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At least 325 records · Page 18Linked to original sources
PubMed1989

The dialectical approach in group therapy.

A dialectical therapeutic approach has been used in treating individuals and families. Its application in group therapy is described with the aid of several anecdotal examples.

Adult↗
PubMed1991

The Axis II group: treating severely characterologically disturbed patients.

Treating the chronically mentally ill involves not only working with patients suffering from schizophrenia and other prolonged or recurrent psychotic illnesses, it also means providing treatment for patients with severe personality disorders. Many of these patients are also active substance abusers. This article examines the therapeutic and management issues raised for outpatient clinicians who work with these patients. Consideration is devoted to the special problems in treating the dual diagnosis patient, issues of patient and therapist safety, limit setting, splitting dynamics, and countertransference reactions. A set of recommendations is offered for conducting outpatient group therapy, specifying what is needed from both the clinicians and the facility in which this type of treatment is provided.

Acting Out↗
PubMed1994

Psychological mindedness, work, and outcome in day treatment.

A recently completed clinical trial that investigated the effectiveness of a group-oriented, day treatment program provided an opportunity to pursue a multidimensional approach to the prediction of treatment outcome. The sample consisted of 99 psychiatric outpatients, most of whom had received diagnoses of affective and personality disorders. The predictor variables included a patient personality characteristic (psychological mindedness), a group process variable (patient work), and their interaction. Univariate analyses revealed significant direct relationships between psychological mindedness and both work and favorable outcome, and between work and favorable outcome. Multivariate analyses indicated that psychological mindedness and work had independent significant relationships (additive or interactive) with several of the outcome variables. In combination they accounted for up to a quarter of the outcome variance. The results demonstrate the benefit of using a theoretically consistent multidimensional approach. The time-efficient nature of the predictor measures used in the study make them particularly amenable for use by clinicians and researchers.

Ambulatory Care↗
PubMed1976

Concurrent sex therapy and psychoanalytic psychotherapy by separate therapists: effectiveness and implications.

Since the publication of Masters and Johnson's Human Sexual Inadequacy in 1970, sex therapy has become an established, though controversial, new approach to the treatment of sexual disorders. Masters and Johnson adopted the position that any other form of psychotherapy should be avoided or suspended during the two- or three-week period of sex therapy. Helen Kaplan, in considering sex therapy to be a type of psychotherapy, has stressed that the skillful trained psychotherapist uses his awareness of the psychodynamics and unconscious conflicts of the couple in modifying and tailoring the sex therapy program to their individual needs. In the present study, sex therapy, utilizing a second therapist, was introduced into an ongoing psychoanalytic psychotherapy.

Adaptation, Psychological↗
PubMed1977

Marital therapy in prison: one-partner 'couple therapy'.

The intent of this article is, first, to describe some currently available means of strengthening marital and family ties for the incarcerated offender, and to point out the inherent limitations of these processes. Second, we will describe common reactions of inmates to marital crises, especially impending divorce. Third, we will make some comments and recommendations about the conduct of 'marital therapy' when the therapist has access to only one spouse or partner. Inefficient and dysfunctional as such an approach may sound to the therapist accustomed to working with couples 'on the streets,' it is often the only alternative available to the correctional mental health professional when the imprisoned marital partner is in a state of acute pain, with both crisis intervention and follow-up treatment critical.

Communication↗
PubMed1980

Supervisor-trainee cotherapy as a method for individual psychotherapy training.

One of the problems in the training of young psychotherapists that educators have been reluctant to discuss involves charging a relatively inexperienced beginner with the responsibility of successfully conducting therapy, with a supervisor usually available only between sessions. To ask young surgeons to perform operations and then bring in process notes or audio or video tapes of the procedure for supervisory commentary would be considered reprehensible. And yet, despite educators' commitment to the value of clinical wisdom coupled wtih a sound theoretical rationale, all too often junior trainees and their patients are exposed to the risks of unsuccessful therapeutic encounters. This paper describes a model for psychotherapy training which we have found to be quite useful: cotherapy of individual patients by a supervisor and trainee. During the four years that this model has been in use in our clinic, we have come to appreciate the theoretical and practical issues which are raised when it is employed.

Female↗
PubMed1986

Borderline defenses and countertransference: research findings and implications.

Among Main's (1957) several cogent insights about the nature of defensive and countertransferential reactions to those so-called "special" patients who ungraciously refuse to improve - patients who in today's parlance would most assuredly be diagnosed as borderline - is his hypothesis that some of us may flee some of the time into research activities to avoid the frustrations and disappointments of clinical work. Writing from the dual perspectives of researchers and psychotherapists, and with the interest of furthering the integration of these often split-off enterprises, we offer some observations on the amassing body of empirical data about the borderline patient, observations which bear upon and lend support for Main's speculation regarding the detachment of researchers from the emotionally charged dilemmas facing the therapist in working with the borderline patient. We also present some findings from our ongoing investigations of borderline dynamics in groups and organizations, which underscore the role of defensive and countertransferential processes in the psychotherapeutic treatment of borderlines. Finally, based upon our observations of the extant data as well as our own findings, we offer a suggestion about the direction of future research on borderline pathology, proposing a shift away from the largely descriptive-level diagnostic studies and toward the investigation of the therapeutic relationship, with a particular focus on countertransferential dynamics.

Acting Out↗
PubMed1975

The use of sex therapy in a patient with penile prosthesis.

An implantable penile prosthesis is being used for treatment of erectile organic impotence. A patient treated in this manner required additional therapy for the maladaptive processes in the relationship. Sex therapy including supportive psychotherapy, sex education, relationship therapy, and behavior modification was ultilized for the relationship. This therapy is compatible with the penile prosthesis and may be imperative for some patients

Behavior Therapy↗
PubMed1976

You known who and what's her name: the woman's role in sex therapy.

As sex therapy becomes an established mode of treatment, the original Masters and Johnson model of cotherapy is its most common form. The complex issues in the relationship between cotherapists who are doing sex therapy have not received adequate attention. Differences in status, experience, and training combine with aspects of the personal relationship between therapists to make cotherapy a substantial problem. Whether the cotherapists are married, otherwise involved in a personal relationship, or even when they are a physician and his nurse or two independent therapists, the sexual content of their work inevitably raises issues that need to be resolved. These issues include erotic fantsies and power struggles between the therapists that can affect the outcome of treatment.

Counseling↗