Dergi Ara >>
Yıl:1999; Cilt: 2; Sayı: 3>> Özet
Klinik Psikiyatri Dergisi; 1999;2(3):160-166
Şizofreni Tedavisinde Bilişsel-Davranışçı Yaklaşımlar
MZ Sungur, Ö Yalnız
Ankara Üniversitesi, ANKARA
Psikopatolojinin temelinde, düşüncenin yapısı ve içeriğinde bozukluk olduğu bilinmesine karşın, bilişsel-davranışçı yaklaşımlar şizofreni tedavisinde yeterince kullanılmamıştır. Bu makalede, öncelikle bunun nedenleri üzerinde durulmuş ve günümüzde bilişsel-davranışçı tekniklerin şizofreni tedavisinde neden kaçınılmaz olarak yer aldığı tartışılmıştır. Bu makalede hastanın motive edilmesi ve tedavide kalmasının sağlanması, onunla iyi bir terapötik ilişki kurma, belirtilerin normalize edilmesiyle ilgili rasyoneli aktarma ve nöroleptiklere dirençli pozitif ve negatif semptomlara yönelik teknikler gibi tedavi basamakları da aktarılmıştır. Bu bağlamda, şizofreninin stres-yatkınlık modeli ve bilişsel tedavi yaklaşımlarının hedef semptomları tartışılmıştır.
Cognitive-Behavioral Approaches in Schizophrenia Treatment
Although it is well known that the fundamental psychopathology in schizophrenia, is the structure and content of thought, cognitive-behavioral approaches have hot yet been used sufficiently in treatment of schizophrenia. This paper discusses thi reasons for the insufficient use of cognitive behavioral techniques and the present inevitable need and place of cognitive-behavior threrapy. It also discusses treatment stages such as engagement and rapport building, normalizing rationale and specific techniques used for neuroleptic-resistant positive and negative symptoms. In this context, stress-vulnerability models of schizophrenia and symptoms that might be targets for cognitive strategies are discussed.



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