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Results for “Psychotherapy, Multiple”
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Interpersonal dynamics related to the utilization of multiple therapy.
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Group psychotherapy for adolescents comorbid for substance abuse and psychiatric problems: a relational constructionist approach.
The group psychotherapy of adolescents comorbid for psychiatric and substance abuse problems is fraught with inconsistent attendance, frequent verbal and physical disruptions by the adolescents, and intense countertransference toward patients and their parents on the part of treating staff. A relational constructionist approach assists staff and patients in overcoming these obstacles and in focusing on the adolescents' search for personal meaning. Multiple group psychotherapy conducted in a combined day treatment and high school program is described and illustrated by case examples during the course of a year of treatment. These examples illustrate the importance of a relational non-hierarchical approach to adolescent patients by treating staff.
Principles and practice of conjoint psychoanalytic treatment.
The authors describes the advantages of conjoint analytic treatment, which occurs when two or more analysts treat a patient in different settings: one provides the one-to-one relationship, and the other leads the group experience. The goal of this treatment is to increase the therapeutic possibilities for the patient. The advantages come from the use of multiple settings, transferences, observers, interpreters, and maturational agents. The author illustrates the advantages of the treatment with several case reports. He also points out the value of conjoint treatment for the analysts involved.
Treating anger in psychotherapy: introduction and cases.
Although client anger is a ubiquitous presenting problem for psychotherapy and a challenging in-session phenomenon for the psychotherapist, it has been oddly neglected by the clinical community. This article introduces an issue of In Session devoted to the conceptualization and treatment of anger in psychotherapy from multiple theoretical perspectives. The authors generate consensual definitions of anger, aggression, and hostility and then provide two case vignettes that the contributors address in their subsequent articles. Both technical diversity and strategic convergence, it is suggested, are required to enhance the effective treatment of anger disorders.
Multiple family therapy: a new direction in the treatment of drug abusers.
Multiple family therapy is presented as an important treatment augmentation for drug abusers in a variety of settings. The total family is viewed as patient with the drug abuser a symptom bearer. Common family dynamics are described as well as the techniques to create structural changes in families.
Multiple family group therapy with a tri-therapist team.
In summary, we attempt to minimize personal and professional factors that may hinder the group or be deleterious to the tri-therapists' working relationship. With such contract variables in mind, it is hoped that other co-therapists would find similar approaches that will make co-therapy a satisfying experience.
Designed experience: a multiple, goal-directed training program in family therapy.
A family-therapy training program, one of three main branches of the "Boston model," is described in detail. Salient features of the program include planned integration of a multiplicity of experiential and cognitive learning modes; grounding in a unified, theoretical framework that is neither eclectic nor limited to a single school of thought; focus on nonpathological process in families; and systematic structuring in terms of specific, articulated, training objectives. The goal-directed design process by which training units are developed is explained.
Generalization of verbal conditioning to verbal and nonverbal behavior: group therapy with chronic psychiatric patients.
TWELVE CHRONIC HOSPITALIZED FEMALE PATIENTS RECEIVED TOKEN REINFORCEMENT CONTINGENT ON TWO SEPARATE CLASSES OF VERBALIZATIONS: (a) positive statements about optional activities available in the hospital setting, and (b) positive statements about people. Cross-class generalization of reinforced verbal responses about activities to overt behavior was tested by actual participation in activities; within-class generalization of verbal responses about people to verbalizations in another stimulus setting was assessed in a structured interview situation. A multiple baseline design with contingency reversals was employed to demonstrate experimental control of both classes of verbalizations in the group sessions. Positive statements about activities generalized to actual participation in activities, while generalization of positive statements about people to verbalization in the extragroup setting did not occur.
Multiple therapist groups in a day-patient setting and some aspects of group geography.
The pros and cons of multiple therapist groups are considered from both the patient's and the therapist's points of view. Some aspects of group geography and how this may affect group activity, are examined. The significance among selected patients of preferential seating and how activity in the group varied with this, is discussed.
The eclectic and multiple therapy of a shoe fetishist.
This case history presents not only the therapists' point of view but also the client's. Four critical periods during therapy with a shoe fetishist were described by the two therapists and the client. The results of this procedure suggest that it is a facilitating method of gaining insight into the therapeutic process.
Bandaging a "broken heart": hypnoplay therapy in the treatment of multiple personality disorder.
Hypnoplay therapy is beneficial in two stages of the treatment of multiple personality disorder, as illustrated in two cases. First, when applied to child alters, this method provides an alternative route to the disclosure of secrets, the nonverbal expression of thoughts and feelings, and the safe abreaction of powerful emotion. Second, during postfusion, hypnoplay therapy can help the patient to establish a reliable self-object and to complete developmental periods that were absent or severely curtailed.
Counselor effectiveness in a methadone maintenance program.
Counselor effectiveness for 253 heroin addicts in a methadone maintenance program was studied. The results of patient urinalysis for heroin use was chosen to assess counselor effectiveness. No significant differences in heroin use were found for the following groups of patients: 1. Those with multiple ex-addict (EA) counselors. 2. Those with multiple nonaddict (NA) counselors. 3. Patients with time periods with EA counselors followed by time periods with NA counselors, or vice versa. 4. Those with a single NA counselor. 5. Those with a single EA counselor. Patients with no counselor for one-third or more of each study period were found to have a significantly greater percent of urines positive for heroin.
Dose-effect relationship in children's psychotherapy services.
Concerns about session limits imposed by behavioral health care organizations (BHOs) have prompted an examination of the dose-effect relationship in psychotherapy. This study of the dose-effect relationship in child psychotherapy used multiple outcome measures and standardized data-collection points and addressed the confound between dose, effect, and initial severity. Data obtained from 567 outpatient children who participated in the Fort Bragg Evaluation Project were used. Probit and longitudinal growth curve analyses found no evidence of a general dose-effect relationship. Implications of these findings are discussed, especially the need for BHOs to justify use limits and suggestions for clinicians to justify use requests.
Family treatment approaches to drug abuse problems: a review.
This review covers the literature that has emerged specifically on the family treatment of drug abuse problems. Following a brief discussion of patterns and structures prevalent in drug-abusing families, 68 different studies or programs (discussed in 74 papers) are compared as to their techniques and results. These are categorized within the following modalities: marital treatment, group treatment for parents, concurrent parent and identified patient treatment, treatment with individual families (both inpatient and outpatient), sibling-oriented treatment, multiple family therapy, and social network therapy. A table presents the various studies, along with the types of results they provide. Outcomes are contrasted for the 14 studies that quantified their results. The final section presents implications for the following areas: treatment activities (clarification of technique, family recruitment, direction and effectiveness of treatment, confidentiality, and treatment delivery systems), training, prevention, and future research (outcome, technique and responsibility). It is concluded that family treatment for drug abuse is gaining widespread acceptance and shows considerable promise for dealing effectively with problems of this type.
Treatment of early syphilis with penicillin, mapharsen and bismuth (combined therapy).
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Combined antibiotic therapy in serious infections caused by drug-resistant staphylococci (1956-1957).
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Combined chlorpromazine-reserpine therapy of psychiatric disorders.
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