Процесса ДПДГ-психотерапии через сеть памяти 31 страница



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Приложение I.

КЛИНИЧЕСКИЕ ЦЕЛИ

 

Приводимый ниже образец бланка может быть полезен для регистрации данных о клиенте и дат встреч с ним. При реальном использовании такого бланка в нем необходимо зарезервировать дополнительное место либо страницы.

Контрольный бланк данных для ДПДГ*

Имя______________________________________________

 

Дата______________________________________________

 

Тип и количество поводившихся ранее консультаций____

____________________________________________________

 

Принимаемые в настоящее время лекарства____________

____________________________________________________

 

Результаты объективных анализов____________________

____________________________________________________

 

Данные об исследовании психического состояния вместе с данными исследования на предмет обнаружения диссоциативных расстройств

____________________________________________________

 

Наличие необходимого раппорта (чувство безопасности клиента, степень правдивости)           

____________________________________________________

 

Способность использовать техники самоконтроля_______

__________________________________________________

 

Личная и социальная стабильность: факторы, на которые необходимо обратить внимание        

 

Поддерживающие факторы__________________________

____________________________________________________

 

Физическое здоровье (моменты, на которые необходимо обратить внимание: нервные расстройства, беременность, заболевания сердца, органов дыхания и гериатрические заболевания; наличие проблем со зрением)__________________________________________

____________________________________________________

 

Стационарное лечение (наличие потребности в нем; природа травматического воспоминания; опасен ли клиент для самого себя или для других)____________

 

Потребность в медикаментозном лечении______________

____________________________________________________

 

Алкогольная или наркотическая зависимость (необходимые меры поддержки; программы; проводилось ли обсуждение возможного обострения)______________

 

Был ли клиент в заключении (результаты процесса, решение суда)

____________________________________________________

 

Контроль факторов социальной системы_______________

____________________________________________________

 

Рентные установки (запланированные действия)________

____________________________________________________

 

Соображения о времени, необходимом на лечение_______

____________________________________________________

 

Потребности клиента, высказанные им________________

____________________________________________________

 

Термины, в которых клиенту объяснялась теория ДПДГ: нервная система, заблокированность научения, БДГ-сон, полушария мозга, другие объяснения________

____________________________________________________

 

Степень информированности при согласии клиента на лечение: было ли сделано предупреждение, что метод является новым (многообещающим, но не дающим полной гарантии); что неразрешенные воспоминания стрессового характера могут проявляться во время лечения; что непредвиденные реакции клиента могут включать в себя беспокоящие эмоции или ощущения и усиление беспокойства в интервалах между сеансами, проявляющиеся в виде ночных кошмаров или других воспоминаний ____________________________________________________

 

Тест на выполнимость движений глаз (какие движения клиент предпочитает; каких движений лучше избегать; следует ли использовать альтернативные раздражители)      

 

Использование метафор (поезд, тигр, туннель или другие)

____________________________________________________

 

Безопасное место (конкретное место и связанные с ним слова)       

____________________________________________________

 

Оговоренный сигнал “стоп”__________________________

____________________________________________________

 

Прочее____________________________________________

Контрольный бланк психотерапевтического плана

Фамилия, имя______________________________________

 

Дата______________________________________________

 

Симптомы_________________________________________

 

Навязчивые образы_________________________________

 


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