PubMed Health⌕ Search

Biomedical subjects

M B Buchholz

Publications and source records attributed to M B Buchholz.

17 recordsLinked to original sources

[Problems and strategies of qualitative psychotherapy research in clinical institutions].

The neglect of institutional codetermination in therapeutic decisions is exposed as a desiderative in research. Qualitative approaches as developed in the social sciences must come to grips with the social unconscious institutional procedures; therapy is proposed to be considered as a social event. Thus Reality Work is viewed as field and object of qualitative research in clinical institutions, a concept close to ethnographic and social constructionist approaches. The generative techniques (as dissonance reduction, narrative transformations and selection of rules of discourse) institutions use for the establishment of their social-emotional integration are illustrated by examples; they are instruments to produce a processible image of the patient. Images thus generated rule treatment, they can be formulated as metaphors und looked for at different levels.

Hospitalization↗

[Conflict and counter-conflict--unconscious aspects in a cultural context].

Quarrel is considered to be a social form not only an affective relationship. Following the sociologist Georg Simmel the thesis is presented that quarrel does not destruct social order but constructs. Quarrel is a social form in the antagonism between family and culture. Described are characteristic courses of quarrels as well as unconscious strategies which are illustrated by family therapeutic examples. My contribution ends with the remark in the theory of culture about the connection between quarrel, the tragedy of individualization and the introversion of guilt. I propose not to avoid quarrels, but to cultivize them.

Child↗

[Present-day families--anti-family families?].

Alternative forms of living had their origin in the 1968-movement, which opposed directly the family. Meanwhile, this critical impulse has born many divergent forms of alternative living. Some of them have a family-analogue character together with a critical intention towards families. Thus, they are called here "Anti-Family-Families". They meet difficulties which can neither be understood by clinical theory of neurosis nor by a theory of family dynamics alone; a reconsideration of cultural and societal change must be included. This influence of change on therapeutic process is an unanswered challenge for the family therapist, who meets the influence of alternatively changed family life even in the treatment of "normal" families.

Adult↗

[Collection of relevant data in psychoanalytically oriented inpatient psychotherapy--The Tiefenbrunn Documentation System].

We inform about development of the Tiefenbrunn documentation system for inpatient psychotherapy. Aims and scaffolding of the system and some difficulties to make the system run are outlined. The newly developed instruments are sketched. Patients received a questionnaire concerning their social situation and their family of origin. At the same time therapists indicate symptoms, diagnosis, work ability, prognosis, pretreatments and chronification (diagnosis sheet I) and results of treatment (diagnosis sheet II) when patients leave. During treatment complementary therapy (as e.g. massage etc.) is documented. From 1988 on we have 230 variables on every patient in our computers. Actual and further use of the system is described.

Data Collection↗

[Attitude, process fantasy and progress assessment after inpatient psychotherapy--the Tiefenbrunn Termination Interview].

This is a preliminary study on the qualitative evaluation of inpatient psychotherapy by means of a semistandardized interview at the end of treatment. The interview focus is on the patients' attitude, fantasy of cure and view of achieved progress. These components are formulated in a metaphoric, every-day-language which are set in relation to the patient's quantitative evaluation of treatment. Experience of therapy appears as consistently embedded in, and depending from the patient's lay theory of cure, which also determines his measure of outcome. Obviously, an important dimension of psychotherapeutic interaction can be described as "negotiating" the lay theory of cure.

Attitude to Health↗