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At least 595 records · Page 33Linked to original sources
PubMed2000

Psychotherapy with multiple-sclerosis patients.

We wanted to find out if psychotherapy may influence the course of the physical aspects of multiple sclerosis and the consequences of psychotherapy for coping processes. 46 patients diagnosed with multiple sclerosis who had chosen to undergo a 1-yr. group psychotherapy treatment were compared with a control group of 24 multiple-sclerosis patients without such treatment. They were given the Giessen test (personality test), the Achievement Capacities Questionnaire by Kesselring, an intensive interview as well as the content analysis scales of verbal behavior by Gottschalk and Gleser. The various tests were carried out at each of four times of measurement with a 2-yr. follow-up. There were significant changes in the area of relationships and aggressive loosening (interview) between the Therapy and Control groups. Several changes were also found with regard to physical symptoms (Achievement Capacities Questionnaire) in the Therapy group compared to the Control group, e.g., increases in physical mobility and decreases in care of the body. The decreases appear to be a known effect of therapy with psychosomatic disorders. We interpret it psychoanalytically as resistance against releasing anxiety of counter-cathected motives which multiple sclerosis helps to keep unconscious. In a follow-up, the Therapy group showed greater optimism and physical improvements, e.g., decrease in feeling cold and lack of energy. Some positive changes appeared in both groups, such as, for example, an improvement of cognitive impairment (Gottschalk & Gleser). It appears that the attention from the research itself may have affected both groups because some members of both groups were in contact and hence the Control group was also informed about the research project and its underlying hypothesis.

Activities of Daily Living↗
PubMed1975

Simulations in drug training.

A simulation over a five-day period allowing clinicians to become patients and apply what they experience is presented as a vehicle from which important learning can take place to help clinicians function better within clinical work environments. The simulation gave clinical trainers and trainees in the drug field mutually shared experiences that were understood and applied to real work situations through discussions, lectures, and presentations. Clinicians had the opportunity to understand how therapeutic structures affect individuals through experiencing the structures as recipients of service.

Allied Health Personnel↗
PubMedDate not supplied

Assertiveness training using rehearsal and modeling with male alcoholics.

Two different forms of an assertiveness training program were designed for use in an inpatient ward at a VA hospital. Alcoholic subjects were pretested on self-report, behavioral and unobtrusive measures of assertiveness, and randomly assigned to one of three conditions: rehearsal group, modeling group, or discussion control group. Six 1-h group assertiveness training sessions were held over a 2-week period. On completion of the assertiveness training, trained subjects scored significantly higher on the measures of assertiveness than did controls; they also received more regular (vs irregular) discharges from the hospital. These alcoholic patients responded best to a treatment based on rehearsal. At a 2-month follow-up interview from date of discharge from the hospital, assertiveness trained subjects reported less drinking and more abstinent days than controls, though the differences were not statistically significant. Collateral report of subject behaviors generally agreed highly with subject report though collaterals gave slightly less favorable reports. Results were discussed in terms of the problems in conducting follow-up research and in terms of application to alcoholism treatment.

Adult↗
PubMed1989

The way ahead: teaching with simulated patients.

This article is written to try and convince the 'sceptics' that teaching with simulated patients is the way ahead in medical education. It describes in part, the method used in the General Practice Unit at the University of Leicester and attempts to explain how it feels and what it means to be a simulated patient.

Education, Medical, Undergraduate↗