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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Acceptance and commitment therapy for treatment-resistant depression.
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Acceptance and commitment therapy for treatment-resistant depression.

机译：抵抗治疗性抑郁症的接受和承诺疗法。

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In spite of new advances in therapeutic options for major depression, there is a minority of people who continually fail to respond to repeated and adequate trials of treatment. Instead, they exhibit a chronic and at times deteriorating course of disease. In such individuals, persistent treatment is often not beneficial. Thus, realigning the aim of treatment from cure to maximization of quality of life and optimization of function in the context of limitations may provide a more realistic alternative (Berk et al., 2008; Berk et al., 2012).In the service of this aim, the use of acceptance and commitment therapy (ACT) is a(n emerging option. ACT is one of the 'new wave' of approaches of cognitive behavioral therapy (Hofmann et al., 2010). ACT fosters acknowledgement and acceptance of negative thoughts and emotions and discourages experiential avoidance. The expectation is that once the patient's struggle with unwanted thoughts and emotions has been reduced, it will be easier to focus on realistic plans and goals. ACT also aims to assist in setting goals and acting on these goals. With this, ACT endeavours to improve psychological flexibility - one's ability to adaptively navigate across changing environmental conditions.
机译：尽管重度抑郁症的治疗选择有了新的进展，但仍有少数人对重复和充分的治疗试验持续无效。相反，它们表现出慢性并且有时恶化病程。在这样的个体中，持续治疗通常是无益的。因此，将治疗的目标从治愈转向生活质量最大化和功能优化的局限性可能提供了更现实的选择（Berk等，2008; Berk等，2012）。为此目的，接受和承诺疗法（ACT）的使用是一个新出现的选择。ACT是认知行为疗法方法的“新潮”之一（Hofmann等，2010）。ACT促进了对认知行为疗法的认可和接受。消极的想法和情绪会阻碍体验式回避，人们期望一旦患者减少了与不必要的想法和情绪的斗争，就更容易专注于切合实际的计划和目标，ACT也旨在协助设定目标并针对这些目标采取行动为此，ACT致力于改善心理灵活性-适应环境变化的能力。

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