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EN
Sleep disorders are amongst the most common medical complaints of the 21st century. Healthy sleep acts as a sensitive indicator of physical and mental health therefore it has a significant public health impact (Taylor et al., 2003, 2007). Insomnia is the most frequent sleep disorder. Approximately one third of the population are characterized with insomnia symptoms, amongst 10% of them as a chronic condition and the frequency is increasing with age (Ohayon, 1996; Nau, Lichstein, 2005; Hohagen, Rink, Kappler, 1993). According to a large-scale representative population survey (Hungarostudy, 2002) the point prevalence of insomnia is 9.2% in Hungary (Novak, Mucsi et al, 2004). Cognitive behaviour therapy is one of the most evidence-based treatment approach of insomnia, especially in chronic cases. According to both European (NICE) and US (AASM) guidelines CBT is recommended as first rank treatment (Schutte-Rodin, Broch et al, 2008; NIH Guideline, 2005; Perlis, Jungquist et al, 2005; Wang, Wang, Tsai, 2005; NICE Guidelines, 2004, Estivill, Bovéet al., 2003; Smith, Perlis, Par, 2002; Purebl, Bánki et al, 2010). Nevertheless, “classic” CBT techniques alone are not suitable enough for long-term success, the therapy ought to integrate counseling targeting the restoration of circadian rhythm and healthy, sleep-friendly lifestyle changes.
EN
The article presents set of definitions of the relationship which develops in a therapeutic con-tact. The author shows understanding of the therapeutic relationship typical of psychoanalysis, cognitive-behavior therapy, humanistic currents and Gestalt therapy. He also mentions the results of the study conducted in the period of 2004-2012 oriented on the identification of those factors which significantly influence on the efficiency of the running psychotherapy. Among the variety of groups of factors featured in the study the attention is paid to the fact of independence of the results of the running psychotherapy from the theoretical assumptions of the current in which the therapist works.
EN
Daniel (32 years old), with an anamnesis of long-term using of addictive substances, more precisely a combination of marihuana, methamphetamine, heroin and alcohol. He started taking addictive substances approximately at the age of 15 because of a positive family anamnesis, relationship and personal problems. From the psychotherapist’s perspective we worked together during his tree-month toxin-rehabilitation treatment in the psychiatric hospital in Kromeriz. The patient's name has been changed in case history. Daniel, together with other patients contributed to the creation of a programme and afterwards a brochure for patients with drugs career, based on cognitive – behavioural therapist techniques. Daniel's therapeutic goals are dominated by craving themes, his personality settings, learning self-control: drug rejection, communication, work with rage, relaxation training, cognitive avoidance with addictive substance, problem solving, and relapse prevention.
CS
Daniel (32 let), v anamnéze dlouhodobé užívání kombinací návykových látek, nejčastěji marihuany, pervitinu, heroinu a alkoholu. Návykové látky začal užívat zhruba od 15 let z důvodu pozitivní rodinné anamnézy, vztahových a osobnostních problémů. Psychoterapeuticky jsme spolu pracovali během jeho tříměsíční toxirehabilitační léčby v Psychiatrické nemocnici v Kroměříži. Jméno pacienta bylo v kazuistice změněno. Daniel spolu s dalšími spolupacienty se podíleli na vytvoření programu a následně brožury pro pacienty s drogovou kariérou s kognitivně behaviorálními terapeutickými postupy. V terapeutickém cíli Daniela dominují témata bažení, jeho osobnostní nastavení, učení se sebeovládání: odmítání drogy, komunikace, práce se vztekem, nácvik relaxace, kognitivní vyhýbání se návykové látce, řešení problémů, prevence relapsu.
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