BAI GIANG CONG TAC XA HOI

[kit diet) tri 12, 13 va 14 tiep tuc tap trung vao (1) ski to phe phan ciia
khach hang va phan dean co ban cho hanh vi do; (2) nhung hanh clang
khach hang can tien hanh, vi du: kien dinh Min trong viec xi1 li nhfing tai
phe binh cim ngttoi khec. Nhiem vu vg nha a ba giai (loan nay la (1) liet ke
nhfing digu "muOn lam" a hien tai va Wong lai; (2) xem xet lai nhfing hanh
dang ma khach hang có the lien hanh nham dat ducic nhung digu "muen
lam" a hien tai va ttidng lai.
Trong suet dot 15 va cuoi sung, khach hang va nguOi digu tri xem lai
cal gi da hoc &toe hay dat dude trong flitting dot digu tri cu. Met trong
nhiing dieu quan trong nhat ma khach hang hoc dude la nhung suy nghi va
to thoai c6 the clang quan trong den cam giac va hanh vi. Met bei hoc nita la
cac suy nghi Lieu cue c6 the dan den nhting cam giac tram cam ve thay
minh ve dung. Khech hang cfmg dttoc hoc rang thay the nhung suy nghi
tieu cue bang nhfing suy nghi thkic t6 hoac cap tien hon, ski tram cam se
qua di ve ho se" hanh pink hay hai Ring hon. Met bad hoc khac Mua la nhung -
gi tren danh shell "nen lam" se Op phan vao chfing tram cam, trong khi
danh sach "mu6n lam" OCT thoat kh6i chfing tram cam. Khfich hang clang
hoc dive rang hoan thanh mat boat clang thoai mei de chin it nhat met
Wan mot Lan thuong thay the nhung earn giac trAm cam bang nhung cam
gine de chin va hai long.
Nguy ccl ty tit
t Wang, &in hien va c6 gang to ti thtiong co lien quan d6n chang
tram cam. Rai ro tu tit dac biet nghiem trong khi c6 nhung rail loan ton
trong tram cam. Nhfing r6i loan nay thuimg xay ra phd hien khoang 15%
trong ddi cila dan ong va 25% cim phu nil. 3000 vu to vong dude bao cao
hang nam a M9 co' lien quan den ty tit. Them vac) do hon 15 ngan tre em va
vi thanh vien phai nhap vien hang nam vi nhung de doa va hanh vi
Ti le, ty to tang len cling do ttSi. Mac dU nodi gia c6 xu hieing ty tit ft hdn
nhting nguoi tre tudi, ho lai hay thanh tong hon, tao nen 25% cac vu to tit
thanh cling, mac du ho chigm co 10% tong dan cu. Ti Le ty tii gitia nam va
nu de' tuSi 75 va tit 75 gap ba tan ti Lo ty Lit cUa nhung ngtioi dO Wel 30 va
tre hon'.
Kaplan, H. 1.. & Sadock. B. J. (1996). Consise textbook of clinical psychiatry.
Baltimore: Williams & Wilkins.
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