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Human Systems Therapy Techniques For Managing Aggressive Behavior In Psychiatric Services

机译:用于管理精神科服务中攻击性行为的人类系统治疗技术

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The aim of this paper is to present certain Human Systems Therapy techniques, which have been successfully applied in managing aggressive behavior in psychiatric services. The main characteristics that differentiate Human Systems Therapy from other Systemic methods are the following: a) it is applicable on a family as well as on an individual level (multilevel); b) it includes techniques that address patient's emotions and hence, it is applicable to psychotics and mentally retarded people; and c) it involves a third order cybernetics' epistemology, which allows the use of knowledge steming from psychological and family studies for formulating hypotheses useful to therapy. The subjects of the current study were psychotics and mentally retarded adults. The techniques are the following: over/positive description, alchemy of behavior, changing emotional context in the ecology of mind, freedom of choice and expected consequences. The four techniques share a paradoxical element in the sense that the therapist is not confronting patient's aggressive behavior in order to suppress it. On the contrary, the therapist acts as if the patient is not being aggressive. These techniques have been used for the last six years in psychiatric services, where they promoted complete avoidance of restraint. Besides, these techniques possibly contributed to shorten the hospitalization time of aggressive psychotics, and to improve significantly the personal abilities of profound mentally retarded adults. It is worthwhile both to further use these techniques as well as to test their effectiveness in research trials.
机译:本文的目的是呈现某些人体系统治疗技术,该技术已成功地应用于在精神科服务中管理攻击性行为。区分人类系统治疗的主要特征是以下内容如下:a)它适用于一个家庭以及个人水平(多级); b)它包括解决患者情绪的技巧,因此,适用于精神病和智障人士; c)它涉及三阶蔓越的认识论,这允许利用从心理和家庭研究中源的知识,以制定有助于治疗的假设。目前研究的主题是精神病学和智障的成年人。这些技术如下:过度/正面描述,行为的炼金术,在心灵生态,选择自由和预期后果中改变情绪背景。这四种技术在治疗师不构成患者的侵略性行为的情况下共享矛盾的元素,以便抑制它。相反,治疗师的作用就像患者没有侵略性一样。这些技术已在精神科服务的最后六年中使用,在那里他们促进了完全避免克制。此外,这些技术可能有助于缩短侵略性精神病学的住院时间,并提高深度智力迟钝成年人的个人能力。值得注意的是进一步使用这些技术,并在研究试验中测试它们的有效性。

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