Re[15]: do ohnicka prilejeme 2dc oleja :D :: Something smarter than us is going to emerge


node:	Re[15]: do ohnicka prilejeme 2dc oleja :D
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parent:	Re[14]: do ohnicka prilejeme 2dc oleja :D
owner:	evad
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created:	03.03.2013 - 17:55:25
updated:	03.03.2013 - 17:55:51

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takze ty ako psychiater popieras psychosomatiku? zaujimave. povedala by som ze si jeden z mala.

co sa tyka dr. Radkina Honzaaka - je to asi 80 rocny pan psychiater a ma narok na svoj osobity styl.

zaujimave ze si vybral vyrok o Descartesovi, zaujimalo by ma preco si myslis ze je to totalny bullshit?

nuz a co sa tyka vyskumu efektivity psychoterapie, tu som nahodou celkom doma. a si mimo. ak ta to zaujima mozes skusit si precitat napr. toto - jasne ako facka
LAMBERT, M. J., OGLES, B. M. The efficacy and effectiveness of psychotherapy. In: Lambert, M. L. (Ed.). Bergin and Garfield´s handbook of psychotherapy and behavior change. (5th ed.) New York: John Wiley. 2004. s. 139-193. ISBN: 978-0-471-37755-9

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Nepopieram psychosomatiku, nezavadzaj.

EBM ma inu definiciu, vyhladaj si ju.

Netvrdim, ze psychoterapia nema ziaden ucinok. Kym mi ale dojde ta tvoj doporucena kniha, dozviem sa z nej, ze vsetky psychoterapeuticke smery - z ktorych sa mnohe vzajomne popieraju a tvrdia, ze ta druha nemoze fungovat - boli adekvatne skumane z hladiska efektivity a .. vsetky su efektivne? ;)

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to uz nestoji za odpoved.
co bolo treba bolo povedane.

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nie, nacala si uplne novu temu.

ale fakt ma to zaujima. ako sa hodnotenie psychoterapeutie vyrovnava s faktom, ze existuje mnoho smerov, ktore si vzajomne odporuju ... ale vsetky sa povazuju za platne, nie je ziadna relevantna snaha spravit len jednu univerzalnu teoriu psychoterapie? vsade inde v medicine to funguje ...

edit: knihu si skor ci neskor precitam, zaujima ma to, aby si si nemyslela. ;)

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existuje v poslednej dobe silnejuci smer tzv integrativnej psychoterapie, je o tom kopu clankov aj knih, takze ano ide to tymto smerom.

zaroven vo vyskume pst proti sebe akoby stoja dva tabory - jedni sa snazia prave ako si pisal vyssie - usit presne vymedzenu metodu na konkretnu diagnozu (Empirically supported treatments) - to su kontrolovane studie s terapeutickym manualom, vlastne US poistovne uz preplacaju iba na zaklade tohto

a oproti tomu je druhy smer vyskumu, ktory sa sustreduje na hladanie a vysvetlovanie spolocnych terapeutickych faktorov - pretoze to co funguje nie su (casto si naozaj odporujuce) teorie, ale uplne ine veci - predovsetkym terapeuticky vztah, empatia, moznost katarzie a pod. k tomu napr tuto -
http://societyforhumanisticpsychology.blogspot.cz/2009/10/common-factors-in-psychotherapy-brief.html

Factors that influence client outcome can be divided into four areas: extratherapeutic factors, expectancy effects, specific therapy techniques, and common factors. Common factors such as empathy, warmth, and the therapeutic relationship have been shown to correlate more highly with client outcome than specialized treatment interventions. The common factors most frequently studied have been the person-centered facilitative conditions (empathy, warmth, congruence) and the therapeutic alliance. Decades of research indicate that the provision of therapy is an interpersonal process in which a main curative component is the nature of the therapeutic relationship. Clinicians must remember that this is the foundation of our efforts to help others. The improvement of psychotherapy may best be accomplished by learning to improve one's ability to relate to clients and tailoring that relationship to individual clients.
(inak je tam zaujimavy zoznam clankov aj s abstraktami k danej teme)

tie common factors sa stale skumaju,, maju vsak vyssi efekt ako specialne techniky. tym sa da vysvetlit aj zvlastny ukaz, ze vsetky skumane typy pst dosahuju priblizne rovnaku ucinnost, ziadna skola nie je lepsia ako ine. chvilu sa myslelo ze CBT, ale nakoniec sa ukazuje ze ani to nie.
inak na skumanie efektivity pst je uz metodologia zabehnuta asi 10 rokov, takze tam je to zjednotene: minimalne 4 rozne testy na zaciatku liecby (standardizovane - napr depresia, self esteem, priznaky SCL 90, core-om) - tie same testy na konci liecby a pocita sa effect size. takze takto mozes porovnat aj ze ktory typ terapie ma ake vysledky, aj ked operuju na inych principoch.

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ok, vdaka, prestudujem. ;)