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At least 343 records · Page 19Linked to original sources
PubMed1977

A sexual-enhancement workshop: beyond group systematic desensitization for women's sexual anxiety.

This study investigated whether six women who previously had received 15 sessions of group systematic desensitization (SD) for their sexual anxiety would report additional treatment gains from participation in a sexual-enhancement workshop with their partners. After group SD six couples participated in six, 1 1/2 hour weekly group sessions. The women reported a significant increase in marital adjustment and a significant decrease in sexual anxiety. A significant decrease was found in the women's sexual nonresponsiveness as perceived by their partners. Future studies should (1) contrast the effects of group SD with women alone versus couple group treatment, (2) determine which treatment components are most influential for defined subject types, and (3) obtain data on men's sexual functioning.

Anxiety↗
PubMed1977

Cotherapy: a review of current literature (with special reference to therapeutic outcome).

This paper presents a review of the current literature on cotherapy with special reference to therapeutic outcome. The review covers the fields of sex therapy, group therapy, and family and marital therapy. It considers both patient variables and cotherapist variables. There are few "research" studies of cotherapy. Most data derive from case illustrations, which, however well detailed, are anecdotal in nature. The most widely addressed effect of cotherapy upon patients is presented in terms of treatment process and not treatment outcome.

Anorexia Nervosa↗
PubMed1978

The erotic factor as a complication in the dual-sex therapy team's effective functioning.

One of the most traditional modes of sex treatment involves the dual-sex therapy team. A team must face all the usual interpersonal hindrances to smooth therapeutic functioning; however, in sex treatment the erotic factor, due to the case content, becomes particularly significant. The tendency for cotherapists to view each other a "supersexed," as well as the communication difficulties intrinsic to the subject of sex, further complicates the cotherapists' interaction. This paper discusses some of the complex problems related to these issues and suggests procedures for resolution.

Communication↗
PubMed1979

Treating the marital crisis with the two-marriage equation.

The technique the authors call"two-marriage therapy" (conjoint cotherapy by a married cotherapy team) has been developed to help the couple in a marital crisis confront the elusive nature of marriage, a being with self-images and unconscious deceptions, different from, but not separate from, the images and unconscious deceptions of the separate spouses. The key to the two-marriage analysis os discovering the limitations of cooperative relationships based on roles and expectations and the exploration of a mode of concern we term "coliberation". This paper attempts to show how the presence of a married cotherapy team facilitates this process and adds a significant salutary perspective on the marriage in conflict.

Adult↗
PubMed1980

Alternatives to couples counseling for sex problems: group and individual therapy.

Masters and Johnson's model of two therapists doing therapy with a client couple has become the standard arrangement in sex therapy. Claims for the superior effectiveness of this format are questioned, and some limitations are noted. Two alternative methods--group and individual treatment--are discussed, especially situations in which they are applicable, and the strengths and limitations of each. Two case studies of individual therapy are presented to illustrate some of the issues and possibilities in this type of treatment.

Adult↗
PubMed1983

The outcome of couple therapy for sexual dysfunctions using three different formats.

Couples suffering from sexual dysfunctions were treated using three different formats: 1) two therapists, long-term; 2) one therapist, long-term; and 3) two therapists, intensive. The analysis of outcome data showed no significant differences between one vs. two therapists. There was a slight trend for better results from long-term as compared to the intensive therapy. These differences, however, were no longer evident at one-year follow-up. It is concluded that the success of couple therapy is rather independent of the format. Recommendations are made for a differential indication for the three formats.

Adolescent↗
PubMed2000

Controversial attachments: the indirect treatment of fostered and adopted children via Parent Co-Therapy.

Fostered and adopted children often show a large array of psychosocial problems and are conceptualized as having attachment disorders. It can be necessary to engage such children in direct mental health treatment, in addition to interventions set up to deal with their problems through agencies such as Education and Social Services. In order to protect children from a multitude of treating professionals, thereby potentially further weakening the emerging parental attachments, a model is proposed of indirect treatment of children, with the adoptive parents as co-therapists. This elevates the status of parents and is controversial in child mental health work as it challenges traditional hierarchies. We refer to this model, based on a single case study, as Parent Co-Therapy (PCT). It is proposed that this may be a suitable treatment model for fostered and adopted children, particularly in the early years of placement. The model has the potential to strengthen the children's attachments to the parents and vice versa, with a concomitant reduction in symptomatology.

Adoption↗
PubMedDate not supplied

Psychological regression and marital status: determinants in psychiatric management of burn victims.

Major burn trauma is ordinarily associated with psychological regression, which regularly assumes either an immature, dependent (childlike), or primitive (animal-like) form. Also, the severely burned patient is exquisitely responsive, both constructively and destructively, to behavioral nuances in his or her "significant other," typically, the spouse. Two variables, type of regression and marital status, provide an empirically derived rationale for the psychiatric treatment of behavioral problems affecting patient management, including especially (1) pain-related behavior, (2) intrusive reexperiencing of the trauma, (3) depletion/despair phenomena, and (4) problems related to scarring. Results are more favorable when regression is of the dependent type rather than primitive type. Treatment is enhanced when the partner in a committed relationship is included in the treatment program.

