Dissertations / Theses on the topic 'Schizophrenia Psychotherapy'
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1
Schock, Sandra Lynn. "Difficulties in psychotherapy with a residual schizophrenic." Thesis, Rhodes University, 1991. http://hdl.handle.net/10962/d1007457.
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This work addresses some of the difficulties encountered while working in psychotherapy with a residual schizophrenic. While there is an abundance of literature on psychotherapy for schizophrenia, both supporting and also refuting its merit, what the literature fails to reveal is that there appears to be a class of schizophrenic who, while apsychotic and able to communicate in the everyday sense of the word, is in a psychic space which speaks of a break with the basic relational elements of the human order. The quality of the patient's psychic life is such that almost nothing of what the literature describes as useful and appropriate in working with schizophrenics seems to help in the psychotherapeutic work with this type of patient. This study describes these issues with relevance to a particular residual schizophrenic. The Illustrative-didactic case-study method was used to discuss the four-and- a-half month psychotherapy with this patient. The patient's early developmental history, premorbid personality functioning, family and interpersonal relationships, mental state, diagnosis and a rationale for psychotherapy were presented and considered in detail. The structure of the psychotherapeutic process was reviewed in depth. The hermeneutic guidelines to understanding the case were drawn from Object-Relations Psychoanalytic theory, particularly Balint, Khan, Karon & VandenBos, Bollas, Romanyshyn, Perry, Symington, Fordham and others. Various psychic and personality features, as unveiled through the psychotherapeutic process, were elaborated and the implications of these for the therapeutic endeavour were considered as follows: Firstly, the psychic space of the patient, which precluded mirroring, symbolization find object-relationship - and which made psychotherapy untenable, was discussed. Secondly, therapeutic ambivalence and other counter-transference issues were reviewed. Thirdly, the shadow sides of both therapeutic optimism and of psychotherapeutic change were considered. Fourthly, the issues of therapeutic failure and of other treatment possibilities for a residual schizophrenic patient were examined. It was concluded that there needs to be an important countertransference shift with regard to the psychotherapeutic goals for those patients whose condition may be chronic, and for whom it appears that psychotherapy is not going to be of any therapeutic benefit - find where an 'empathic accompaniment' might be as much as it is possible to hope for or achieve.
2
Mak, Kai-lok Gregory. "Psychological interventions with young Chinese patients with schizophrenia in Hong Kong a pilot study on needs, indications and efficacy /." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31980958.
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Rojas, Roberto. "Social skills: group psychotherapy with chronic schizophrenic patients." Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/101632.
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The study confirms the importance of R.P. Liberman's Group training in social skills for schizophrenic patients and applied in Peru by Sotillo et al. (1991) in a public mental health institution. We applied this same experience in a private psychiatric clinic of Lima. Since the management of patients in public and private institutions are different, we carried out a study to train the staff and to adapt the program. Nine in patients with DSM III-R diagnosis of chronic schizophrenia were selected. The inclusion criteria were: basic behaviors, minimal speech repertoire and no positive symptoms. Twenty-seven behaviors, grouped in 4 areas, were assessed before and after training. Results reveal an increase in the number of social skills in 8 of the 9 sujects that participated in the study.El presente programa corrobora la importancia del entrenamiento grupal en habilidades sociales con pacientes esquizofrénicos crónicos, desarrollado por Liberman, y aplicado en el Perú por Sotillo et al. (1991) en un instituto nacional de salud mental. Conocedores que el manejo de los pacientes psiquiátricos en una clínica privada es diferente al utilizado en los institutos del Estado, consideramos relevante aplicar este programa, que sirvió tanto para capacitar al personal de la clínica, como para adaptar este programa a una infraestructura y dinámica de atención distintas. Se seleccionó una muestra de 9 pacientes esquizofrénicos crónicos, según diagnóstico del DSM III-R, evaluados bajo criterios como: repertorio de conductas básicas, repertorio verbal mínimo y con ausencia de síntomas positivos prominentes de la enfermedad. Los resultados son presentados en base a la evaluación de 27 conductas, agrupadas en 4 áreas, que se evaluaron antes y después del entrenamiento, lo que nos permitió observar el incremento de habilidades sociales en 8 de los 9 pacientes.
