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Biomedical subjects

S E Greben

Publications and source records attributed to S E Greben.

18 recordsLinked to original sources
PubMed1992

Consultation in psychotherapy.

The value of consultation in good medical practice is equally relevant in the practice of psychiatry including psychotherapy. It is one important example of the need for collaboration in medicine, in clinical, educational, and administrative spheres. Excessive protection of the patient's privacy and the psychotherapist's autonomy can lead to lost opportunity for both participants. Appropriate introduction of the opinion of a respected colleague can have facilitating and creative effects upon the psychotherapy. Difficulty in ongoing psychotherapy often occurs when imbalance develops, and consultation can lead to restoration of an appropriate balance. Long-standing respectful professional association between consulting colleagues can make consultation more comfortable and profitable. It is our opinion that increased readiness to seek appropriate consultations in psychotherapy can be of considerable benefit to psychotherapists, to their patients, and to the consultants with whom they share their concerns.

Female↗
PubMed1991

Interpersonal aspects of the supervision of individual psychotherapy.

Both the pleasures and pains of psychotherapy supervision have been described for the three parties--resident, supervisor, and patient--involved in such work. Although both positive and negative aspects have been included in order to be comprehensive, it is clear to those who have engaged in supervision for many years that the pleasures far outweigh the pains for those concerned. A variety of means of facilitating the growth and increasing the knowledge of student psychotherapists have been undertaken. My own experience over 33 years suggests that individual supervision remains the second most important way to become a competent psychotherapist. The first, of course, is to engage in psychotherapy with patients. This paper is an overview of the interpersonal aspects of individual supervision of psychotherapy. When the resident and supervisor bring certain attributes to the supervisory situation, then all the more can be accomplished in their work together. Including both its pleasures and its pains, psychotherapy supervision is a creative and fulfilling undertaking for both residents and their supervisors.

Curriculum↗
PubMed1990

The importance of balance in the practice of psychotherapy.

Specialization is inviting because it can lead most directly to original work, recognition, and success. However, it can also result in narrow experience and outlook, which represent disabilities in any work, but all the more so in the practice of psychotherapy, where our major task is to understand and help people with their feelings and their lives. Constricted, bored psychotherapists are hampered in the extent to which they can be useful to people in difficulty, especially since a major portion of psychotherapeutic help must come through a vital, authentic relationship between two real people. Psychotherapists who are educators should encourage their students and residents to early adopt attitudes that will lead to broader rather than narrower approaches to their psychotherapeutic work. In so doing, they will enable future therapists to enjoy for many years the creative and stimulating rewards of the balanced practice of psychotherapy.

Adaptation, Psychological↗
PubMed1987

Presidential address. Psychiatry today: the human dimensions.

Psychiatry finds itself today at the crossroads where science and humanism intersect. The history of our specialty includes some ignominious aspects, and many that are noble. Fear and loathing toward the depreciated imbecile and lunatic had at first to be overcome, and they were, and a humane and empathetic approach to patients eventuated. More than sympathy was called for--understanding was needed, and the methods of science have led to considerable such understanding: of causes, of syndromes, and of the efficacy of treatments. Effective therapies have permitted the extrapolation of humane treatment, so that many fewer patients require institutional care. Because of our desire to find simple, comprehensive and fully effective cures, and because of the tendency of the human mind to engage in wishful thinking, we have gone too far down several dead-end streets. We thought at one time that intensive, frequent, deep psychotherapy (including psychoanalysis) could correct or cure all ills, and we overprescribed that treatment to the detriment of some of our patients. We have learned that therein lies no panacea. We came to believe that hospitals caused more of the problems than they did in fact cause, and that it should be possible to treat all disorders within the community. As a result, we have disassembled some of our excellent institutions, for which there is still some need. At the same time, we have left too unprotected many of those who still require safe asylum, to their great disadvantage and to our public shame.(ABSTRACT TRUNCATED AT 250 WORDS)

Canada↗
PubMed1985

Dear Brutus: dealing with unresponsiveness through supervision.

