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Jingdong book

心理学译丛·教材系列:变态心理学案例教程(第3版)

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心理学译丛·教材系列:变态心理学案例教程(第3版)

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《变态心理学案例教程(第3版)》全书根据《变态心理学纲要》(第4版)(Essentials of Abnonnal Psychology,Fourth Edition)教程中最为典型的变态行为,介绍了相应的19个案例。案例生动真实,具有极大的参考价值。而且全书的编排形式让人一目了然,在对案例分析的基础上进行了讨论分析,探究生理、心理和社会等方面的相互影响,以及法律、伦理、文化和性别等众多相关因素之间的关系。
Author Description

蒂莫西·布朗(Timothy A.Brown)波士顿大学心理系教授,波土顿大学焦虑及相关障碍中心的研究主管。他在焦虑障碍和心境障碍的分类、心境障碍的弱点、心理测量学、社会科学研究的方法学探索等领域有诸多著作发表。另外,他还是DSM-IV焦虑障碍在广泛性焦虑障碍和焦虑抑郁共病方面的顾问委员会成员和DSM-IV修订版中焦虑障碍工作组的成员,现在是DSM-V研究计划委员会的成员。
戴维·巴洛(David H.Barlow)世界知名的心理学家,临床心理学领域的先驱。波土顿大学心理学和精神病学教授,焦虑及相关障碍研究中心主任。因其在科研能力和产量上的突出表现,他获得了美国国家心理健康研究所在1987年颁发的Merit奖,2000年由于在心理学应用方面的表现获得美国心理学会颁发的杰出科学家奖,此外还获得了加利福尼亚州、康涅狄格州和马萨诸塞州心理学会的生涯贡献奖。
Catalogue

案例1 广泛性焦虑障碍/1
整合模型下的个案概念化/4
治疗过程和结果/7
讨论/12
批判性思考/14

案例2 伴有广场恐怖症的惊恐障碍/15
整合模型下的个案概念化/18
治疗过程和结果/22
讨论/25
批判性思考/27

案例3 青少年社交恐怖症/29
整合模型下的个案概念化/32
治疗过程和结果/34
讨论/37
批判性思考/39

察例4 创伤后应激障碍/40
整合模型下的个案概念化/42
治疗过程和结果/45
讨论/50
批判性思考/52

案例5 强迫症/53
整合模型下的个案概念化/57
治疗过程和结果/58
讨论/63
批判性思考/65

案例6 成人身体虐待(家庭暴力)/66
整合模型下的个案概念化/7l
治疗过程和结果/72
讨论/75
批判性思考/78

案例7 分离性身份障碍(多重人格障碍)/79
整合模型下的个案概念化/85
治疗过程和结果/87
讨论/91
批判性思考/92

案例8 重症抑郁症/93
整合模型下的个案概念化/96
治疗过程和结果/99
讨论/102
批判性思考/104

案例9 双相障碍/106
整合模型下的个案概念化/109
治疗过程和结果/112
讨论/114
批判性思考/117

案例10 神经性贪食症/118
整合模型下的个案概念化/121
治疗过程和结果/123
讨论/126
批判性思考/128

案例11 神经性厌食症../130
整合模式下的个案概念化/134
治疗过程和结果/136
讨论/139
批判性思考/140

案例12 性功能障碍:男性勃起障碍/142
整合模型下的个案概念化/145
治疗过程和结果/147
讨论/150
批判性思考/152

案例13 性障碍(性欲倒错):恋童癖/153
整合模型下的个案概念化/155
治疗过程和结果/157
讨论/161
批判性思考/163

案例14 酒精依赖/164
整合模型下的个案概念化/167
治疗过程和结果/170
讨论/173
批判性思考/174

案例15 边缘性人格障碍/176
整合模型下的个案概念化/178
治疗过程和结果/180
讨论/183
批判性思考/184

案例16 精神分裂症/185
整合模型下的个案概念化/187
治疗过程和结果/189
讨论/191
批判性思考/193

案例17 孤独症/194
整合模型下的个案概念化/197
治疗过程和结果/199
讨论/202
批判性思考/204
案例18 待定诊断:个案(一)/205
案例19 待定诊断:个案(二)/207
参考文献/211
主题索引/243
译后记/253
Book Abstract

