Non-specific aspects of treatment:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Toronto ; Lewiston, NY ; Bern ; Stuttgart
Huber
1989
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Literaturangaben |
| Beschreibung: | VII, 152 S. graph. Darst. |
| ISBN: | 3456816812 0920887325 |
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Datensatz im Suchindex
| _version_ | 1804116860152578048 |
|---|---|
| adam_text | Titel: Non-specific aspects of treatment
Autor: Shepherd, Michael
Jahr: 1989
TABLE OF CONTENTS
INTRODUCTION........................1
1) Philosophy of Science ......................3
2) Experimental Psychology ....................3
3) Clinical Pharmacology......................3
4) Psychotherapy...........................4
5) Clinical Psychiatry ........................4
The Placebo Concept in Medicine and Psychiatry......7
Adolf Grünbaum
Introduction .................................7
Critique, Explication, and Reformulation
of A. K. Shapiro s Definition.......................9
Critique................................9
Explications and Reformulations..................15
Clarifying Comments........................21
Logical Defects of Received Vocabulary..............25
Clarifying Ramifications of My Explications ...............29
Acknowledgements.............................35
Placebo Factors in Treatment: Views of a Psychologist . . 39
Neal E. Miller
Ruling Out Non-Specific Factors in Evaluating Therapy ........39
Examples of Non-Specific Effects .....................42
Minimizing in Evaluation versus Maximizing in Therapy .......44
Factors Enhancing Non-Specific Effects..................44
Mechanisms for Non-Specific Effects ...................46
Effects of Emotional Stress .........................46
Psychological Factors Reducing Emotional Stress ............47
Pain ..................................49
Stresses of Diagnosis, Illness, and Therapy................50
Suggestion ..................................50
Indirect Effects on Health..........................51
Non-Specific Aspects of Treatment from the Point of View
of a Clinical Pharmacologist .................57
C. R. B. Joyce
Introduction and Definitions........................57
Methodology.................................62
vi
TABLE OF CONTENTS
The Location of Non-Spedfic Factors ...................64
The Pharmacology of Non-Specific Factors: Placebo...........64
Other Major Non-Specific Factors.....................67
Society and Group..........................67
The Doctor..............................69
Aspects of the Doctor-Patient Relationship............70
The Patient..............................74
The Drug...............................75
The Task ..................................76
Specific and Non-Specific Interactions...................77
Ethics and Non-Specific Factors ......................78
Conclusion: The Medical Use of Information
about Non-Specific Factors........................79
Acknowledgements.............................82
Non-Specific Aspects of Treatment:
The View of a Psychotherapist................95
Jerome D. Frank
Introduction .................................95
Illness, Demoralization, and Healing—
General Considerations.......................95
The Placebo Effect in Medical, Surgical and Psychological Treatments 96
Supportive Evidence for the Anti-Demoralization Hypothesis of
Psychotherapy...............................97
Symptoms of Patients in Psychotherapy .............97
Delay in Seeking Psychotherapy..................98
Statistical Comparisons of Outcomes of Psychotherapies .... 98
Rapidity of Improvement in Some Patients............99
Non-Specific Therapeutic Components
of All Forms of Psychotherapy.....................100
Morale-Raising Functions of Therapeutic Myths and Rituals.....102
Prognostic Aspects of Patients, Therapists,
and Patient- Therapist Pairs ......................106
Discussion and Conclusions .......................108
Non-Specific Factors in Treatment:
A Clinician s Perspective ...................115
Gerald L. Klerman
Introduction ................................115
The Role of the Clinician in Modern Scientific Medicine . . . 115
Criticisms of Scientific Medicine.................116
Recreation of Primary Care....................117
TABLE OF CONTENTS vii
The Clinician s Perspective........................118