4
Beulke, Joshua Thomas. "The Effectiveness of Psychotherapy for Schizophrenia Spectrum Disorders in Community Residential Settings." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2521.
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The purpose of this research was to analyze the effectiveness of psychotherapy for individuals diagnosed with schizophrenia spectrum disorders who reside in community residential settings. The present body of literature did not address the utility of psychotherapy treatment for this population. A key area of focus for this research was whether psychotherapy has an impact on psychiatric hospitalization rates for the target population. An additional research question was whether significant differences exist in psychiatric hospitalization rates between males and females for the target population. Data analyses were conducted using archival data from the Blossom Hill Corporation and Sunrise Farm Corporation in the State of Minnesota. Research questions were analyzed with a 2x2 factorial analysis of variance (ANOVA). Results indicated no significant differences in hospitalization rates for individuals in the target population who received psychotherapy (n = 60) compared to those who did not (n = 76). Hospitalization rates also did not differ between gender in psychotherapy treatment response for individuals diagnosed with schizophrenia spectrum disorders in community residential settings. This study has implications for social change because it informs community residential providers in Minnesota serving individuals in the target population about the impact of psychotherapy on reducing psychiatric hospitalizations. Social change is further affected by providing data about how psychotherapy and theory can be used to better treat and understand the target population's mental health stability.
5
Cotton, Tom. "'Schizophrenia' : a crisis of meaning : a heuristic exploration of the psychotherapeutic experiences of those who have a 'schizophrenia' diagnosis." Thesis, University of Roehampton, 2016. https://pure.roehampton.ac.uk/portal/en/studentthesis/schizophrenia-a-crisis-of-meaning(da8d25d2-5b92-4e13-97c0-8708cfb7708a).html.
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The empirical aim of this heuristic study was to explore the psychotherapeutic experiences of those with a ‘schizophrenia’ diagnosis. The epistemological aim was to deconstruct the structures of knowledge underpinning the diagnosis. The ‘personal knowledge’ drawn from the researcher’s own experience of working as a psychotherapist and filmmaker with individuals who had the diagnosis, and of being a psychiatric patient in the past, was used as a way of furthering these aims. Along with the work of Moustakas and Polanyi, key discourses used were Heidegger, Laing and contemporary critical clinical discourses. Eight participants with a ‘schizophrenia’ diagnosis took part in open-ended, conversational interviews that yielded substantial detail about the phenomenon. A multiperspective chronological narrative of early life experience, ‘schizophrenic’ breakdown, treatment and recovery emerged during the analysis of data, and is preserved in the composite depiction of the group experience. It was found that exploring the meaningfulness of experiences was a core driver of recovery, and psychotherapy was most helpful when it facilitated this exploration. By contrast, psychotherapy, and treatment as a whole, that obstructed this exploration were found unhelpful. These findings led to the argument that, what is termed ‘personal meaning’, may be a key factor in recovery from ‘schizophrenia’, and psychotherapy that was helpful seemed characterised by Heidegger’s concept of ‘anticipating care’. Treatment governed by ‘medical meaning’ and ‘intervening care’, meanwhile, are argued to prolong a crisis of ‘personal meaning’, and potentially facilitate an ‘acute’ phase of ‘schizophrenia’, rather than recovery. This conclusion raises critical questions about NICE guidelines for ‘schizophrenia’, which seem rooted in ‘medical meaning intervening care’. As well as facilitating an ‘understanding’ approach (in Heidegger’s sense) to researching experience, one key outcome arising from the researcher’s autobiographical connection to the research was learning more about his own experiences, and how to speak about them.
6
Zaki, Jamil. "Consciousness is therapy: ways of viewing schizophrenia and their effects on prognosis." Thesis, Boston University, 2002. https://hdl.handle.net/2144/33604.
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Thesis (B.A.)--Boston UniversityPLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
2031-01-01
7
Hopson, Tina Marie. "Can average people detect differences in transcribed speech samples spoken by people either diagnosed with schizophrenia or not diagnosed with schizophrenia?" Scholarly Commons, 2002. https://scholarlycommons.pacific.edu/uop_etds/2724.
