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Yıl:2003; Cilt: 11; Sayı: Ek 2>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 2003;11(Ek 2):19-30
Psikiyatrik sorunlarda davranışçı yaklaşım: Kuramlar ve kuramlara göre tedavi uygulamaları
E Şalcıoğlu
Bu yazıda davranış tedavisinde teorik yaklaşımlar dört ana başlık altında incelenmiştir: klasik koşullanmayı temel alan uygulamalar (sistematik duyarsızlaştırma, alıştırma, aversif tedavi), edimsel koşullanmayı temel alan uygulamalar, modelleme, ve bilişsel-davranışçı tedaviler. Bu kuramları temel alan davranış tedavilerinin uygulama alanları, etki mekanizmaları ve tedavi etkilerine yönelik bilimsel bulgular gözden geçirilmiştir. Günümüzde davranış tedavisi bir çok psikiyatrik sorunun tedavisinde etkinliği bilimsel kanıtlarla desteklenmiş bir tedavi yaklaşımıdır. Özellikle alıştırma kuramına dayalı davranış ve bilişsel faktörleri de kapsayan bilişsel-davranışçı tedaviler anksiyete hastalıklarının tedavisinde öncelikle tercih edilen tedavi yaklaşımlarıdır. Davranış tedavisinin etki mekanizması, ne kadar sürede tedavi etkisinin ortaya çıktığı, sanal gerçeklik, simülasyon gibi farklı tekniklerle uygulanmasının etkisi ve terapisti ortadan kaldırarak doğrudan bilgisayar aracılığıyla, hatta internet üzerinden, uygulanmasının etkisi bugün davranış tedavisi ile ilgili araştırmaların odaklandıkları konulardır.

Behavioural approaches in psychiatric disorders: Theories and clinical applications
In this report the theoretical approaches in behaviour therapy were described under four headings: approaches based on classical conditioning (systematic desensitisation, exposure, aversion therapy), approaches based on operant conditioning, modeling, and cognitive-behavioural treatment. The clinical application of these conceptual approaches, their mechanism of change, and the empirical findings on their effectiveness were reviewed. There is abundant evidence to show that behavioural treatment is effective in many psychiatric problems. Behavioural or cognitive-behavioural procedures that incorporate exposure became the treatment of choice in anxiety disorders. Today the topics of interest in behaviour therapy research are the mechanism of change, the number of sessions required to emerge significant clinical improvement, the effectiveness of treatment involving different techniques such as virtual reality and simulation, and the effectiveness of treatment when delivered via computer programmes or internet.

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