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Biomedical subjects

S E Greben

Publications and source records attributed to S E Greben.

At least 19 recordsLinked to original sources
PubMed1992

Consultation in psychotherapy.

The value of consultation in good medical practice is equally relevant in the practice of psychiatry including psychotherapy. It is one important example of the need for collaboration in medicine, in clinical, educational, and administrative spheres. Excessive protection of the patient's privacy and the psychotherapist's autonomy can lead to lost opportunity for both participants. Appropriate introduction of the opinion of a respected colleague can have facilitating and creative effects upon the psychotherapy. Difficulty in ongoing psychotherapy often occurs when imbalance develops, and consultation can lead to restoration of an appropriate balance. Long-standing respectful professional association between consulting colleagues can make consultation more comfortable and profitable. It is our opinion that increased readiness to seek appropriate consultations in psychotherapy can be of considerable benefit to psychotherapists, to their patients, and to the consultants with whom they share their concerns.

Female↗
PubMed1991

Interpersonal aspects of the supervision of individual psychotherapy.

Both the pleasures and pains of psychotherapy supervision have been described for the three parties--resident, supervisor, and patient--involved in such work. Although both positive and negative aspects have been included in order to be comprehensive, it is clear to those who have engaged in supervision for many years that the pleasures far outweigh the pains for those concerned. A variety of means of facilitating the growth and increasing the knowledge of student psychotherapists have been undertaken. My own experience over 33 years suggests that individual supervision remains the second most important way to become a competent psychotherapist. The first, of course, is to engage in psychotherapy with patients. This paper is an overview of the interpersonal aspects of individual supervision of psychotherapy. When the resident and supervisor bring certain attributes to the supervisory situation, then all the more can be accomplished in their work together. Including both its pleasures and its pains, psychotherapy supervision is a creative and fulfilling undertaking for both residents and their supervisors.

Curriculum↗
PubMed1990

The importance of balance in the practice of psychotherapy.

Specialization is inviting because it can lead most directly to original work, recognition, and success. However, it can also result in narrow experience and outlook, which represent disabilities in any work, but all the more so in the practice of psychotherapy, where our major task is to understand and help people with their feelings and their lives. Constricted, bored psychotherapists are hampered in the extent to which they can be useful to people in difficulty, especially since a major portion of psychotherapeutic help must come through a vital, authentic relationship between two real people. Psychotherapists who are educators should encourage their students and residents to early adopt attitudes that will lead to broader rather than narrower approaches to their psychotherapeutic work. In so doing, they will enable future therapists to enjoy for many years the creative and stimulating rewards of the balanced practice of psychotherapy.

Adaptation, Psychological↗
PubMed1987

Presidential address. Psychiatry today: the human dimensions.

Psychiatry finds itself today at the crossroads where science and humanism intersect. The history of our specialty includes some ignominious aspects, and many that are noble. Fear and loathing toward the depreciated imbecile and lunatic had at first to be overcome, and they were, and a humane and empathetic approach to patients eventuated. More than sympathy was called for--understanding was needed, and the methods of science have led to considerable such understanding: of causes, of syndromes, and of the efficacy of treatments. Effective therapies have permitted the extrapolation of humane treatment, so that many fewer patients require institutional care. Because of our desire to find simple, comprehensive and fully effective cures, and because of the tendency of the human mind to engage in wishful thinking, we have gone too far down several dead-end streets. We thought at one time that intensive, frequent, deep psychotherapy (including psychoanalysis) could correct or cure all ills, and we overprescribed that treatment to the detriment of some of our patients. We have learned that therein lies no panacea. We came to believe that hospitals caused more of the problems than they did in fact cause, and that it should be possible to treat all disorders within the community. As a result, we have disassembled some of our excellent institutions, for which there is still some need. At the same time, we have left too unprotected many of those who still require safe asylum, to their great disadvantage and to our public shame.(ABSTRACT TRUNCATED AT 250 WORDS)

Canada↗
PubMed1985

Dear Brutus: dealing with unresponsiveness through supervision.

Psychotherapists often demonstrate unresponsiveness as a result of the influence of the psychotherapy subculture. Psychiatric residents and teachers in examining themselves may find this tendency which can be countered through psychotherapy supervision. The supervisor can help the resident to be more responsive by discussing the prevalence and dangers of unresponsiveness, and by showing example. The supervisor should make appropriate references to his own work as well as to some life experiences. Residents with a variety of backgrounds and interests in psychiatry, and teachers with varied experiences and eclectic orientations are less likely to encourage unresponsiveness than those with a predominating interest in psychotherapy alone. Teaching and supervision can encourage the developing psychotherapist toward a natural and appropriately responsive therapeutic style.

Humans↗
PubMed1984

The re-establishment of trust through psychotherapy.

In the course of life's experiences mistrust develops in childhood and adulthood. Clinical manifestations of mistrustfulness in patients are discussed. Successful psychotherapy has as one of its principal goals the re-establishment of trust within the patient. This takes place through the development of trust toward the therapist. This experience serves as a bridge to the re-establishment of trust in others. Those personal qualities in the therapist which are of the greatest importance in this area are reliability and realistic hopefulness. Being taken seriously and the opportunity to attach to the therapist are also very significant. The place of the therapist's interventions as well as the relevant significant qualities in the patient are also discussed. Trust breeds trust, connection with others and, thence personal security. This is a basic goal of psychotherapy.