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Previous research has compared speech samples from people both diagnosed and not diagnosed with schizophrenia and found that differences exist between the speech patterns. However, the previous research has focused on specific aspects of speech. For example, sentence structure, adjective use, syntax, etc. The current study investigated if speech differences between people diagnosed with and not diagnosed with schizophrenia could be detected by people with no experience with schizophrenia using a global rating system. A comparison was made between the ratings of coherence and “weird/crazy” speech of people who described pictures seen on a computer screen. The participants were 61 adults from the Stockton, CA area who had no experience working with people diagnosed with schizophrenia. Participants were asked to rate the level of coherence of 42 speech samples and rate the statement as “weird/crazy.” The results indicated that the sentences of people diagnosed with schizophrenia were rated as significantly less coherent ( t [df 60] = −16.34, p < .001) and significantly more weird/crazy ( t [df 60] = 13.68, p < .001) than those of people not diagnosed with schizophrenia.
8
Ortega, Margarita Marie. "Schizophrenia: Treating deficits in facial emotion expression and recognition." Scholarly Commons, 2005. https://scholarlycommons.pacific.edu/uop_etds/2703.
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There is growing research suggesting that individuals diagnosed with schizophrenia are impaired in their ability to recognize and express facial emotions. However, research examining the effects of treatment on facial emotion expression and recognition deficits is extremely limited. This study examined the effects of a brief training program on the ability to express and recognize facial emotions among individuals diagnosed with schizophrenia ( N = 6). Assessment procedures included identification (photo and in vivo models), imitation, and simulation. The training program consisted of 8 sessions, lasting approximately 20–30 min. The first training session consisted of a discussion about the six basic emotions (happy, sad, surprised, fearful, angry, disgusted). The next seven training sessions included identification (photo and in vivo models), imitation, and simulation of each of the six basic emotions. Verbal reinforcement and feedback were used to increase performance. The results indicated that performance improved for all tasks from baseline to treatment, and maintained during a 3-week follow up period.
9
Ran, Maosheng. "Community mental health in China : a randomized controlled trial of psychoeducational family intervention for carers of persons with schizophrenia in a rural area in Chengdu /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25058952.
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Musick, Daryl Alan. "Art Therapy and the Recovery Process: A Case Study of a Person With Schizophrenia." Ursuline College / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=urs1210341717.
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MacDonald, Jennifer Elizabeth. "Precision teaching as a supplementary approach to skills training for individuals with schizophrenia." Scholarly Commons, 2001. https://scholarlycommons.pacific.edu/uop_etds/2672.
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While most agree that individuals with Schizophrenia require integrated skills training in multiple areas, fewer agree as to how to provide the most effective training. In this thesis, empirical studies on skills training for individuals with Schizophrenia and other psychiatric disorders are examined briefly, with precision teaching representing a possible addition to the procedures currently used for rehabilitating and instructing these individuals. Precision teaching, an empirically validated instructional technology, focuses on fluency-based instruction and makes use of a standard chart to guide data-based instructional decisions. This study evaluates the effectiveness of using precision teaching for teaching basic math skills to 2 individuals with Schizophrenia. Results indicate that precision teaching effectively increased the rate of correct answers to multiplication problems during the intervention. In addition, during follow-up probes, both participants maintained greater knowledge of problems learned to a fluency criterion than those problems learned to a criterion of accuracy alone.
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Bryson, Catherine Anne. "A correlation of staff reports of hallucinatory indicators and the self-report of auditory hallucinations of persons diagnosed with chronic schizophrenia." Scholarly Commons, 1997. https://scholarlycommons.pacific.edu/uop_etds/2684.