她的担心除了超出了一定的界限外(两个小时没有听到孩子们的声音就判断他们可能被杀了是没有理由的),同时还是不可控制的:当开始焦虑的时候,她无法摆脱焦虑并重新集中精力到手头的事情上面。例如,当工作中她的主管在旁边的时候,阿德里安会变得更加焦虑和担心(因为阿德里安担心他会认为她的工作表现不好)。她对消极评价的关注使得她在工作中更加不能集中注意力,导致更容易犯错误。因为阿德里安不能将注意力集中在工作上,这将导致她更容易忘记一些事情(如,她总是会忘记主管对她说了什么,因为她在这个时候关注的是主管对她的评价如何而不是主管对她说了什么)。除了在集中注意力和记忆力方面的问题以外,阿德里安的焦虑和担心也表现在其他的一些方面:易怒,犯困,经常性的肌肉紧张和头疼,容易变得激动和紧张。
阿德里安非常关注她的这些过分的担心和焦虑:“我讨厌整天有这种感觉。我只是想有正常的感觉和对自己的生活有控制感!”除了这些不幸之外,阿德里安的问题还在很大程度上影响了她的生活。例如,她要花更多的时间在办公室里,每天早到半个小时以便于“能够将今天的事情全部计划好”(为了降低在工作中犯错误的可能性)。在完成任务或做决定的时候要花去她更多的时间,因为她要确保过程中的每一步都是正确的。此外,阿德里安报告说她的症状对她的社会和家庭生活也有影响。她说她的孩子总是抱怨她的情绪不好。她过去就知道她很少花时间和朋友在一起,并且也注意到了很少有男人在第一次或第二次约会以后还会给她打电话:“他们能够感觉到我不是一个有趣的人。”而且,她的焦虑和担心影响到了她的身体功能,她报告说她有“临界高血压”(一种中等程度的高血压),她的家庭医生认为这是压力所造成的。阿德里安同时还有过一段偏头痛的历史,这种情况虽然被处方药给控制住了,但是好像在过分焦虑之后更容易发作。
除了对各种各样的生活事件(如,工作表现、孩子的健康等)担心和焦虑之外,阿德里安同时报告在一些可能会被别人观察和评价的社交情境中也会感觉不舒服。阿德里安说约会,需要做决断,参加会议,在公众面前演讲的时候尤其会感到一种中高水平的焦虑和不安。无论阿德里安怎么害怕别人的消极评价,但她表示她很少回避这些社交场合。她注意到她对社交情境的这些认识与她担心自己在与别人互动过程中会掉链子、跟不上从而陷入尴尬有很大的关系。
Introduction

临床中的真实病人和真实案例
本书中呈现的所有案例都是根据真实的临床记录和治疗结果而来的,但是为了保证隐私和机密,病人的姓名和身份特征(人口统计学资料,如年龄、职业、婚姻/家庭历史)已经进行了处理。在本书中,我们用一种整合的取向来探讨DSMⅣ中广泛的障碍类型,强调多维度的影响因素(如基因、生物、社会学习等),从而采用统一的模型讨论障碍的病因、维持以及治疗。
为了让每一章都保持易读的篇幅,我们删掉了一些病人生活史的细节,前提是这些细节不会影响障碍的发病、维持或治疗结果,但是在概念化、过程和治疗结果几个部分中,我们则提供了大量丰富的细节和解释,远远超过了同种类型的案例教程。
本书中的大部分障碍,我们都讨论了治疗的多样性,包括药理学和心理社会治疗。在大多数案例中,书中所展现的治疗是这一特定障碍到目前为止最有效的干预方法,已经被科学文献所证实。然而,根据临床实践的真实性,读者可能会注意到,病人的改善程度是有很大差异的。感激诊断的复杂性
由于很多变态心理学的教师经常在小测验、期中考试和期末考试中频繁地使用案例,因此,我们提供了两个额外的案例,案例18和案例19。这两个案例只提供了临床历史,没有提供概念化的诊断和治疗。它们可以作为教学工具,来指导学生对所描述的案例给出不同的诊断和治疗计划。这些“未解决的案例”的目的是刺激班级讨论情感障碍的复杂性及其特征,并给出诊断复杂性的评估。

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