Defense Mechanisms↗
PubMed1983

Bad theater in psychotherapy: the case for therapists' liberation.

Freud's admonition to psychoanalysts to be objective in their work, like a mirror or surgeon, was intended to allow them to work in "a pure field." This advice has been excessively adhered to, with the result that many therapists have become unduly unresponsive. A host of petty practices has developed, whereby therapists become preoccupied with such matters as payment of fees, vacations, protecting patients from meeting each other, missed hours, and so on. This has led to stilted and unproductive therapy. Student therapists must be supervised by teachers unencumbered by such attitudes and practices, so that they can do the hard, ordinary work which constitutes psychotherapy. Only in this way will new generations of therapists be liberated from these disabling and artificial constrictions.

Fees and Charges↗
PubMed1983

The multi-dimensional inpatient treatment of severe character disorders.

Patients with severe character disorders present a special challenge to the clinician. Many can be helped with outpatient psychotherapy, often with the adjunctive use of medication. Some cannot, and need intensive inpatient treatment. An inpatient psychiatric unit in a general hospital is described which has been designed to treat such patients. The treatment makes use of a variety of therapeutic modalities. Psychotherapy is central and essential to the successful functioning of this therapeutic instrument.

Adolescent↗
PubMed1981

Unresponsiveness: the demon artefact of psychotherapy.

Unresponsiveness in psychotherapy has arisen out of the original advice of Freud for the psychoanalyst to be objective and neutral. This advice was carried too far, so that therapists too often do not respond in natural and human ways. Unresponsiveness has thus become an artefact in psychotherapy. The natural history of the development of this artefact in a given therapist includes certain periods when it shows marked increase, and a few times when it might decrease. Unresponsiveness on the part of therapists spreads to patients, affects relations with colleagues, and has a deleterious influence upon the families of both therapists and patients. In order to prevent the perpetuation of this artefact, changes have to be made in the teaching of psychotherapy, so that these matters are discussed openly. Teachers, with whom student psychotherapists identify, should be responsive and spontaneous, both in their own work with patients and in their work with their supervisees.

Empathy↗
PubMed1981

The psychiatric training of medical students.

Undergraduate psychiatric education should be concerned mostly with those aspects of psychiatry required for the proper practice of medicine. Psychiatric concepts and techniques are applicable to all medical practice and relevant to the daily work of every physician or surgeon. Therefore, in the psychiatric training of medical students the focus should be primarily on teaching "psychiatry of medical practice" and much less on teaching "specialty psychiatry." The teaching of psychiatry for medical practice will be best accomplished by selecting patients who are more like those the student will see later on as a practising physician. A systematic effort should be made to develop joint teaching with other departments, if we are to hope that students will carry over the approach we teach them to other subjects of medicine. Counselling and psychotherapy are essential skills for every physician or surgeon; medical students should be taught these skills by psychiatrists who are not just skilled psychotherapists but are also comfortable in their role as physicians in view of the importance of this role for the development of the identity of the medical student as a physician. The quality of the psychiatric training of medical students is dependent to a large extent on the priority accorded to undergraduate teaching by the department of psychiatry; competing activities, however, can result in undergraduate teaching being given less than top priority. Long-standing difficulties which psychiatry and psychiatrists experience in the medical school may impede undergraduate psychiatric education; these difficulties can be lessened by the closer involvement of psychiatrists with other physicians in the clinical and educational programs.

Canada↗
PubMed1981

The teaching and learning of psychotherapy in a general hospital.

A general teaching hospital provides an excellent setting for the teaching of psychiatric residents. The Canadian model for a teaching network, including general and specialty hospitals, allows for special interests to develop within given hospitals. A department of psychiatry which chooses the teaching of psychotherapy as a special interest is examined. The teaching occurs in all areas of the department (ambulatory, inpatient, consultation-liaison) and is backed up by appropriate seminars. Individual supervision provides the backbone of the teaching program. The special interest exists within a department which must answer all of the psychiatric needs of a general hospital population. From the university point of view, the network is strengthened by the existence of various areas of concentrated interest within various component units of the network.

Ambulatory Care↗
PubMed1981

The essence of psychotherapy.

Psychotherapy and the changes it produces can be understood in terms of simple basic essentials. Intensive and longstanding clinical experience demonstrates its therapeutic potency. Those factors in the therapist which are most important in leading to change are described. The significance of the therapeutic relationship is discussed, as well as the necessity of its candid and intensive examination during the therapy, if marked change is to occur. What is not psychotherapy is also explored.

Adolescent↗
PubMed1979

The influence of the supervision of psychotherapy upon being therapeutic. I: Introduction and background to the supervisory relationship.

In individual psychotherapy which derives from psychoanalysis, the most important teaching tool is individual supervision. This is in keeping with the fact that close person-toperson contact between student and teacher is the most effective mode of teaching in a university. The supervisor's first task is to transmit a body of knowledge, about psychotherapy, to the student. His second task is to give the student the benefit of his experience around clinical problems or questions. His third task is to assist the student in the development of certain attitudes which are valuable and even essential for a psychotherapist. This latter task is accomplished largely via "reality identification".

Attitude of Health Personnel↗