Psychotherapy for multiple sclerosis.
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Affective Symptoms↗
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Results for “Psychotherapy, Multiple”
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Psychotherapy for multiple sclerosis?
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Humans↗
[Evaluation of assistance to multiple-drug abusers. Psychotherapy and psychopharmacology].
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Adolescent↗
The multiple techniques approach to behavioural psychotherapy: a retrospective evaluation of effectiveness and an examination of prognostic indicators.
A retrospective evaluation of the multiple techniques approach to behaviour therapy is described. The effectiveness of the approach seems to compare favourably with a single-technique approach as far as can be ascertained. The observed improvement can be attributed to some aspect of the treatment package and not to 'spontaneous remission' factors. A prospective trial would not seem valuable, providing the problems of replication can be solved. An examination of prognostic indicators reveals a range of variables associated with outcome. Amongst the diagnostic groups, the 'social phobics' and 'anxiety states' did poorly. A number of general adjustment variables also seemed important, particularly marriage, and social and vocational adjustment. The implications of these findings for the nature and deployment of services and briefly discussed.
Adult↗
The continuing care clinic: outpatient treatment of the chronically ill.
The need for continuing care of chronic psychiatric patients within the community is a pressing problem that calls for development and testing of new treatment methods. This paper describes one such method, the Continuing Care Clinic, an outpatient program for chronic patients who have not responded well to other outpatient treatment approaches. The clinic's structure, treatment rationale and procedures, and clinical results over a 31/2-year period are described. Among specific treatment features discussed are the use of multiple therapists, focus on available personality strengths and on reality issues, and patient-staff group interaction as an adjunct to individual psychotherapy.
Adaptation, Psychological↗
Structured, short-term multiple family therapy: an educational approach.
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Adolescent↗
Multiple family therapy: a new direction in the treatment of drug abusers.
Multiple family therapy is presented as an important treatment augmentation for drug abusers in a variety of settings. The total family is viewed as patient with the drug abuser a symptom bearer. Common family dynamics are described as well as the techniques to create structural changes in families.
Ambulatory Care↗
Multiple family group therapy with a tri-therapist team.
In summary, we attempt to minimize personal and professional factors that may hinder the group or be deleterious to the tri-therapists' working relationship. With such contract variables in mind, it is hoped that other co-therapists would find similar approaches that will make co-therapy a satisfying experience.
Child↗
Designed experience: a multiple, goal-directed training program in family therapy.
A family-therapy training program, one of three main branches of the "Boston model," is described in detail. Salient features of the program include planned integration of a multiplicity of experiential and cognitive learning modes; grounding in a unified, theoretical framework that is neither eclectic nor limited to a single school of thought; focus on nonpathological process in families; and systematic structuring in terms of specific, articulated, training objectives. The goal-directed design process by which training units are developed is explained.
Affect↗
Multiple therapist groups in a day-patient setting and some aspects of group geography.
The pros and cons of multiple therapist groups are considered from both the patient's and the therapist's points of view. Some aspects of group geography and how this may affect group activity, are examined. The significance among selected patients of preferential seating and how activity in the group varied with this, is discussed.
Adult↗
The eclectic and multiple therapy of a shoe fetishist.
This case history presents not only the therapists' point of view but also the client's. Four critical periods during therapy with a shoe fetishist were described by the two therapists and the client. The results of this procedure suggest that it is a facilitating method of gaining insight into the therapeutic process.
Attitude of Health Personnel↗
Counselor effectiveness in a methadone maintenance program.
Counselor effectiveness for 253 heroin addicts in a methadone maintenance program was studied. The results of patient urinalysis for heroin use was chosen to assess counselor effectiveness. No significant differences in heroin use were found for the following groups of patients: 1. Those with multiple ex-addict (EA) counselors. 2. Those with multiple nonaddict (NA) counselors. 3. Patients with time periods with EA counselors followed by time periods with NA counselors, or vice versa. 4. Those with a single NA counselor. 5. Those with a single EA counselor. Patients with no counselor for one-third or more of each study period were found to have a significantly greater percent of urines positive for heroin.
Adult↗
Family treatment approaches to drug abuse problems: a review.
This review covers the literature that has emerged specifically on the family treatment of drug abuse problems. Following a brief discussion of patterns and structures prevalent in drug-abusing families, 68 different studies or programs (discussed in 74 papers) are compared as to their techniques and results. These are categorized within the following modalities: marital treatment, group treatment for parents, concurrent parent and identified patient treatment, treatment with individual families (both inpatient and outpatient), sibling-oriented treatment, multiple family therapy, and social network therapy. A table presents the various studies, along with the types of results they provide. Outcomes are contrasted for the 14 studies that quantified their results. The final section presents implications for the following areas: treatment activities (clarification of technique, family recruitment, direction and effectiveness of treatment, confidentiality, and treatment delivery systems), training, prevention, and future research (outcome, technique and responsibility). It is concluded that family treatment for drug abuse is gaining widespread acceptance and shows considerable promise for dealing effectively with problems of this type.
Child↗
Concurrent psychotherapy and behavior therapy. Treatment of psychoneurotic outpatients.
The feasibility and effects of treating psychoneurotic outpatients with concomitant but separate treatment programs of psychoanalytically oriented psychotherapy and behavior therapy was investigated in three cases, utilizing detailed clinical observations and questionnaire responses. The two treatment regimens appeared to have synergistic effects, and anticipated difficulties, such as a split therapeutic alliance, symptom substitution, or preciptious withdrawal from psychotherapy after symptom removal, did not occur. Although there was no evidence of symptom substitution after the behavioral removal of the "target symptom," both clinical observations and questionnaire responses indicated that successful behavior therapy had many unanticipated effects on the patient's nontarget behaviors and cognitions.
Adult↗
An outcome study of group therapy.
Outcome research in a group therapy program was conducted with therapists in training who had little prior experience with group therapy. Significantly greater improvement over an initial three-month period was found for treated patients when compared with control patients on a multivariate combination of five outcome criteria. Some, but not all, of the five separate criteria indicated such a difference. Only slight, nondifferentiating improvement was found for target symptoms. Significantly greater improvement over the three-month period on the multivariate combination was also found for treated patients who had begun therapy during the second year of the program when compared with treated patients who had begun therapy during the first year of the program. Finally, significant improvement over the three-month period on the multivariate combination was found for both treated and control patients.
Anxiety Disorders↗
Impact of therapist interventions on early sessions of group therapy.
A methodology for studying the effect of therapist style on the process of group therapy was developed and applied to two early sessions in two different therapy groups. In general, the results supported the hypothesis that individually directed, confrontative interventions would lead to emotionally focused and immediate client responding. The results failed to confirm the hypothesis that relatively interpretive interventions would be the most productive. In fact, simple facilitations tended to produce higher mean focusing than all other types of interventions. Perhaps in very early sessions the most productive interventions are those designed simply to encourage patients to talk and interact. The decisive technique of a group therapist may be interpretation, which helps patients to comprehend the significance of personally relevant, emotionally charged interactions. However, in the fledgling group, the therapist may be most helpful by simply facilitating members' speaking up and interacting. Indeed, clarifications and interpretations may turn out to be the group therapist's most productive interventions, but perhaps not until after group cohesiveness is developed in early sessions.
Adolescent↗