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The scant body of research regarding hallucinations shows a significant deficit in the area of definition and measurement of this phenomena. The methods most commonly used are self-report and observation of the client's behavior, such as laughing, talking, mumbling, gesturing, and grimacing to no apparent stimuli. The purpose of the present study was to compare participants' self-report of hallucinations to staff observations of participants' behavior to determine if there was a relationship between them. It was hypothesized that the two reports would correlate significantly, strengthening the case for the validity and usefulness of these approaches as measures of hallucinations. Twenty-eight persons diagnosed with schizophrenia or other major mental illnesses and reporting auditory hallucinations living in a group home participated in the study. Participants reported their symptomology on an hourly basis and these reports were compared to staff reports of 10 possible hallucinatory indicators. Participants were provided with token reinforcement for their participation. Three hundred forty-eight staff and participant reports were correlated using the Pearson Product Moment correlation. The results were nonsignificant at the p $<$.05 level. This indicates that observations made by staff of possible hallucinatory indicators have no reliable relationship to schizophrenics' self-reports of hallucinations.
13
Dempsey, Carrie Melissa. "The effects of deprivation and satiation on preference assessment outcomes in adults with schizophrenia." Scholarly Commons, 2005. https://scholarlycommons.pacific.edu/uop_etds/2653.
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In the current study, the utility of paired-stimulus preference assessment in identifying stimulus preferences was evaluated with adults with schizophrenia. In addition, the effects of two establishing operations (i.e., deprivation, satiation) on stimulus selection during paired-stimulus preference assessment were evaluated. Specifically, paired-stimulus preference assessments were conducted across conditions of (a) control, in which participants were given free access to premeasured portions of each of four stimuli prior to the preference assessment at five scheduled times; (b) deprivation, in which participants were given free access to premeasured portions of three of the four stimuli at five scheduled times and were deprived of one of the four stimuli for 48 hr prior to the preference assessment; and (c) satiation, in which participants were given no access to three of the four stimuli at five scheduled times and were free access to one of the four stimuli for 15 min prior to the preference assessment. The paired-stimulus preference assessment resulted in preference hierarchies for 3 of the 4 participants and identified two highly preferred stimuli for 1 of the 4 participants. Overall, across participants, deprivation resulted in increased selection of stimuli, and satiation resulted in decreased selection of stimuli, relative to control. However, some variation across stimuli and participants occurred in each condition. The implications of the current findings are discussed.
14
Sandquist, Eric. "Use of contingent monetary reinforcement and feedback to reduce smoking for adults diagnosed with schizophrenia." Scholarly Commons, 2005. https://scholarlycommons.pacific.edu/uop_etds/2705.
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Adults diagnosed with schizophrenia smoke cigarettes at excessive rates. The goal of this study was harm reduction by reducing carbon monoxide (CO) levels for 9 adults diagnosed with schizophrenia living in a semi-independent apartment complex. The participants were randomly assigned to one of three groups: Contingent monetary reinforcement (CMR), feedback, and CMR used in combination with feedback. CMR and feedback group was hypothesized to exceed the results of CMR alone and of feedback alone. CO levels were collected once a day for 4 weeks. Individualized CO reduction criteria were developed based on baseline mean CO levels. It was also hypothesized the addition of feedback would lend itself to better maintenance and generalization. Data were analyzed through visual inspection. Results suggested that CMR plus feedback does not improve the effectiveness of CMR alone to maintain reductions in CO levels for adults diagnosed with schizophrenia. Important findings from this study can help alleviate problems for future smoking reduction programs that serve this population.
15
Nichols, Shannon Lisa. "The effects of stimulus complexity on the verbal behavior of individuals with chronic schizophrenia." Scholarly Commons, 2000. https://scholarlycommons.pacific.edu/uop_etds/2740.
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This investigation examined the effects of stimulus complexity on the verbal behavior of individuals diagnosed with schizophrenia and a control group of nondiagnosed individuals. The participants were 20 adults with schizophrenia and 20 nonschizophrenic adults that were matched on age and education. Each participant vocally responded to nine stimuli displayed on a computer screen, with three stimuli at each of three levels of complexity. Each experimental session was recorded on video, as well as on cassette tape. Contextually inappropriate responses were tallied by using a partial interval recording system, and were analyzed by counting the number of intervals in which a contextually inappropriate response occurred. A 2 x 3 x 3 factorial design was used to determine differences in responding between the two groups across the type of picture and level of complexity. Overall, the results indicated that there was not a significant difference between the responses of the schizophrenic individuals when compared to the nondiagnosed individuals.
