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R Zukerfeld

Publications and source records attributed to R Zukerfeld.

2 recordsLinked to original sources

A multiple approach to the treatment of obesity using total fasting or a very-low-calorie diet.

A multiple approach programme used in 20 000 patients (3300 have been hospitalized at some time or other) for 19 years is described. It is based on operative definitions handled by an interdisciplinary team working within a therapeutic community. A diagnostic-prognostic profile is used, and so is the ambulatory treatment including an individual/group approach, and/or hospitalization with total fasting or VLCD. The general programme includes group therapy, video-tapes, physical training, occupational therapy and family guidance. This is completed with a mail and phone follow-up while the institution keeps in touch with the obese not only through its activities but also through groups carried out in the suburbs (peripheral groups).

Ambulatory Care↗

[Therapeutic alliance and analytic setting].

OBJECTIVE: The goal of this work is to study the relationship between the therapeutic alliance, the subjective perception of improvement, the frequency of sessions and the type of analytic interventions, in both psychoanalysts and non-psychoanalysts patients. METHODOLOGY: 39 subjects under psychoanalytic treatment lasting one to six years (mean 4.2 years) were interviewed. It was performed: a) a therapeutic alliance evaluation scale (HRQ); b) a subjetive improvement perception scale (PSM); c) a scale to evaluate the style of the psychoanalytic interventions (EI). The sample was divided in two groups: 1) 18 non-psychoanalysts under psychoanalytic treatment, who assited to a mean of 1.15 sessions per week (group 1) and b) 21 psychoanalysts receiving two kinds of psychoanalytic treatments: a) one following the international Psychoanalytc Associations rules (group 2A), b) the other with 1.65 mean sessions per week (group 2B). RESULTS: a) patients in groups 1 and 2A showed similar HRQ scores, and both were higher than that shown by group 2B (21.53 vs 21.51 vs 17.22) No differences were found neither in PSM scores (3.61 vs 3.85 vs 3.85 respectively) nor in the EI scores (3.61 vs 3.71 vs 3.71). It was observed a positive correlation between HRQ and PSM (group 1: r: 0.55 and gorup 2, r: 0.31) but no correlation was found neither with the number of sessions per week (group 1, r:0.13; group 2, r: 0.30) nor with EI score (group 1, r: -0.21; group 2, r: 0.08). DISCUSION AND CONCLUSIONS: a) intensity of perceived therapeutic alliance is correlated with improvement but b) is not correlated with sessions frequency or style of psychoanalytic interventions. It is also discussed which psychic changes are related with the therapeutic alliance with regards with different psychoanalytic theoretical frames.

Adult↗