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Results for “Reality Therapy”

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At least 433 records · Page 24Linked to original sources
PubMed2006

The stranger.

This work concerns a nine-year analytical experience with a patient who presented as a main feature an apparent inability to experience and express feelings. Right from the beginning the author was confronted with the question of the viability of analytical work, considering transference or emotional involvement in the absence of perceptible establishment of an affective link on the part of the patient. The patient never missed a session, was usually very punctual and presented very rich material, but the accounts of his life, everything he was saying, hearing and observing was manifestly deprived of any emotional meaning for the patient and consequently deprived of sense for the analyst. If, at the beginning, the question was how to communicate with the patient, after some time it became a problem of how to enable the patient to communicate with himself. Confirming an observation by Bion that the patient is the best colleague the analyst can have, the way forward was indicated by the patient himself. This article is a theoretical exercise based on this clinical experience, using concepts developed by Bion, Ferro and Winnicott.

Adult↗
PubMed1979

Change in psychoanalytic treatment.

Psychoanalytic treatment aims not simply at removal of symptoms but at basic characterologic improvement. Although change in psychoanalytic treatment is traditionally attributed primarily to insight, the author asserts that insight, although valuable, is not essential to the achievement of such change. Other elements basic to the therapeutic efficacy of all psychoanalytic techniques regardless of their theoretical orientation are discussed. Among additional factors, the implications of warmth and activity on the part of the analyst, and of setting a termination-date, are specifically elaborated on.

Awareness↗
PubMed1985

Vascular changes in hypertension. Therapeutic implications.

A review of the general nature of cardiovascular structural adaptation and how this per se normal process becomes of key haemodynamic importance for the development of primary hypertension, particularly with respect to the gradual elevation of systemic precapillary resistance is presented. Because of the structural 'upward resetting' of the haemodynamic equilibrium, antihypertensive therapy in reality faces a far more formidable task in chronic hypertension than merely 'normalising' a supposedly raised vascular smooth muscle activity or/and cardiac output. Rather, it must bring about sub-normal activity levels to normalise the arterial pressure level, and only when such a pressure lowering has been sustained enough to allow for structural regression towards normal dimensions is a true normalisation achieved. However, the process of structural regression takes time and is complicated by the fact that the often long duration of the high-pressure state has led to structural changes which can be quite difficult to reverse. Finally, physiological-haemodynamic reasons are discussed which direct pharmacological interferences preferentially towards the pronounced myogenic activity of the precapillary resistance vessels, which both in normo- and hypertension is by far the most dominating element behind resting smooth muscle activity in these vessels and is, moreover, especially dependent on influx of external calcium ions. As the raised precapillary resistance (by means of 'structural autoregulation') represents the key element behind the pressure rise in established hypertension, such a pharmacological interference is directed towards the proper haemodynamic site and would not directly interfere with the neurohormonal integrative control of the circulation.

Adaptation, Physiological↗
PubMed2005

Hearing voices and seeing pictures.

I have been living with a psychiatric disorder, schizophrenia, for 2 decades. I will relate how important medication is to the treatment of this illness. I will also relate how important the assessment of the level of medication to be used is to recovery. Specifically, I will explain how I learned to manage hallucinations and delusions and also how I acquired an experience which I refer to as spiritual, mystical and psychic.

Antipsychotic Agents↗
PubMed1990

A need for social support. The chronically mentally ill institutionalized elderly.

Now that nursing homes are playing a major role in community care of psychiatric patients, they must be evaluated for the extent to which they offer and provide opportunities for social reintegration. Reality orientation and therapeutic milieu are the interventions used most often with elderly institutionalized chronically mentally ill patients. Attention that the elderly chronically mentally ill patients receive in reality orientation or in therapeutic milieu is probably more beneficial than the treatment itself.

Aged↗
PubMed2006

The value of reality orientation with older adults who are mentally III: a study from the Republic of Ireland.

The goal of this study is to bring to the fore information that provides greater insight into the value of Reality Orientation (RO) in caring for older adults. More particularly, the author conducted this study for two reasons. First, he observed a tendency for himself and his colleagues to use RO in caring for older adults with mental illness, and second, there exists a paucity of recent research-based literature related to RO. The majority of research articles reviewed were quite old, originating in the late 1970s to early 1980s (e.g., Brook, Degun, and Mather [1975]; Zepelin, Wolfe, and Kleinplatz [1981]). Finally, this article focuses on how nurses perceived RO within an elderly mental health care setting within the Republic of Ireland.

Aged↗