2,103 research outputs found
Psychoanalytic-Interactional Psychotherapy of Severely Disturbed Adolescents
No full textDue to specific developmental conditions of adolescence like deficient self reflective capacities or reduced potential to articulate, the psychotherapy of adolescents is faced with special problems. In adolescents with severe Ego-structural disorders like Borderline (Development) Disorders these problems are increased exponentially. Patients replicate their negative and often traumatic relational experiences in everyday life as well as in therapy. The therapeutic treatment of relational entanglements often results in malignant repetitions. Here the Psychoanalytic-interactional Method (PiM) is suitable as intervention where the therapist approaches the patient as a person who influences the development positively and strives for Ego-structural advancement within the therapeutic relation. The Psychoanalytic-interactional Method allows for the adolescence-specific conditions of limited mentalization and particulary for the problem of Ego-structural disorders in adolescence. The method is demonstrated by treatment sequences of the therapy of a juvenile female patient with Borderline (Development) Disorder
Individuals and the Others Interdependency and Social Interaction. Norbert Elias' Essay "Sociology and Psychiatry"
No full textThe question concerning the relation between individual and society is in the center of Norbert Elias' essay "Sociology and Psychiatry" as it is in his huge sociological oeuvre. Individual and society are not in contrast to another but are mutually conditional. For theoretical reasons Elias named the interdependency of individual and social reality "figuration". The assumption of interdependency converges with sociological approaches following Georg Simmel (e. g. symbolic interactionism, ethnomethodological conversation analysis). Both are in accordance that social reality and so therapeutic groups develop from symbolic and communicative interaction respectively. In group analysis this view underpins the construct of "matrix" which helps as orientation for the therapeutic task; conversation analysis on the other hand underpins the aim of identifying means and procedures which actors use for the interactive production of the group reality and thus the treatment of the patients implicit relational knowing
Interpersonal Disorders and Relational Knowing in a Psychotherapeutic Hospital
No full textPatients with severe personality disorders often have serious problems interacting with others. Their interpersonal problems can hardly be reconstructed from what the patients tell but instead are enacted in social encounters. Therefore the variety of social situations in a psychotherapeutic hospital offer useful prerequisites for analyzing interpersonal problems and changing underlying implicit relational knowing. That requires to realize the interactive character of social everyday encounters. From this perspective interpersonal problems cannot be reduced to individual psychic disorders but are co-produced conducting behavior in the context of behavior of others. The psychoanalytic-interactional method focusses on interpersonal interaction making it transparent by selectively disclosing countertransference. Thus interactively "dense" moments help to change implicit relational knowing
Social Disturbances, Implicit Relational Knowing and Group Psychotherapy
No full textThe multi-person group setting offers good possibilities to treat interpersonal disorders. In the group it can become evident how in interaction the participants in the group produce these disorders. They lean on mainly unconscious procedural relational knowing. Unconscious relational knowing does not change if the means and methods of the interactants become conscious. Instead of interpreting them the therapist takes the role of a reflected participant in interaction thus taking the function of a social mirror for the patients
Social Disturbances, Implicit Relational Knowing and Group Psychotherapy
No full textThe multi-person group setting offers good possibilities to treat interpersonal disorders. In the group it can become evident how in interaction the participants in the group produce these disorders. They lean on mainly unconscious procedural relational knowing. Unconscious relational knowing does not change if the means and methods of the interactants become conscious. Instead of interpreting them the therapist takes the role of a reflected participant in interaction thus taking the function of a social mirror for the patients
Interpersonal Disorders and Relational Knowing in a Psychotherapeutic Hospital
No full textPatients with severe personality disorders often have serious problems interacting with others. Their interpersonal problems can hardly be reconstructed from what the patients tell but instead are enacted in social encounters. Therefore the variety of social situations in a psychotherapeutic hospital offer useful prerequisites for analyzing interpersonal problems and changing underlying implicit relational knowing. That requires to realize the interactive character of social everyday encounters. From this perspective interpersonal problems cannot be reduced to individual psychic disorders but are co-produced conducting behavior in the context of behavior of others. The psychoanalytic-interactional method focusses on interpersonal interaction making it transparent by selectively disclosing countertransference. Thus interactively "dense" moments help to change implicit relational knowing
Termination - and the time thereafter
No full textIn view of the extensive experience that psychotherapists have with separation and parting, one could perhaps expect that they would resort to the ability which they often expect from their patients in connection with the termination of treatment, i.e. to say goodbye, to be sad and to be able to venture a new beginning, when the time could come for them to pursue the path in the direction of terminating their activities and to separate themselves from the wide diversity of encounters with patients, which is characteristic of their occupation. However, that is often not the case. Many psychotherapists appear to cope with the problem of valediction in connection with their profession, in that they continue to work, sometimes well into old age
The effectiveness of psychoanalytic-interactional therapy in borderline personality disorder - A study of clinical data
No full textObjectives: Different methods are available for the psychotherapeutic treatment of patients with severe structural mental disorders. Psychoanalytic-interactional therapy is among those methods which have been clinically proven to be effective for many years. Psychoanalytic- interactional therapy was derived from analytic psychotherapy specifically to allow for the treatment of severely disturbed patients, e.g. patients with borderline personality disorders, prepsychotic disorders, addictions and perversions. Methods: In a naturalistic study, the effectiveness of psychoanalytic-interactional therapy was tested in a sample of patients with borderline personality disorders (N = 132). The patients were treated at the Clinic Tiefenbrunn near Goettingen, Germany. Standardized, reliable and valid diagnostic instruments were used to study the treatment effects. Results:Psychoanatytic- interactional therapy was found to significantly improve target symptoms, general symptoms, interpersonal problems and life satisfaction. Discussion: The results are discussed with regard to the treatment of severely disturbed patients
Psychometric analysis of the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS) in an inpatient sample
No full textAs there is a high prevalence of social fears in psychotherapeutic inpatients, the present study aimed to examine the scales in an inpatient sample. The sample consisted of 823 inpatients: 190 diagnosed with psychometric properties of the social phobia, 129 with other anxiety disorders, and 504 with other clinical disorders. Both scales show high levels of internal consistency and test-retest reliability. Correlations with other symptom measures indicate adequate convergent, but inadequate discriminative validity. Although the scales discriminate between the different clinical samples, classification performance is low and decreases with higher comorbidity. Thus, the differential diagnostic utility of the questionnaires remains questionable
The effectiveness of psychoanalytic-interactional therapy in borderline personality disorder - A study of clinical data
No full textObjectives: Different methods are available for the psychotherapeutic treatment of patients with severe structural mental disorders. Psychoanalytic-interactional therapy is among those methods which have been clinically proven to be effective for many years. Psychoanalytic- interactional therapy was derived from analytic psychotherapy specifically to allow for the treatment of severely disturbed patients, e.g. patients with borderline personality disorders, prepsychotic disorders, addictions and perversions. Methods: In a naturalistic study, the effectiveness of psychoanalytic-interactional therapy was tested in a sample of patients with borderline personality disorders (N = 132). The patients were treated at the Clinic Tiefenbrunn near Goettingen, Germany. Standardized, reliable and valid diagnostic instruments were used to study the treatment effects. Results:Psychoanatytic- interactional therapy was found to significantly improve target symptoms, general symptoms, interpersonal problems and life satisfaction. Discussion: The results are discussed with regard to the treatment of severely disturbed patients
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