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KUDO, Junichiro, Hayato Mori, and Takashi Gomibuchi. "Loneliness as expressed by schizophrenic patients in the early remission phase." Nagoya University School of Medicine, 2002. http://hdl.handle.net/2237/5384.
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Mak, Kai-lok Gregory, and 麥棨諾. "Psychological interventions with young Chinese patients with schizophrenia in Hong Kong: a pilot study onneeds, indications and efficacy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31980958.
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Gokim, Maria L. "Treatment at a transitional residential facility: Effects on positive and negative symptomology." Scholarly Commons, 1997. https://scholarlycommons.pacific.edu/uop_etds/2674.
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Traditional treatment for schizophrenia addresses behaviors that are present in excess (positive symptoms) but neglects behaviors that are absent (negative symptoms). This leaves individuals unprepared for living in a "least restrictive setting" and results in recurring placements in community settings, an increase in symptoms, and consequent return to treatment and stabilization in an inpatient psychiatric facility. Within an institutional cycle design with nine cohort groups of individuals, this study used archival data from a facility that prepares individuals for community placement to investigate the efficacy of a treatment approach designed to reduce both positive and negative symptomology and decrease use of inpatient psychiatric facilities. The results indicate small effects on positive and negative symptomology but substantial reductions in the use of inpatient psychiatric facilities.
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Ran, Maosheng, and 冉茂盛. "Community mental health in China: a randomized controlled trial of psychoeducational family interventionfor carers of persons with schizophrenia in a rural area in Chengdu." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31243551.
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Magdeleine, Jean-Baptiste. "La psychothérapie familiale et les aidants naturels de patients souffrant de schizophrénie : récit de la thérapie par l'aidant naturel." Thesis, Paris 8, 2017. http://www.theses.fr/2017PA080068.
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L'aidant naturel d'un proche souffrant de schizophrénie qui suit une thérapie familiale perçoit certains éléments liés au processus à l'œuvre. Le but de cette étude est de recueillir des éléments susceptibles d'être communs à plusieurs prises en charge familiales. Il s'agit d'apporter des hypothèses de travail sur un domaine inexploré, et d'envisager un lien entre les exposés des aidants naturels et les concepts pratiques. Après avoir parcouru les références théoriques sur la thérapie familiale et sur les aidants naturels, une analyse thématique du contenu de cinq entretiens a été réalisée. Il s'agit d'entretiens ouverts afin de récolter un plus grand nombre d'hypothèses de travail. Les suivis des aidants sont hétérogènes par la durée et le type de suivi familial. Les résultats permettent de relever 29 thèmes. Parmi ceux-ci, deux semblent de premier ordre: la communication intrafamiliale et le positionnement. Ces thèmes semblent liés entre eux ainsi qu'à d'autres. Cela laisse penser qu'ils sont élaborés par les aidants comme occupant une place centrale dans le travail effectué avec les praticiens en psychothérapie familiale. Le moment spécifique de l’avènement du trouble est une période de grande détresse pour la famille. Celle-ci manifeste des attentes en termes de soutien, et d’accompagnement de la part des professionnels. Si elles sont négligées, la création de l’alliance thérapeutique peut être mise à mal, et entraver la prise en charge. Par ailleurs, il semble que perception circulaire et linéaire coexistent dans la représentation du problème que se fait le praticien. Cette étude propose des hypothèses qui demandent à être vérifiées par des recherches ultérieuresCaregivers dealing with a family member with schizophrenia and undergoing a family therapy feel some effects related to the process. This research aims to identify perceived family features likely to be common to the various family care programs. Thus, this study has to do with working hypotheses based on a still unexplored field of psychology, and also, to seek a link between stories of caregivers and practical concepts. Having gone through references on family therapy and caregivers, a thematic analysis of five interviews has been carried out. Follow-up of caregivers is heterogeneous in terms of duration and type of family supervision. The interviews were open in order to collect a larger number of working hypotheses. The results can take up 29 topics. Among these, two of them seem to be high-order issues: intrafamilial communication and family status. These subjects appear to be connected to each other and to other areas. This suggests that both of them are elaborated by caregivers as a strong emphasis in the work of the family therapist. At the specific time when the disorder occurs, it's a period of extreme distress for all the family members. So that the family expresses expectations in counseling and support from professionals. If the demands are neglected, building the therapeutic alliance may be harmed and can, therefore, hinder the psychological management of patients with schizophrenia. Moreover, it appears that circular and linear perceptions co-exist in the problem representation of practitioners. This study proposes hypotheses that require subsequent verification during further research
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Greene, Jennifer. "A Systematic Review of Interventions to Increase Mental Health Service Use." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4056.
