A process-based approach to psychological diagnosis and treatment:The conceptual and treatment utility of an extended evolutionary meta model.
A process-based approach to psychological diagnosis and treatment:The conceptual and treatment utility of an extended evolutionary meta model.
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一种基于过程的心理诊断和治疗方法：扩展进化元模型的概念和治疗效用。
DOI：
10.1016/j.cpr.2020.101908
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发表时间：
2020-12
影响因子：
12.8
通讯作者：
Ciarrochi J
中科院分区：
文献类型：
--
作者：
Hayes SC;Hofmann SG;Ciarrochi J
半个世纪以来，心理治疗研究的主导范式一直是为精神病学疾病分类系统所定义的假设但未经证实的潜在疾病实体制定针对特定综合征的治疗方案。虽然这种方法为心理健康问题提供了一种通用语言，但它未能实现其在概念和治疗效用方面的最终目标。基于过程的治疗（PBT）为理解和治疗心理问题以及促进人类幸福提供了一种替代方法。PBT针对的是经验证的生物心理社会变化过程，研究人员已表明这些过程对长期目标和结果具有重要作用。通过基于已知临床效用的概念，并将它们组织成连贯的理论模型，一种针对个体的、功能分析的诊断方法是我们可以掌握的。我们认为，一个多维、多层次的扩展进化元模型（EEMM）为基于过程的诊断提供了一致性和通用语言。EEMM将情境适宜的变异、选择和保留等进化概念应用于与人类痛苦、问题和积极功能相关的关键生物心理社会维度和层面。EEMM是一种诊断和干预方法的元模型，它可以容纳任何一组基于证据的变化过程，无论具体的治疗取向如何。在初步层面上，它为当代精神病学疾病分类系统提供了一种针对个体的、功能分析的且具有临床实用性的替代方案。
For half a century, the dominant paradigm in psychotherapy research has been to develop syndrome-specific treatment protocols for hypothesized but unproved latent disease entities, as defined by psychiatric nosological systems. While this approach provided a common language for mental health problems, it failed to achieve its ultimate goal of conceptual and treatment utility. Process-based therapy (PBT) offers an alternative approach to understanding and treating psychological problems, and promoting human prosperity. PBT targets empirically established biopsychosocial processes of change that researchers have shown are functionally important to long terms goals and outcomes. By building on concepts of known clinical utility, and organizing them into coherent theoretical models, an idiographic, functional-analytic approach to diagnosis is within our grasp. We argue that a multi-dimensional, multi-level extended evolutionary meta-model (EEMM) provides consilience and a common language for process-based diagnosis. The EEMM applies the evolutionary concepts of context-appropriate variation, selection, and retention to key biopsychosocial dimensions and levels related to human suffering, problems, and positive functioning. The EEMM is a meta-model of diagnostic and intervention approaches that can accommodate any set of evidence-based change processes, regardless of the specific therapy orientation. In a preliminary way, it offers an idiographic, functional analytic, and clinically useful alternative to contemporary psychiatric nosological systems.
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影响因子：
3.7
作者：
Antonuccio, DO;Thomas, M;Danton, WG
通讯作者：
Danton, WG
DOI：
10.1523/jneurosci.5057-08.2009
发表时间：
2009-02-04
期刊：
The Journal of neuroscience : the official journal of the Society for Neuroscience
影响因子：
--
作者：
Arai JA;Li S;Hartley DM;Feig LA
通讯作者：
Feig LA
影响因子：
12.8
作者：
Biglan, Anthony;Johansson, Magnus;Embry, Dennis
通讯作者：
Embry, Dennis
影响因子：
6.9
作者：
Ale, Chelsea M.;McCarthy, Denis M.;Whiteside, Stephen P. H.
通讯作者：
Whiteside, Stephen P. H.
影响因子：
1.7
作者：
Bianconi, Eva;Piovesan, Allison;Canaider, Silvia
通讯作者：
Canaider, Silvia