Alcoholism and the family: a psychodrama approach.
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UNLABELLED: The effects of psychodramatherapy versus patient club activity group is compared in a controlled study with psychiatric patients in a period of two month (8 times a three hour session per week). SAMPLE: 22 patients (11 patients psychodramatherapy (PD); 11 patients patient club activity (PCA)). Diagnoses: neuroses, subacute psychoses. Patients were matched according to age, sex and syndrome (resp. diagnoses). Applied tests: semistandardized interview with formulation of personal therapeutic goals, personality tests (Giessen, MMPI), mood scales (EWL, Bf-S v. Zerssen, 100 mml line), psychopathology (AMP 3/interview), social adjustment (SAF). Testing periods: before beginning with PD and PCA, attendant to therapy, after therapy, follow up (three month after end oftherapy). RESULTS: it was advantageous to have both psychotic and neurotic patients in the same therapy group. In the course of psychodramatherapy and patient club activity there was an improvement with a regressive trend to baseline after end of therapy. PD in comparison to PCA appeared to be more effective in the improvement of some psychiatric relevant personality dimensions, in the improvement of psychopathology, in reaching the personal therapeutic goals and in a positive opinion of therapy. A psychodramatherapy lasting two month seems revealed to be more attractive and to have more therapeutic efficacy than a patient club activity group. Because of the instability of some effects a more prolonged therapy period is suggested.
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It was postulated that an integration of behavioral-cognitive techniques within a psychodramatic group therapy framework would reduce delinquents' acting-out tendencies and improve ego strength. The population consisted of a control and an experimental group of adolescents aged 14 to 16 of both sexes that were adjudicated delinquent. There were ten adolescents in the control group and initially eleven adolescents in the experimental group (only seven completed the twelve ninety-minute sessions). Both pre- and posttest measures on the Jesness, the High School Personality Questionnaire, and the I-E Scale were administered to the two groups of subjects. The results showed that significant improvement occurred in the delinquents' asocial index (.01 level), ego strength (.05 level), and introversive tendencies (.01 level). This study demonstrated that behavioral contracting, monetary reinforcement, and alternative behavioral rehearsal can be effectively integrated with more traditional psychodramatic techniques to reduce delinquents' acting-out tendencies.
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