Disease and Illness Behaviors in Cross-Cultural Perspective . 118
Negotiation of the Sick Role in the
Doctor/Patient Relationship ...................119
The Patient Has a Medical Disease ...................121
What is the Role of Non-Specific Factors?............121
Scientific Evidence for the Role
of Non-Specific Factors in Medical Disease: ........121
Treatment Planning ........................121
Use of Psychopharmacologic Agents ..............122
Role of Health Professionals other than Physicians ...... 123
Response of Psychiatry......................123
The Patient has a Mental Disorder....................124
Scientific and Social Functions
of Diagnosing Psychiatric Disorders...............125
Psychiatric Disorders in General Health Settings........126
The Case of Depression......................127
The Patient has No Medical Disease or Mental Disorder .......128
Innovative Efforts at Psychosocial Intervention ........129
Future Prospects..........................130
Summary and Conclusions: Improving the Scientific Basis for
Non-Specific Treatments .........................130
Contributions from the Social and Behavioral Sciences .... 130
Assessment of Quality of Life ..................131
Studies of Stress ..........................131
Need for Controlled Trials to Evaluate Non-Specific
Psychopharmacologic and Psychosocial Treatments......132
Application to Health Care in Developing Countries .....133
Prospects for the Future......................133
Acknowledgements............................134
DISCUSSION..........................139
Dr Miller answers editors questions ..................139
Dr Joyce answers editors questions...................141
Dr Frank answers editors questions...................142
Dr Klerman answers editors questions.................146
Dr Grünbaum answers editors questions................148
SUBJECT INDEX
.151
|
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| ctrlnum | (OCoLC)260143791 (DE-599)BVBBV002436213 |
| discipline | Medizin |
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| institution | BVB |
| isbn | 3456816812 0920887325 |
| language | English |
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| spelling | Non-specific aspects of treatment ed. by Michael Shepherd and Norman Sartorius. Publ. on behalf of the World Health Organization Toronto ; Lewiston, NY ; Bern ; Stuttgart Huber 1989 VII, 152 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Literaturangaben Therapie (DE-588)4059798-2 gnd rswk-swf Pharmakotherapie (DE-588)4076066-2 gnd rswk-swf Placebo (DE-588)4046191-9 gnd rswk-swf Psychische Störung (DE-588)4047686-8 gnd rswk-swf Organische Krankheit (DE-588)4204397-9 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Organische Krankheit (DE-588)4204397-9 s Pharmakotherapie (DE-588)4076066-2 s DE-604 Placebo (DE-588)4046191-9 s Psychische Störung (DE-588)4047686-8 s Therapie (DE-588)4059798-2 s Shepherd, Michael Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=001581180&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Non-specific aspects of treatment Therapie (DE-588)4059798-2 gnd Pharmakotherapie (DE-588)4076066-2 gnd Placebo (DE-588)4046191-9 gnd Psychische Störung (DE-588)4047686-8 gnd Organische Krankheit (DE-588)4204397-9 gnd |
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| title | Non-specific aspects of treatment |
| title_auth | Non-specific aspects of treatment |
| title_exact_search | Non-specific aspects of treatment |
| title_full | Non-specific aspects of treatment ed. by Michael Shepherd and Norman Sartorius. Publ. on behalf of the World Health Organization |
| title_fullStr | Non-specific aspects of treatment ed. by Michael Shepherd and Norman Sartorius. Publ. on behalf of the World Health Organization |
| title_full_unstemmed | Non-specific aspects of treatment ed. by Michael Shepherd and Norman Sartorius. Publ. on behalf of the World Health Organization |
| title_short | Non-specific aspects of treatment |
| title_sort | non specific aspects of treatment |
| topic | Therapie (DE-588)4059798-2 gnd Pharmakotherapie (DE-588)4076066-2 gnd Placebo (DE-588)4046191-9 gnd Psychische Störung (DE-588)4047686-8 gnd Organische Krankheit (DE-588)4204397-9 gnd |
| topic_facet | Therapie Pharmakotherapie Placebo Psychische Störung Organische Krankheit Aufsatzsammlung |
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