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Relatively few pre-treatment interventions to increase out-patient mental health (MH) service use have been created and experimentally tested. Therefore, not only is there limited availability of these interventions, it is uncertain whether existing interventions are effective. Moreover, it is unclear which components of the interventions are effective. To address these gaps in knowledge, a systematic review of pre-treatment interventions was conducted, using the Cochrane Review methodology. Three primary outcomes were evaluated: attendance at any type of out-patient MH visit; number of appointments of any type of out-patient MH visit; and/or initiation and adherence to psychotropic medication. PubMed and PsycINFO databases were thoroughly searched for studies that met the inclusion criteria. A data extraction form was designed and employed to systematically extract data from all included studies. In the 15 included studies, 18 different active interventions were evaluated. The interventions ranged in duration of interaction from one mailed flyer to ten 90-minute psychoeducation sessions. Most studies (n = 11) included one intervention group, compared with one control, or usual care, group. The interventions were categorized by the type of barriers they aimed to address, resulting in six broad categories: MH knowledge; MH knowledge/attitudes; MH knowledge/attitudes/ logistical barriers; MH knowledge/family involvement; care management; and home visits. All included studies received a quality assessment rating of "good" or "fair." The main finding of this thesis is that all categories of interventions increased at least two of the three primary outcomes. The care management interventions measured and increased all three outcomes; these interventions also had some of the highest quality ratings. Therefore, care management interventions appear most effective at increasing out-patient MH service use. Implications for practice and research are discussed.
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Palma, Sevillano Carolina. "Intervención psicoterapéutica en la fase inicial de la esquizofrenia: diseño y desarrollo del programa PIPE (Programa de Intervención Precoz en la Esquizofrènia)." Doctoral thesis, Universitat Ramon Llull, 2007. http://hdl.handle.net/10803/9250.
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Introducció: Són molts els estudis que, en els darrers quinze anys, han demostrat l'efectivitat delsprogrames d'intervenció precoç en la esquizofrènia i el seu impacte sobre el pronòstic de la
malaltia. De fet, la intervenció preventiva a la fase prodròmica i posterior al primer episodi ha
esdevingut una de les línies principals de recerca i d'aplicació clínica per l'abordatge de la
esquizofrènia.
Objectiu: Avaluar l'impacte d'una intervenció psicoterapèutica durant la fase inicial de la
esquizofrènia sobre la millora clínica i les recaigudes d'un grup que va rebre una intervenció
precoç (PIPE) en comparació amb un grup control (GC) que va rebre controls psiquiàtrics rutinaris.
Mètode: Es va realitzar un assaig clínic controlat a simple cec per tal de comparar un grup que va
ser tractat amb un programa de controls rutinaris (CG) amb un grup que va participar en el
programa PIPE. Es van aleatoritzar 34 pacients que estaven a la fase inicial de l'esquizofrènia a
ambdós grups: GC (n=13) i GC+PIPE (n=21). El programa PIPE va estar conformat per teràpia
individual i familiar cognitivo-motivacional, tenint una duració de 18 mesos (entre 34-36
sessions). Les avaluacions clíniques es van portar a terme a la valoració basal, als 3,6,9,12 i 18
mesos per avaluadors externs, a més del seguiment als 6 mesos d'haver finalitzat la intervenció. Es
va avaluar als pacients mitjançant l'escala PANSS (versió espanyola de l'Escala dels síndromes
positiu i negatiu; Cuesta i Peralta, 1994) , l'escala BPRS (Brief Psychiatry Rating Scale; Overall i
Gorham, 1962), l'escala CGI (Clinical Global Impressions; National Institute of Mental Health,
1976) i l'EEAG (Escala d' Avaluació de l'Activitat Global; American Psychiatric
Association,1995). A més, es van recollir els índexs de recaigudes globals i específiques en número
de hospitalitzacions, estades a l'hospital de dia, visites a urgències, visites no programades,
agudització simptomàtica i els increments de medicació.
