cure (PTC): Perfect model of therapy with couples (A practical guide).Tehran: Roshd Press(Text in Persian). Besharat, M. A. (2019). Theoretical foundations of PTC.Tehran: Roshd Press(Text in Persian). Bobes, J., González, M. P., Bascarán, M. T., Arango, C., Sáiz, P. A. and Bousoño, M. (2001). Quality of life and disability in patients with obsessive compulsive disorder. European Psychiatry 16: 239-245. Campbell-Sills, L., Norman, S. B., Craske, M. G., Sullivan, G., Lang, A. J., Chavira, D. A. and Stein, M. B. (2009). Validation of a brief measure of anxiety-related severity and impairment: The Overall Anxiety Severity and Impairment Scale (OASIS). Journal of Affective Disorders, 112: 92–101. Craske, M. G., & Barlow, D. H. (2007). Mastery of your anxiety and panic: Therapist guide (4th ed.).New York, NY: OxfordUniversity Press. Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N. and Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46: 5-27. Crino, R., Slade, T. and Andrews, G. (2005). The changing prevalence and severity of obsessive-compulsive disorder criteria from DSM-III to DSM-IV. American Journal of Psychiatry, 162: 876-882. Eddy, K. T., Dutra, L., Bradley, R. and Westen, D. (2004). A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive–compulsive disorder. Clinical Psychology Review, 24: 1011-1030. Eifert, G. H. and Forsyth, J. P. (2005). Acceptance and commitment therapy for anxiety disorders: A practitioner's treatment guide to using mindfulness, acceptance, and values-based behavior change strategies.New York, NY: Guilford Press. Fisher, P. L. and Wells, A. (2005). How effective are cognitive and behavioral treatments for obsessive–compulsive disorder? A clinical significance analysis. Behaviour Research and Therapy, 43: 1543-1558. Foa, E. B., Liebowits, M. R., Kozak, M. J., Davies, S., Campeas, R. Franklin, M. E. and Tu, X. (2005). Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder. American Journal of Psychiatry, 162: 151-161. Fontenelle, L. F., Cocchi, L., Harrison, B. J., Shavitt, R. G., do Rosario, M. C., Ferrao, Y.A. and Torres, A. R.(2012). Towards a post-traumatic subtype of obsessive-compulsive disorder. Journal of Anxiety Disorders, 26: 377-383. Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L. and Charney, D. S. (1989). The Yale-brown obsessive compulsive scale. I. development, use, and reliability. Archives of General Psychiatry, 46: 1006–1011. Hayes, S. C., Strosahl, K. D. and Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. NewYork, NY: Guilford Press. Hohagen, F., Winkelmann, G., Rasche-Ruchle, H., Hand, I., Konig, A., Munchau, N. and Berger, M. (1998). Combination of behaviour therapy with fluvoxaminein comparison with behaviour therapy and placebo. Results of a multicentre study. British Journal of Psychiatry, Suppl. (35):71-78. Huppert, J. D., Simpson, H.B., Nissenson, K. J., Liebowitz, M. R. and Foa, E. B. (2009). Quality of life and functional impairment in obsessive-compulsive disorder: a comparison of patients with and without comorbidity, patients in remission, and healthy controls. Depression and Anxiety, 26: 39-45. Jacoby, R. J., Leonard, R. C., Riemann, B. C. and Abramowitz, J. S. (2014). Predictors of quality of life and functional impairment in Obsessive-Compulsive Disorder. Comprehensive Psychiatry, 55: 1195-1202. Lindsay, M., Crino, R. and Andrews, G. (1997). Controlled trial of exposure and response prevention in obsessive-compulsive disorder. The British Journal of Psychiatry: The Journal of Mental Science, 171:135-139. National Institute for Health and Clinical Excellence (2006). Obsessive-compulsive disorder: Core interventions in the treatment of obsessive–compulsive disorder and body dysmorphic disorder. Leicester, London, UK: The British Psychological Society and The RoyalCollege of Psychiatrists. Olatunji, B. O., Cisler, J. and Deacon, B. J. (2010). Efficacy of cognitive behavioral therapy for anxiety disorders: A review of meta-analytic findings. Psychiatric Clinics of North America, 33: 557-577. Olatunji, B. O., Davis, M. L., Powers, M. B. and Smits, J. A. J. (2013b). Cognitive-behavioral therapy for obsessive-compulsive disorder: A meta-analysis of treatment outcome and moderators. Journal of Psychiatric Research, 47: 33-41. Olatunji, B. O., Rosenfield, D., Tart, C. D., Cottraux, J., Powers, M. B. and Smits, J. A. J. (2013a). Behavioral versus cognitive treatment of obsessive-compulsive disorder: an examination of outcome and mediators of change. Journal of Consulting and Clinical Psychology, 81: 415-428. Pinto, A., Mancebo, M. C., Eisen, J. L., Pagano, M. E. and Rasmussen, S. A. (2006). The Brown Longitudinal Obsessive Compulsive Study: Clinical features and symptoms of the sample at intake. Journal of Clinical Psychiatry, 67: 703-711. Rosa-Alcázar, A. I., Sánchez-Meca, J., Gómez-Conesa, A., & Marín-Matínez, F. (2008). Psychological treatment of obsessive–compulsive disorder: A meta-analysis. Clinical Psychology Review, 28:1310-1325. Slade, T., Johnston, A., Browne, M. A. O., Andrews, G. and Whiteford, H. (2009). 2007 National Survey of Mental Health and Wellbeing: Methods and key findings. Australian and New Zealand Journal of Psychiatry, 43: 594-605. Subramaniam, M., Abdin, E., Vaingankar, J. A. and Chong, S. A. (2012). Obsessive-compulsive disorder: Prevalence, correlates, help-seeking and quality of life in a multiracial Asian population. Social Psychiatry and Psychiatric Epidemiology, 47:2035-2043. Veale, D. and Roberts, A. (2014). Obsessive-compulsive disorder. BMJ, 348, g2183. Vervliet, B., Craske, M. G. and Hermans, D. (2013). Fear extinction and relapse: state of the art. Annual Review of Clinical Psychology, 9: 215-248. Wilhelm, S., Steketee, G., Reilly-Harrington, N. A., Deckersbach, T., Buhlmann, U. and Baer, L. (2005). Effectiveness of cognitive therapy for obsessive-compulsive disorder: An open trial. Journal of Cognitive Psychotherapy, 19:173e9.
| ||
|
آمار تعداد مشاهده مقاله: 9,704 تعداد دریافت فایل اصل مقاله: 2,986 |
||