
ekaadhik prabhaav chikitsa

multiple impact therapy (aim. aaee. tii.) ack samooh manochikitsa takneek haye jiska upayog aksar charam sankat mein parivaaron key saath kiya jaataa haye. yeh sanyukt raajya america mein vikasit pahale samooh chikitsa karyakramon mein seey ack thaa. kaee prabhaav chikitsa (aim. aaee. tii.) mein, parivaaron koo kaee bahu-anushasanatmak chikitsa peshevaron dwara samvarti roop seey dekhaa jaataa haye. chikitsa kii avadhi cumm hoti haye, aamtaur parr ack seey dou poorna upchaar dinon taka hoti haye. upchaar kaa dhyaan parivaar key bheetar sanrachanaatmak pattern koo dhoondhana aur mulyankan karna haye, una pattern kaa mulyankan karna haye kii kyaa way samasya key srot hain, phir samasya koo cumm karane key liye sanrachana koo sanshodhit karein. ise yeh pataa lagaane key liye ack jaanch takneek key roop mein bhee istemal kiya jaa sakata haye kii kyaa vyaktiyon koo aage key upchaar key liye bharti kiya jaanaa chaahiye. 
utpatti.
1950 key dashak mein texas vishvavidyalaya kii chikitsa shakha mein ack chikitsa takneek key roop mein aim. aaee. tii. vikasit kiya gayaa thaa. usa samay, texas mein bahut cumm manovishleshak they aur joe upalabdh they way adhikansh parivaaron key liye asahaniya they. kyonki upchaar durlabh thaa, kishoron key liye kuchh vishesh karyakram they, kaee koo manorog aspatalon mein rogiyon key roop mein bharti kiya gayaa thaa. 1957 kii shuruat mein, maataa-pitaa ney apane pareshan bachchon koo ilaaj key liye texas vishvavidyalaya kii chikitsa shakha mein laana shuru kiya.
dow. texas vishvavidyalaya kii chikitsa shakha mein samooh manochikitsa key pramukh shodhkarta robbert mcgregor ney ack hii satra mein poore parivaaron kaa ack saath sakshatkar karke aim. aaee. tii. vikasit karna shuru kiya. mcgregor aur unaki team ney pareshan bachche key prati maataa-pitaa kii chinta koo ujagar karane aur usa parr jore dene key roop mein apana mukhya lakshya sthaapit kiya. 1957 aur 1958 key beach, team ney 12 parivaaron koo prakriyaon key roop mein vikasit kiya. praarambhik satron seey pataa chalaa kii vyaktigat sadasyon key saath chikitsa, samooh satron key saath, sabse prabhaavi parinam detee haye. vyaktigat satron ney sadasyon koo apani vyaktigat narajgi vyakt karane kaa avsar diyaa, jabaki samooh satron ney chikitsak koo parivaar key sadasyon key beach kharaab sanchaar koo thheek karane kaa avsar diyaa. chikitsa kii chhoti, gahan samay seema mool roop seey samay aur yatra seey judee jeevan kii baadhaon key kaaran thee; haalaanki, shodhkartaon ney sanrachana koo banaae rakhaa kyonki dou divasiya baithakon mein utpann gati ney parivaar key sudhaar key liye aavashyak satron kii samagr sankhya koo cumm curr diyaa.
parinam.
ekaadhik prabhaav chikitsa kaa uddeshya parivaar kii sanrachana key bheetar vyavhaar key pattern kii pehchaan karna aur unhein sanshodhit karna, parivaar key sadasyon kii anuchit bhoomikaon koo badalana aur parivaar key sadasyon key beach sanchaar mein sudhaar karna haye.
ack antahvishay dall kaa upayog maataa-pitaa, bachche aur samooh koo samagr roop seey vibhinn drishtikon seey aur vibhinn anubhav aur visheshagyata vaale peshevaron key chashme key madhyam seey dekhane kii anumati detaa haye. texas vishvavidyalaya mein mcgregor key adhyayan mein upayog kii jaane vaali ack vishisht antahvishay team mein ack manovaigyaanik, ack sahayogi chikitsak, ack samajik karyakarta, ack nurse aur parivaar key samudaay yaa rogi chikitsalaya key ack sadasya shamil they, halanki, anya shodhkartaon ney ack hii satra mein 9 taka chikitsak kaa upayog kiya haye. samudaay yaa rogi karmchaariyon key sadasya koo shamil karane seey bachche key maataa-pitaa key saath vishvaas aur sammaan badhata haye.
1958 aur 1962 key beach pachas atirikt parivaaron koo dekhaa gayaa jaba mcgregor ney pahali baar apane nishkarshon koo aim. aaee. tii. parr prakaashit kiya. pachas parivaaron key bheetar, kewal saat koo asafal mamle maanaa gayaa. aim. aaee. tii. kii spasht safalata key bavjood, dou pramukh kamiyaan, karyakram kii saapeksh dakshata aur antahvishay dall key beach sangharsh, nott kiye gaye they.
prakriya.
aim. aaee. tii. koo kaee karanon seey parivaaron koo upchaar vikalp key roop mein nirdhaarit kiya jaa sakata haih jaba paaramparik chikitsa aspatal mein bharti honey key vikalp key roop mein, aspatal mein bharti honey seey pahale kaarravaai key antim pathyakram key roop mein, yaa una parivaaron key liye joe pahale seey hii samooh chikitsa mein they, lekin kuchh parinam dekh rahey they, parinam dikhaane mein whiffle rahati haye.
upchaar dou dinn kii avadhi mein lagbhag saat charanon mein hotaa haye. yeh pratibhagiyon koo soochit karane aur parivaar kii sthiti kii samajh praapt karane key liye ack yojana aur sankshipt satra key saath shuru hotaa haye. maataa-pitaa aur bachchon koo alag curr diyaa jaataa haye, chikitsak bachche key aparaadh key srot kii jaanch karane key liye maataa-pitaa seey milate hain aur bachche key vyavhaar key saath parivarik pattern kaa milan karane key liye bachche key saath ack sakshatkar karate hain. ack bahu chikitsak satra taba aayojit kiya jaataa haye, jisamen chikitsak kissy bhee sadasya yaa kissy bhee sankhya mein sadasyon key saath ack saath milate hain jaisa kii way upayukt dekhate hain. parivaar key sadasya phir seey apani pragati aur ack dusare key prati behtar drishtikon saajha karane key liye phir seey bulaate hain.
dusare dinn, parivaar pahale dinn key dauran sakaratmak drishtikon key saath aage badhate hain. pahale dinn aksar parivaar key kaee tootane koo prakaashit kartaa haye jabaki dusare dinn parivaar kii anoothi sthiti key liye behtar drishtikon aur anuprayog koo banaae rakhane parr dhyaan kendrit kiya jaataa haye. dusare dinn, logistic vichaaron parr aksar charcha kii jaati haye jaise kih kyaa bachche koo aspatal mein bharti rehna chaahiye, schooly shiksha jaari rakhni chaahiye, yaa upchaar kii ack alag vidhi parr vichaar karna chaahiye. aam taur parr dou maheene aur chhah maheene kii anuvarti niyukti nirdhaarit kii jaati haye.

