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Biomedical subjects

H S Bernard

Publications and source records attributed to H S Bernard.

15 recordsLinked to original sources
PubMed1989

"Afterwork": a clinical-phenomenological report.

This paper explores a number of the dimensions of the process of "afterwork": the psychological work that former patients engage in after treatment has terminated. Ten former patients, who had worked with 10 different therapists, were interviewed utilizing a semi-structured interview protocol, and their experiences form the basis for the findings and observations that are described. It was found that subjects remembered little by way of lessons or insights; rather, what remained with them were changes of perspective, the internalization of the "process" of the treatment, and the experience of their therapists' human qualities. In addition, it was found that most subjects had had some form of contact with their therapists post-termination. The implications of these findings are discussed.

Adaptation, Psychological↗
PubMed1983

Anti-therapeutic dimensions of a community meeting in a therapeutic milieu.

A central feature of many inpatient settings, especially those that attempt to be "therapeutic communities," is the community meeting. Such meetings are often quite large and difficult to manage, and therefore susceptible to confusion and chaos. The present article documents the difficulties associated with a community meeting in a particular hospital setting, which is often psychonoxious for patients and debilitating of staff morale. The need to define achievable tasks that are commonly understood and agreed upon is addressed. The confusion and paralysis that results when roles are not clearly delineated is described, as is the destructive potential of not carefully managing the various boundaries that define the relationship between the community meeting and the context in which it is conducted. Finally, the danger of insufficient structure in a community meeting is illustrated. Suggestions for conducting successful meetings are offered.

Group Processes↗
PubMed1980

Relationship between patients' in-process evaluations of therapy and psychotherapy outcome.

Investigated relationship between patients' session-by-session evaluations of brief psychotherapy and outcome. Twenty-eight patients were seen by six therapists for a mean of 10 sessions in a university health service setting. In addition to the session evaluations, which were administered at the conclusion of the second session and each session thereafter, a variety of dependent measures were administered pre and post. Factor analysis of these dependent measures yielded three factors, which were correlated with session evaluation scores. Results indicated that patients' in-process evaluations were correlated significantly and positively with some positive treatment outcome measures, especially achievement of patients' specified treatment goals, but only during initial and final phases of therapy. Results were interpreted as supportive of Mann's model of brief psychotherapy.

Adult↗
PubMed1980

Supervisor-trainee cotherapy as a method for individual psychotherapy training.

One of the problems in the training of young psychotherapists that educators have been reluctant to discuss involves charging a relatively inexperienced beginner with the responsibility of successfully conducting therapy, with a supervisor usually available only between sessions. To ask young surgeons to perform operations and then bring in process notes or audio or video tapes of the procedure for supervisory commentary would be considered reprehensible. And yet, despite educators' commitment to the value of clinical wisdom coupled wtih a sound theoretical rationale, all too often junior trainees and their patients are exposed to the risks of unsuccessful therapeutic encounters. This paper describes a model for psychotherapy training which we have found to be quite useful: cotherapy of individual patients by a supervisor and trainee. During the four years that this model has been in use in our clinic, we have come to appreciate the theoretical and practical issues which are raised when it is employed.

Female↗