Adolescent↗
PubMed1976

Change in a schizophrenic adolescent as a result of a series of rage-reduction treatments.

A 15-year-old schizophrenic girl with many autistic features was observed to have minimal gains from verbal (individual and family) psychotherapy. A course of six rage-reduction sessions was carried out. Effects of the treatment was assessed by daily ratings made by attendants in the ward setting and by a recreation therapist. Both short term and long term effects were assessed. Short term improvement was noted in the ward ratings on dimensions assessed: eye contact when requested; eye contact, spontaneous; speech quality; expression of feelings; interaction with peers; frequency of autistic behaviors; and interaction with adults. In recreation therapy (using fewer observations), short term improvements were noted in all except two of the dimensions: eye contact, spontaneous; and interaction with peers. Long term (pretreatment vs. post-treatment) gains were evident in the ward ratings on all areas except expression of feelings. In the recreation therapy setting, only frequency of autistic behavior showed a stable improvement. The therapist working with the patient also noticed more global changes, and suggested that rating such dimensions as depth of self-disclosure and willingness to confront important issues in verbal psychotherapy would also show interesting results. Methodological weaknesses of the study are mentioned, and guidelines for future work on this problem are suggested.

Adolescent↗
PubMed2003

Short-term psychodynamic psychotherapy for depression: an examination of statistical, clinically significant, and technique-specific change.

This study investigates the effectiveness of short-term psychodynamic psychotherapy (STPP) for depression in a naturalistic setting utilizing a hybrid effectiveness/efficacy treatment research model. Twenty-one patients were assessed pre- and post-treatment through clinician ratings and patient self-report on scales representing specific DSM-IV depressive, global symptomatology, relational, social, and occupational functioning. Treatment credibility, fidelity, and satisfaction were examined, all of which were found to be high. All areas of functioning assessed exhibited significant and positive changes. These adaptive changes in functioning demonstrated large statistical effects. Likewise, changes in depressive symptoms evaluated at the patient level utilizing clinical significance methodology were found to be high. A significant direct process/outcome link between STPP therapist techniques and changes in depressive symptoms was observed. Alternative treatment interventions within STPP were evaluated in relation to subsequent improvements in depression and were found to be nonsignificant. The present results demonstrate that robust statistical and clinically significant improvement can occur in a naturalistic/hybrid model of outpatient STPP for depression.

Adult↗
PubMedDate not supplied

A behaviour management and life stress course for a group of mothers incorporating training for health visitors.

Six mothers of preschool children presenting behaviour problems attended a 10-week course on behaviour management and life stress run jointly by a clinical psychologist and a family health visitor. Results indicated benefits to the family in terms of changes in childrens behaviour, the development of friendship networks, and increased knowledge of and willingness to apply behavioural principles to current and potential child management problems. Treatment in groups required fewer professional hours per family than an equivalent individual service and served a training function for the family health visitor.

Behavior Therapy↗
PubMed1976

A method for co-therapy for schizophrenic families.

This paper describes a model of treatment for families in which one child has been given the diagnosis of schizophrenia. Male and female therapists adopt structured roles that are used as a paradigm for exploring family patterns. The paradigm employs a three-generational hypothesis that defines schizophrenia as a lifelong, restricting mode of relating, involving the primary family triad, that makes the child vulnerable to repeated psychotic episodes. Therapy is directed at the difficulties of autonomous development within the family by focusing on differentiating the relationship between nuclear and extended family members, expecially defining and strengthening generational and sexual boundaries. The second focus of therapy is on the resolution of issues of separation and loss, with attention to unresolved mourning in the family of origin and the concomitant stress in giving up the infantile relationship with the index child in the nuclear family. Stages of therapy will be described including: (a) initiation of therapy, (b) breaking of fusion, (c) repair of alienation, and (d) solidifying the marital alliance and generational boundaries. Case illustrations will be included.

Anxiety, Separation↗
PubMed1976

The family-school interview: an eco-structural approach.

This paper describes the family-school interview, and intervention with a child, family, and school, taking into account the dynamics of each system in that ecological context and the structural interrelationships of these systems relative to the problem presented by the child.

Child↗
PubMed1976

The use of teaching stories in conjoint family therapy.

Two general factors have been singled out as being held in common by all types of psychotherapy: an educational, rational factor (often called "content") and a factor operative in the relationship between the therapist and his patient (often called "process"). In the field of family therapy, the non-educational aspects of intervention are sometimes presented in the form of "therapeutic, paradoxical communications" (Haley, Bateson, Jackson, Weakland) or the 'therapy of the absurd" (Whitaker, Malone). In the present paper, I wish to present a form of therapeutic communication, the teaching story, that embodies a unique mixture of both the educational and the paradox, or absurd.

Anecdotes as Topic↗
PubMed1977

Time-extended family interviewing.

This paper presents a family-therapy technique--time-extended family interviewing--in which the therapist extends the traditional one-hour interview to three to seven hours, by plan, at a particular point in the life of a case and for a particular purpose. Extended sessions promote movement in a case for a variety of reasons. Furthermore, the use of such sessions highlights the dimension of time as an important element of good casework practice.

Adult↗