Psychotherapists often demonstrate unresponsiveness as a result of the influence of the psychotherapy subculture. Psychiatric residents and teachers in examining themselves may find this tendency which can be countered through psychotherapy supervision. The supervisor can help the resident to be more responsive by discussing the prevalence and dangers of unresponsiveness, and by showing example. The supervisor should make appropriate references to his own work as well as to some life experiences. Residents with a variety of backgrounds and interests in psychiatry, and teachers with varied experiences and eclectic orientations are less likely to encourage unresponsiveness than those with a predominating interest in psychotherapy alone. Teaching and supervision can encourage the developing psychotherapist toward a natural and appropriately responsive therapeutic style.

Humans↗
PubMed1984

The re-establishment of trust through psychotherapy.

In the course of life's experiences mistrust develops in childhood and adulthood. Clinical manifestations of mistrustfulness in patients are discussed. Successful psychotherapy has as one of its principal goals the re-establishment of trust within the patient. This takes place through the development of trust toward the therapist. This experience serves as a bridge to the re-establishment of trust in others. Those personal qualities in the therapist which are of the greatest importance in this area are reliability and realistic hopefulness. Being taken seriously and the opportunity to attach to the therapist are also very significant. The place of the therapist's interventions as well as the relevant significant qualities in the patient are also discussed. Trust breeds trust, connection with others and, thence personal security. This is a basic goal of psychotherapy.

Defense Mechanisms↗
PubMed1979

The influence of the supervision of psychotherapy upon being therapeutic. I: Introduction and background to the supervisory relationship.

In individual psychotherapy which derives from psychoanalysis, the most important teaching tool is individual supervision. This is in keeping with the fact that close person-toperson contact between student and teacher is the most effective mode of teaching in a university. The supervisor's first task is to transmit a body of knowledge, about psychotherapy, to the student. His second task is to give the student the benefit of his experience around clinical problems or questions. His third task is to assist the student in the development of certain attitudes which are valuable and even essential for a psychotherapist. This latter task is accomplished largely via "reality identification".

Attitude of Health Personnel↗
PubMed1979

The influence of the supervision of psychotherapy upon being therapeutic. II: Modes of influence of the supervisory relationship.

Through supervision, the student develops those innate personal characteristics which are highly important in being therapeutic. In making conscious use of "reality identification" by the student with his teacher, we must take care to avoid certain pitfalls. What is not wanted is transference identification. To help avoid this, we must select appropriate teachers as supervisors. The student should also have more than one supervisor, as this tends to protect against the development of overidealization on the part of the student, of omnipotence on the part of the teacher. Personal characteristics of both students and supervisors are extremely important. A good supervisory experience is the most likely vehicle for developing those qualities in the student which will, in time, lead him to function most therapeutically.

Canada↗
PubMed1977

On being therapeutic.

Psychotherapy is both an art and a science. The art deserves as careful study as does the science. In this paper the author puts forward the view that the effectiveness of psychotherapy is dependent to a marked degree upon certain innate characteristics of the therapist: these include his character structure, his personal values, and his spontaneous personality style. In order to explore this thesis, the author examines what has been written about some successful and well-known psychotherapists, by their patients, their colleagues, and their friends. He concludes that these therapists strongly evidenced the following characteristics: empathy and concern, caring and protectiveness, warmth, therapeutic forcefulness, expectation of improvement, freedom from despair, reliability, friendliness and respectfulness. It is felt that such factors in the therapist must be taken into account in order to achieve a view of psychotherapy which is not reductionistic.

Humans↗
PubMed1976

The question of neutrality in psychotherapy.

The question of neutrality in psychotherapy is considered in the light of original historical psychoanalytic attitudes, and present usual practices. A disparity between what is reported and what is done is examined, and explanations for its existence are put forward.

Attitude of Health Personnel↗
PubMed1976

Supervision of psychotherapy with psychiatric residents. 1 model.

Training of psychiatric residents should include supervised experience in psychotherapy, whatever the mode of practice the psychiatrist-to-be will later choose. Individual supervision of psychotherapy on patients seen at least once a week for a year offers the best opportunity for learning in this area. The supervisor has a teaching role which includes showing the resident how to look more objectively and insightfully at the material, serving as a partial model of a professional identity, and giving direct didactic help regarding the subject of psychotherapy. Such an experience leads togrowth and development of the resident in his professional role as psychotherapist.

Humans↗