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Co-psychotherapy and multiple psychotherapy in multidisciplinary teams for ambulatory treatment.

In order to describe clearly and undoubtfully each psychotherapeutic situation, combining one or several therapists in one or several psychotherapeutic methods, an original classification is proposed. Evolution of concepts such as co-psychotherapy and multiple psychotherapy are studied. Advantages and disadvantages for both therapist and patient are listed, and generally accepted viewpoints as well as controversies are discussed. A statistical survey, using a large number of undifferentiated registrations made by a representative number of psychotherapeutic teams, permits a first approach of the present situation in this particular field of psychotherapy, and some significant conclusions are to be made.

Adolescent↗
PubMed1990

[Multiple psychotherapy--how many therapists are needed?].

For a variety of reasons it seems worthwhile to consider Multiple Psychotherapy: 1. A multicausal understanding of psychic and mental illnesses has already led to installing more and more multiple therapeutic settings. 2. Patients suffering from so-called early disturbances show a tendency to split their transference between different members of a therapeutic team. By intentionally employing several team members one may therapeutically make use of these split transferences. 3. As a consequence of the enormous general interest in the psychiatric and therapeutic professions a great number of helpers are at hand, who often do not have enough work and could usefully be brought into action in multiple treatment. This paper presents an overview over multiple Therapy literature and discusses it.

Humans↗
PubMed1985

Group psychotherapy with multiple personality patients.

Group psychotherapy with multiple personality patients is an infrequently utilized technique. In a homogeneous group composed of multiple personality patients, the technique of group psychotherapy is examined in detail. The group setting, selection of patients, and group composition are described. Therapeutic issues involving group process, intrapersonal dynamics, transference, countertransference, co-therapy, and termination are examined. Finally, psychotherapy with the group of multiple personality patients is contrasted with group psychotherapy with borderline patients and incest victims.

Adolescent↗
PubMed1985

Group psychotherapy: benefits in multiple sclerosis.

This study investigates the relationship between group psychotherapy and the psychologic adjustment of patients with a primary diagnosis of multiple sclerosis (MS). It was speculated that such a program would decrease both patient depression and anxiety, at the same time increasing self-concept and self-direction. Forty-one hospitalized MS patients were screened for mental status, then administered a test battery consisting of the Depression 30, IPAT Anxiety Scale, Nowicki-Strickland Internal-External Scale, and Rosenberg Self-Esteem Scale. Following this, patients were matched into triads on the basis of pretest scores. Each member of the triad was then randomly assigned to one of three groups: insight-oriented, current events, control (nontreatment). At the end of 50 group sessions, all patients were reassessed using the same test battery. Results were analyzed by means of analysis of covariance and the nonparametric Friedman test. Post-hoc procedures were performed with the following results: 1) the insight-oriented therapy group was significantly less depressed than both the current events group and the control group and 2) both the therapy and the current events groups were significantly more internally oriented than the control. Not only does group therapy per se seem to benefit the MS patient, but any supervised group involvement appears to improve significantly patient emotional state.

Adult↗
PubMed1977

The angry group.

Explore the source record for details and available documents.

Anger↗
PubMed1992

Headlock: psychotherapy of a patient with multiple neurological and psychiatric problems.

Psychodynamic psychiatrists seldom engage in psychotherapy with brain-injured patients because psychodynamic treatment typically depends on the patient's highly developed verbal skills, reflectiveness, tolerance of frustration, and capacity for abstract thinking and generalization--characteristics impaired by brain injury. The author describes the difficult but successful extended treatment of a young adult patient with preexisting attention-deficit hyperactivity disorder and personality disorders who had also abused alcohol and drugs and had suffered severe brain trauma. Treatment was characterized by a lengthy developmental process, the success of which depended on several factors, particularly the maintenance of the therapeutic alliance.

Adult↗
PubMed1977

The multiple techniques approach to behavioural psychotherapy: a retrospective evaluation of effectiveness and an examination of prognostic indicators.

A retrospective evaluation of the multiple techniques approach to behaviour therapy is described. The effectiveness of the approach seems to compare favourably with a single-technique approach as far as can be ascertained. The observed improvement can be attributed to some aspect of the treatment package and not to 'spontaneous remission' factors. A prospective trial would not seem valuable, providing the problems of replication can be solved. An examination of prognostic indicators reveals a range of variables associated with outcome. Amongst the diagnostic groups, the 'social phobics' and 'anxiety states' did poorly. A number of general adjustment variables also seemed important, particularly marriage, and social and vocational adjustment. The implications of these findings for the nature and deployment of services and briefly discussed.

Adult↗
PubMed1976

The continuing care clinic: outpatient treatment of the chronically ill.

The need for continuing care of chronic psychiatric patients within the community is a pressing problem that calls for development and testing of new treatment methods. This paper describes one such method, the Continuing Care Clinic, an outpatient program for chronic patients who have not responded well to other outpatient treatment approaches. The clinic's structure, treatment rationale and procedures, and clinical results over a 31/2-year period are described. Among specific treatment features discussed are the use of multiple therapists, focus on available personality strengths and on reality issues, and patient-staff group interaction as an adjunct to individual psychotherapy.

Adaptation, Psychological↗
PubMed1991

Psychotherapy and case management for multiple personality disorder. Synthesis for continuity of care.

Patients with MPD are often difficult to manage in the community. These patients have a chaotic lifestyle with acting out behaviors and traumatic relationships. They have difficulty in managing time, maintaining good function, and being safe. The prognosis is good, however, with intensive psychotherapy. Still, containment of the treatment, which is often stormy, is a difficult task. Clinical case management is a treatment modality that strives to bring order out of chaos, stabilize the patient in the community, and encourage the highest level of function during treatment. It is useful to conceptualize case management as a framework for MPD psychotherapy, both to contain the therapy and to be drawn on for strength and resources. The stages of MPD therapy can be intertwined with the core case management functions of assessing, planning, linking to resources, monitoring, and advocacy to facilitate continuity of care for the patient. The synthesis of psychotherapy and case management can decrease chaos for both the patient and therapist, facilitate the patient's function on a daily basis, and increase connectedness for the patient and needed services. There is an art and a subtlety to the synthesis that grows with awareness and experience of the therapist/case manager. It is a synthesis worthy of development and implementation.

Abreaction↗