Resultats principals: S'observen diferencies estadísticament significatives entre els dos grups
esmentats ja als tres mesos d'intervenció respecte a l'avaluació basal (p=0,000) que es mantenen
estables fins al seguiment als 6 mesos (p=0,000) a l'avaluació amb l'escala BPRS. Respecte a
l'avaluació del síndrome positiu, negatiu i de psicopatologia general puntuat amb la PANSS
s'observen també diferències notables als sis mesos que es mantenen fins al final de la intervenció
als 18 mesos (PANSS-P, p=0,02;PANSS-N, p=0,004;PANSS-PG, p=0,000). D'acord amb aquests
resultats es presenten diferències estadísticament significatives a les puntuacions de les escales CGI
i EEAG amb resultats notables ja als sis mesos (CGI, p=0,000; EEAG, p=0,001) i que es mantenen
fins al seguiment (CGI, p=0,000; EEAG, p=0,000). Respecte a les recaigudes s'observen
diferències estadísticament significatives entre els grups als 18 i als 6 mesos de seguiment en
número d'hospitalitzacions (p=0,000), en estades a l'hospital de dia (p=0,000), visites al servei
d'urgències (p=0,048) i en augments de medicació (p=0,002). Resultats semblants s'observen a les
mesures de recaigudes globals en la comparació entre grups tant al final de la intervenció com
durant el seguiment als 6 mesos (p=0,018; p=0,048 respectivament).
Conclusió principal: El programa d'intervenció precoç PIPE té un impacte alt sobre la millora
clínica i les recaigudes als 18 mesos d'intervenció que es manté durant el període de seguiment als
6 mesos.<(p>
Introducción: Son muchos los estudios que en los últimos quince años han demostrado la
efectividad de los programas des intervención precoz en la esquizofrenia y su impacto sobre el
pronóstico de la enfermedad. De hecho, la intervención preventiva en la fase prodrómica y
posterior al primer episodio se ha convertido en una de las líneas principales de investigación y de
aplicación clínica para el abordaje de la esquizofrenia.
Objetivo: Evaluar el impacto de una intervención psicoterapéutica durante la fase inicial de la
esquizofrenia sobre la mejoría clínica y las recaídas de un grupo que recibió una intervención
precoz (PIPE) en comparación con un grupo control (GC) que recibió controles psiquiátricos
rutinarios.
Método: Se realizó un ensayo clínico controlado a simple ciego para comparar un programa de
controles rutinarios (CG) con el programa PIPE. Se aleatorizaron 34 pacientes que estaban en la
fase inicial de la esquizofrenia a ambos grupos: GC (n=13) y GC+PIPE (n=21). El programa PIPE
estuvo conformado por terapia individual y familiar cognitivo-motivacional, teniendo una duración
de 18 meses (entre 34-36 sesiones). Las evaluaciones clínicas se llevaron a cabo en la valoración
basal, a los 3,6,9,12 y 18 meses por evaluadores externos, además del seguimiento a los 6 meses.
Se evaluó a los pacientes mediante la escala PANSS (versión española de la Escala de los
síndromes positivo y negativo; Cuesta y Peralta, 1994), la escala BPRS (Brief Psychiatry Rating
Scale; Overall y Gorham, 1962), la escala CGI (Clinical Global Impressions ; National Institute of
Mental Health, 1976) y la EEAG (Escala de Evaluación de la Actividad Global; American
Psychiatric Association,1995). Además, se recogieron los índices de recaídas globales y específicas
en número de hospitalizaciones, estancias en hospital de día, visitas a urgencias, visitas no
programadas, agudización sintomática e incrementos de medicación.
