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案例分析题案例四： 一般资料：求助者，女性，67岁，农民。 案例介绍：求助者当过会计，十年前遇车祸，腿部受轻伤，当时意识清楚，检查无明显创伤。从此变得谨小慎微。半年后，因为害怕出错，不再从事会计工作。从过去比较张扬、活跃，变为沉默寡言、不愿出门。八个月前，孙子要来家住，需要整理房间，自己又无能为力，着急上火。后来女儿、女婿回来解决了问题。但从那以后觉得自己什么都不行了，儿子都在外地指望不上。她想重修旧屋，但儿子们与她意见不一致。为此郁闷，食欲下降，入睡困难兴趣下降。感到生活无意义，但无发自杀倾向。有时胃部不适，在当地医院诊断为慢性哺乳动胃炎，经治疗稍有好转。便情绪始终无法改善，寻求心理帮助。 为确定咨询目标，应围绕（）个问题来收集该求助者的资料。
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第二篇： New U．S．Plan for Disease PreventionUrging Americans to take responsibility for their health，Health and Human Services Secretary Tommy Thompson on Tuesday launched a$1 5 million program to try to encourage communities to do more to prevent chronic diseases like heart disease，cancer and diabetes (糖尿病)。The initiative highlights the COSTS of chronic diseases—the leading causes of death in the United States--and outlines ways that people can prevent them，including better diet and increased exercise．“In the United States today,7 of 1 0 deaths and the vast majority of serious illness，disability and health care costs are caused by chronic diseases，”the Health and Human Services department said in a statement．The causes are often behavioral--smoking，poor eating habits and a lack of exercise．“I am convinced that preventing disease by promoting better health is a smart policy choice for our future．”Thompson told a conference held to launch the initiative．‘‘Our current health care system is not structured to deal with the rising costs of treating diseases that are largely preventable through changes in our lifestyle choices．”Thompson said heart disease and strokes will cost the country more than$35 1 billion in2003．“These leading causes of death for men and women are largely preventable，yet we as a nation are not taking the steps necessary for US to lead healthier, longer lives，”he said．The$1 5 million is designed to go to communities to promote prevention，pushing for changes as simple as building sidewalks to encourage people to walk more．Daily exercise such as walking can prevent and even reverse heart disease and diabetes，and prevent cancer and strokes．The money will also go to community organizations，clinics and nutritionists who are being encouraged to work together to educate people at risk of diabetes about what they card do to prevent it and encourage more cancer screening．The American Cancer Society estimates that half of all cancers Can be caught by screening，including Pap tests(巴氏试验)for cervical(子宫颈的)cancer mammograms(乳房X线照片)for breast cancer, colonoscopies (结肠镜检查)，and prostate(前列腺的)checks．If such cancers were all caught by early screening，the group estimates that the survival rate for cancer would rise to 95 percent． Which of the following is NOT true of chronic diseases in the US（）
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案例分析题案例五： 一般资料：求助者，男性，28岁，职员。 案例介绍：求助者家庭条件优越，从小父母宠爱有加，学习成绩优秀，一直都很顺利。半年前留学回国工作，明显不适应国内的环境。工作条件与设想的落差很大，生活上也处处不尽如意，感到很失落，压力也很大。觉得单位人际关系复杂，与同事之间交往很少，不愿参加单位活动。整日闷闷不乐、没精打采。为工作上的事经常对家人发脾气。与女朋友为小事发生争执，后来发展到几乎天天吵架，女友不堪忍受便向提出分手。而后他更加消沉，晚上失眠，白天头晕头痛，饮酒明显增加，每晚都在酒吧泡到半夜。他觉得自己一事无成，所有的梦想都成了泡影，这辈子完了。家人不忍心看他就此沉沦，送他来求助。 心理咨询师观察了解到的情况：求助者父母均为大学教授，很忙，与求助者交流很少。求助者是独生子，内向，不善言谈。 该求助者目前心理状态是（）。
The development of the university relies to a certain extent on（）
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