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The Treatment Of Psychiatric Disorders, 3rd Edition by Beverly J. Sutton, George U. Balis, William H. Reid

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CHAPTER 26

 

ADJUSTMENT DISORDERS

 

 

 

GENERAL PRINCIPLES

By definition, adjustment disorders are maladaptive reactions to identifiable psychosocial Stressors. The tasks of treatment are to deal with acute symptoms and to promote either a return to a healthy premorbid state or effective coping with a chronic Stressor. Strain (1995) mentions the military BICEPS approach to acute treatment (True & Benway, 1992), which stresses brevity, immediacy, centrality, expectance, proximity, and simplicity.

Symptoms are expected to remit or disappear once the Stressor is gone, or to evolve into a more permanent (effective or ineffective) coping mechanism if the Stressor persists. The clinician should be alert to signs of such evolution and to the possibility ...

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