Stefan Leder, Maria M. Siwiak-Kobayashi
Psychoterapia poznawcza a psychoterapia integracyjna 5
Cognitive and integration psychotherapy 5
In the two complementary parts of the paper, the authors present the history of the cognitive approach and its development in psychology and psychotherapy along with the description of implementation of behavioural and cognitive learning into the integrative therapeutic program and theoretical background of their approach.
Terapia poznawczo-behawioralna fobii społecznej 27
Cognitive-behavioural therapy of social phobia 27
Social phobia (social anxiety disorder) is an anxiety disorder associated with significant impairment, and since the past two decades has been increasingly recognised as an important social health problem. The article is a review of literature on cognitive-behavioural therapy (CBT) for social phobia and includes a description of main CBT models, methods of therapeutic interventions, and a brief analysis of data from the studies on efficacy of this kind of treatment.
W poszukiwaniu języka doskonałego. Uwagi o fobii społecznej 39
In search of perfect language. Remarks on social phobia 39
The essay describes the aetiology, course of illness and personality problems of patients with social phobia, as well as difficulties in their psychotherapeutic treatment.
W poszukiwaniu języka doskonałego psychiatrii. Glosa dyskusyjna do eseju Anny Potoczek o fobii społecznej 47
Barbara Kosmala, Sławomir Bukowski
Mechanizmy i terapia hipochondrii w świetle koncepcji poznawczo-behawioralnej 49
Mechanisms and therapy of hypochondria from a cognitive-behavioural perspective 49
The article presents the mechanisms of hypochondria from a cognitive-behavioural perspective. It also describes the newest knowledge about theoretical conceptualisation, clinical and empirical data elaborated in this system. The authors present treatment proposals derived from them. The whole is illustrated by clinical example.
Halina Lebiedowicz, Aleksander B. Skotnicki
Wykorzystanie koncepcji fenomenologiczno-poznawczych w pracy klinicznej z pacjentami z chorobą nowotworową krwi. Doświadczenia własne 57
The use of the phenomenological-cognitive conceptions in clinical work with blood neoplasm disease patients. Personal experiences 57
In this article we presented the model of psychological care for patients hospitalized in the Hematology Department of the Jagiellonian University, Collegium Medicum in Krakow. The authors are based on the psychological conceptions of the phenomenological-cognitive trend. Disease experience and its psychological consequences are described with reference to the crisis theory. The presented model shows individual possibilities of patients to cope with the disease unaided and the treatment. The aim of psychological care is to mobilize the patients for active participation in the treatment process and to support the patient adaptation to experienced events and also to predictable changes in their life. Discussed forms of psychological assistance, on one hand, take into consideration the importance of individual contact of the patient with psychologist and, on the other hand, allow taking assistance of the large group of patients during hospitalisation.
Jerzy A. Sobański, Katarzyna Klasa
Zmiany nasilenia objawów w okresie oczekiwania na leczenie 67
Pretherapy symptom level changes 67
Aim: Description of global neurotic symptom level present during pre-therapy waiting. Material: Case records of 2589 patients containing two symptom checklists filled in before treatment in a day-hospital. Method: Analysis of symptom change, by comparison of symptom checklists "0" filled in whilst waiting for therapy - at first diagnostic ambulatory visit and on the day of psychotherapy admission. Results: Change of global symptom level during pre-therapy assessment and pre-therapy waiting were not large but they were composed of frequent changes in both incidence and intensity of particular symptoms. On average only 40-60% of symptoms (the same) were present in both measurement points during pre-therapy waiting. Similar rates of such changes were observed in women and men. Conclusions: Global symptom changes among individuals waiting for therapy were in most cases relatively small. However, in particular symptoms many different and very heterogenous transformations were observed. Patterns of change were gender-independent in the global symptom intensity as well as in the particular symptom rates.
Jerzy A. Sobański
Różnice szybkości ustępowania objawów zaburzeń nerwicowych 81
Differential response of neurotic symptoms 81
Aim: Analysis of timing of neurotic disorders' symptoms improvement during intensive psychotherapy in a day hospital at the Wojewódzki Ośrodek Leczenia Nerwic according to an integrative theoretical approach and relation of the phenomena observed to therapy outcome. Material: 3509 symptom checklists "0", filled in by 319 patients treated in day hospital in 1990-1998. The group consisted of 235 females and 84 males, mostly with diagnoses of somatization disorder, generalised anxiety disorder, dissociative motor and sensoric disorders as well as with a diagnosis combining elements of listed above. Method: Symptom checklists "0", filled weekly by patients were examined. For 10 selected neurotic symptoms, differential treatment-induced improvement rates were looked for. Results: Particular neurotic symptoms disappeared with different velocity during intensive psychotherapy. In subgroups of patients with different psychotherapy outcomes, during subsequent 9 weeks of treatment, different rates of selected 10 neurotic disorders' symptoms improvement were found. Conclusion: During psychotherapy processes with beneficial final results, higher improvement speed for selected neurotic symptoms was observed. However, significant differences in particular symptom improvement rates make treatment monitoring more complicated.