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Biomedical subjects

M Vannicelli

Publications and source records attributed to M Vannicelli.

At least 19 recordsLinked to original sources
PubMed2001

Leader dilemmas and countertransference considerations in group psychotherapy with substance abusers.

Leader issues and countertransference dilemmas that emerge in psychotherapy groups for substance abusers will be examined along with strategies to extricate the therapist from the impasses that emerge. Specific issues include feelings of helplessness and inadequacy when a patient relapses and resumes substance use, countertransference reactions emanating from an overlapping personal or family history of substance abuse, countertransference helplessness when the therapist is more invested in the treatment than the patient, feelings of incompetence related to partial familiarity with 12-step culture and lingo, and countertransference devaluation fostered by systemic issues in substance abuse settings.

Adult↗
PubMed1991

Dilemmas and countertransference considerations in group psychotherapy with adult children of alcoholics.

This article will explore special leader issues that emerge in psychodynamically oriented therapy groups with adult children of alcoholics. Particular focus will be on countertransference feelings that get stirred up in group leaders and techniques for dealing with some of these special dilemmas. Specific issues include (a) assumption of sameness between the therapist and the patient (the therapist assuming that he or she "understands" because of having also grown up in an alcoholic family); (b) the "will to restore," which may be destructive when the therapist, whose own self-esteem is dependent on the patient's progress in therapy, forces a "rush to recovery" on the patient; (c) other personal issues in the life of the therapist that may also resonate with experiences of the patient; (d) "countertransference goodness and availability" as it affects therapists' abilities to set reasonable limits on their patients, as well as reasonable expectations for themselves; and (e) special issues regarding therapist transparency and self-disclosure.

Adult↗
PubMed1984

Sex-role values and bias in alcohol treatment personnel.

During a two day training workshop with 45 alcohol treatment agency personnel, the impact of sex-role bias on clinical practice with alcoholic clients was examined. More specifically, data were gathered on: 1) client comfort level of surrogate clients as related to perceived sex-role values of treatment personnel; and 2) the impact of patient sex and sex-linked characteristics of presenting problems (whether problems are "typically" male or female, and whether "sex-appropriate") on each of the following: perceived importance of client's presenting problems, specificity of the treatment plan to problems presented, and clinician's estimate of client prognosis. The results suggest that sex-role values of treatment personnel influence client comfort, that female clients are seen as having a poorer prognosis than males, and that presenting problems are perceived to be more important if they are sex-appropriate than if they are not sex-appropriate (the least important problems being female problems in a male client).

Alcoholism↗
PubMed1984

Barriers to treatment of alcoholic women.

Three barriers to effective treatment for alcoholic women are described: 1) the impact of negative myths and expectancies (in particular, the myth that women do worse); 2) the impact of stereotyped sex-role expectancies which may limit and constrict women's potential for growth; and 3) the impact of the knowledge gap. The impact of each kind of barrier is elaborated as data are presented from: a clinical field experiment; a meta-analysis of a decade of research studies; and clinical experience.

Alcoholism↗
PubMed1978

Partial hospitalization--better but why and for whom?

A growing literature confirms that for a large spectrum of patients day hospitalization may produce outcomes superior to those attained through hospitalization in an inpatient setting. This paper explores patient characteristics and characteristics of the day setting itself that may be responsible for the superior outcomes observed. In addition, the authors discuss possible factors contributing to the unanswered questions that remain regarding who does best and why.

Adolescent↗
PubMed1976

Irrational determinants of the place of psychiatric treatment.

Observations of 392 women admitted to a psychiatric hospital indicated that 24 were well suited to treatment in a day center and that 208 could feasibly be treated there. However, only 59, or 28 per cent of those for whom day care was feasible, were able to take advantage of that alternative. The others were excluded by financial limitations, refusal to accept the day center option, administrative delays, and inaccurate classification of treatment setting. The authors believe that underuse of the day center was due as much to doctors' inexperience, personal biases, and unfamiliarity with the facilities as it was to psychopathology and financial realities. They found that many clinicians were not aware of the factors that affect their decisions about the use of a partial hospitalization setting.

Adolescent↗