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Gestalt encounter in the treatment of hospitalized alcoholic patients.

The Gestalt approach with alcoholics is different from other, traditional approaches. Its emphasis on growth, awareness, and self-support is aided through some simple guides. Several guides are suggested which have been used with this population and specific examples from therapy are provided to show how they were used and what the effects may be.

Alcoholism↗

Sexual activity in therapy: legal and ethical issues.

The new modalities of therapy based on sensitivity training and behavioral modifications techniques, including sexual therapy, have changed the relationship between therapist and patient, making the therapist vulnerable to malpractice suits. The whole legality of the court cases involving sexual intimacy between patient and doctor in the mental health field relies essentially on the interpretation of transference, a questionable psychological concept, but its court value is even more disputable since the damages are ill-defined from the psychological point of view. The ethical aspect of this issue, however, rests primarily on the Hippocratic oath which rightly attempts to separate therapeutic from nontherapeutic practicing of care. Yet, if the sexual interaction as a part of behavior modification is included under care, this changes even the existing concept of the ethical code. We need a better regulation of the doctor-patient relationship in order to avoid the intrusion of a questionable legality which for the most part rests on untested psychological dynamics.

Ethics, Professional↗

Stakeholder views regarding cultural diversity teaching outcomes: a qualitative study.

BACKGROUND: Cultural diversity teaching is increasingly present in both undergraduate and postgraduate training programmes. This study explored the views of stakeholders in medical education about the potential outcomes of cultural diversity teaching and how they thought cultural diversity programmes might be effectively evaluated. METHODS: A semi-structured interview was undertaken with 61 stakeholders (including policymakers, diversity teachers, students and users). The data were analysed and themes identified. RESULTS: Many participants felt that clinical practice was improved through 'cultural diversity teaching' and this was mostly as a result of improved doctor-patient communication. There was a strong view that service users need to participate in the evaluation of outcomes of cultural diversity teaching. CONCLUSION: There is a general perception, rather than clear evidence, that cultural diversity teaching can have a positive effect on clinical practice. Cultural diversity teaching needs to be reviewed in undergraduate and postgraduate medicine and better evaluation tools need to be established.

Adult↗

The origins and practice of psychodrama.

Psychodrama, a method of human relations training and psychotherapy, is traced from its creation by Moreno fifty years ago to its present resurgence with the growth of 'humanistic' psychology. The basic techniques are described, together with Moreno's concepts of social interaction, e.g. encounter, spontaneity, the moment, cathersis and role playing. Its uses and limitations are discussed briefly.

Catharsis↗

Intercultural communication between patients and health care providers: an exploration of intercultural communication effectiveness, cultural sensitivity, stress, and anxiety.

Cultural diversity is becoming increasingly more important in the workplace. This is particularly true in health care organizations facing demographic shifts in the patients served and their families. This study serves to aid the development of intercultural communication training programs for health care providers by examining how cultural sensitivity and effective intercultural communication, besides helping patients, personally benefit health care providers by reducing their stress. Effective intercultural communication and cultural sensitivity were found to be related. Health care providers' levels of intercultural anxiety also were found to correlate with effective intercultural communication.

Clinical Competence↗