Social workers are more than just discharge planners within a hospital setting. In fact, licensed social workers are credentialed to provide therapeutic interventions such as counseling to enhance the discharge planning process. This case study narrative examines prolonged exposure therapy (PE) as an intervention for the discharge of a female veteran psychiatrically hospitalized for one year. The methodology was selected in response to the dearth of research regarding the psychotherapeutic use of PE during the discharge planning process. The veteran in this study experienced both guilt and shame related to her psychiatric hospitalization and was avoidant of her discharge. There is a scarcity of research that examines the impact of distorted beliefs associated with a prolonged hospital stay and the psychotherapeutic approaches within discharge planning in either the medical or psychiatric hospital settings. This article attempts to fill in the gaps in research by specifically reviewing the use of PE to reduce distorted thoughts of guilt and shame because of the fear of returning home posthospitalization.

中文翻译：

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在出院计划中使用延长暴露疗法

 

社会工作者不仅仅是医院环境中的出院计划者。事实上，有执照的社会工作者有资格提供治疗干预，例如咨询，以加强出院计划过程。本案例研究叙述检查了长期暴露疗法 (PE) 作为对住院一年的女性退伍军人精神病出院的干预措施。选择该方法是为了应对在出院计划过程中缺乏关于 PE 心理治疗用途的研究。这项研究中的退伍军人经历了与她的精神病住院有关的内疚和羞耻感，并且避免了她的出院。很少有研究检查与延长住院时间相关的扭曲信念的影响以及医疗或精神病院环境中出院计划中的心理治疗方法。本文试图通过专门回顾使用 PE 来减少因害怕出院后回家而产生的内疚和羞耻感的扭曲想法，从而填补研究空白​​。