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Biomedical subjects

G Buchkremer

Publications and source records attributed to G Buchkremer.

63 records · Page 4Linked to original sources

[Therapeutic family counseling of schizophrenic patients: rational aspects, concept and practical guidelines].

This paper outlines the controlling principles of practice when working with groups of relatives and/or family members to help schizophrenics to master their lives and to assist in preventing relapses. Emphasis is on the importance of giving valuable assistance to the relatives in their therapeutic role. Questions regarding the conceptual basis, the formation and management and the transfer to the care of self-help groups are dealt with. Finally, the article reviews previous studies on the therapeutic efficiency of self-help and family groups.

Adaptation, Psychological↗

[Some linguistic aspects of thought disorder in non-acute schizophrenia].

Seventy texts, which had been produced spontaneously but in standardized contexts by (non-acute) schizophrenic patients and by non-schizophrenic subjects, were analysed linguistically in order to investigate the various strategies that speakers may use to join different sentences together to form a unified structure by semantic and lexicogrammatical ties. For this purpose we used Halliday's and Hasan's classification of so-called "cohesive ties". This theoretical framework makes it possible to describe the inner coherence of linguistic texts in a quantitative way. In the "schizophrenic texts" the sentences contained significantly fewer such cohesive ties than in those texts produced by normal speakers. An additional longitudinal analysis revealed an increase in the number of cohesive ties per sentence, when the same schizophrenic speakers were asked to produce a second text (in a similar context) after participating in a 3-month psychotherapy programme. The central goal of psychotherapy was to improve the patients' cognitive ability to face and cope with social stress situations. The results of several textual and statistical procedures are discussed, mainly under the aspect of cognitive dysfunctions during periods of non-acute schizophrenia.

Adult↗

[Anti-smoking therapy (author's transl)].

This is a comprehensive survey of the different anti-smoking therapies indicating the difficulty of comparing one method to another. It points out the minimum standard to be set for anti-smoking therapies. Reference is also made to advantages and disadvantages of the different kinds of treatment. The account of anti-smoking therapies includes hypnosis, aversion therapies, anti-smoking clinics, medical treatment, polyeclectrical and other methods of therapy. Detailed description is especially to be found of the behavior therapy. Eleven different techniques of the multimodal behavior treatment are presented. Finally consideration is given to the need of anti-smoking therapies, prevention from smoking as well as prophylaxis against relapse.

Aversive Therapy↗

The influence of familial loading on the course of schizophrenic symptoms and the success of psychoeducational therapy.

This prospective study examines the influence of familial loading on the course of schizophrenic illness and the extent to which this is modifiable by psychoeducational training as a form of psychotherapy. 182 schizophrenic patients enrolled in the study were allocated at random into four different treatment groups and one control group. 40% of the patients had mentally ill relatives, 20% with some form of schizophrenia. Patients attending the treatment group and those in the control group were examined before and immediately after psychoeducational training and at 2-year and 5-year follow-ups. Control group patients with mentally ill relatives displayed a significant increase in psychopathological symptoms and rehospitalization rate compared to those without. The psychoeducational training arrested or even improved the increase in psychopathological symptoms in patients with mentally ill relatives. Familial loading contributes substantially to a high rehospitalization rate and a poor outcome in schizophrenic patients. Psychoeducational interventions are an appropriate means of arresting this unfavorable development.

Adult↗

[Group climate and therapist-patient relationship in two group therapy strategies for schizophrenic patients--a contribution to clarification of differential therapy effects].

A 5-year follow-up of 37 schizophrenic patients revealed that cognitive group therapy (CT) focused on optimum problem-coping skills led to a significant reduction in rehospitalisation, acute psychotic relapses and apathetic symptoms as compared with action-oriented group therapy (AT) directed towards improved social skills. This paper considers whether the group atmosphere and the therapist-patient relationship display important differences that might explain the divergent therapeutic outcomes of the two forms of group therapy. During half the group sessions, the AT patients felt better understood by their therapists than the CT patients. The AT patients were more emotionally involved during one third of the sessions than the CT patients. Towards completion of the therapy, they believed more strongly than the CT patients that they now had a better chance of solving their problems themselves and that they had learned more from their fellow-patients. In their relationships with the patients, the male At therapists felt more anxious, insecure and detached and inwardly less free than the male CT therapists. In contrast, the female AT therapists felt inwardly more free, empathetic and committed, and more confirmed in their relationship with the patients respect to their therapeutic method; the female CT therapists felt more uncertain and detached.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