Resultados principales: Se observan diferencias estadísticamente significativas entre los grupos
mencionados ya a los tres meses de intervención respecto a la evaluación basal (p=0,000) que se
mantienen estables hasta el seguimiento a los 6 meses (p=0,000) en la evaluación con la escala
BPRS. Respecto a la evaluación del síndrome positivo, negativo y de psicopatología general
puntuado con la PANSS se observan también diferencias notables a los seis meses que se
mantienen hasta el final de la intervención a los 18 meses (PANSS-P, p=0,02;PANSS-N,
p=0,004;PANSS-PG, p=0,000). En acorde con estos resultados se presentan diferencias
estadísticamente significativas en las puntuaciones de las escalas CGI y EEAG con resultados
notables ya a los seis meses (CGI, p=0,000; EEAG, p=0,001) y que se mantienen hasta el
seguimiento a los 6 meses (CGI, p=0,000; EEAG, p=0,000). Respecto a las recaídas se observan
diferencias estadísticamente significativas entre los grupos a los 18 meses y los 6 meses de
seguimiento en número de hospitalizaciones (p=0,000), en estancias en hospital de día (p=0,000),
en visitas al servicio de urgencias (p=0,048) y en aumentos de medicación (p=0,002). Resultados
similares se observan en las recaídas globales en la comparación entre grupos tanto al final de la
intervención como en el seguimiento a los 6 meses (p=0,018; p=0,048 respectivamente).
Conclusión principal: El programa de intervención precoz PIPE tiene un impacto alto sobre la
mejoría clínica y las recaídas a los 18 meses de intervención que se mantiene durante el periodo de
seguimiento a los 6 meses.
Introduction: Many studies have shown the effectiveness of early intervention programs for
schizophrenia and its impact on illness outcome. In fact, the preventive intervention in the
prodromical period and after the first episode of psychosis has become the main way for the
research and clinical procedures for schizophrenia treatments.
Objective: The aim of the current study is to assess the improvement and relapse rates of patients
with a diagnosis of schizophrenia (initial phase), which were taking part in a specific Cognitive-
Motivational Therapy program (PIPE) in comparison with patients who received the usual
psychiatric treatment (Routine Care, RC).
Method: A randomized, controlled, single-blind clinical trial was carried out. A total of 34 patients
and families who were in the initial phase of schizophrenia were allocated either to the
experimental intervention program plus routine care (PIPE, n=21) or to routine care alone (RC,
n=13). PIPE consisted of an individual and a family Cognitive-Motivational Therapy, with 18
months of length (between 34-36 therapy sessions). Clinical assessments were carried out by
external raters at baseline, at 3,6,9,12 and 18 months, and the follow-up after 6 months. Patients
were assessed by the PANSS (spanish version of Positive and Negative Syndrome of
Schizophrenia, Cuesta & Peralta, 1994), the BPRS scale (Brief Psychiatry Rating Scale; Overall &
Gorham, 1962), the CGI scale (Clinical Global Impressions; National Institute of Mental Health,
1976) and the EEAG (Escala de Evaluación de la Actividad Global; American Psychiatric
Association,1995). On the other hand, global and specific relapses rates were collected attending to
the number of admissions in acute care, admissions in day hospital, emergencies, non programmed
visits and deterioration of symptoms that require intervention by professionals (increase in / change
of medication or non-scheduled visits).
Main results: Significantly clinical effects were observed in patients treated within PIPE program
(pre-treatment vs. post-treatment at p=0,000) on the BPRS, already after three months. That results
remain stable to the follow-up after 6 months (p=0,000). In reference to the evaluation for the
positive, negative syndrome and general psychopathology scored with the PANSS were also
observed remarkable differences from the 6th month of the intervention to the 18th month
(PANSS-P, p=0,02;PANSS-N, p=0,004;PANSS-PG, p=0,000). According to those results,
significant statistical differences were observed in CGI and EEAG scores. Those differences were
observed already after six months (CGI, p=0,000; EEAG, p=0,001) with respect to the baseline
assessment and remained stable to the follow-up after 6 months (CGI, p=0,000; EEAG, p=0,000).
Statistical significant differences were found between groups with respect to relapses after 18 and 6
months follow-up in admissions in the acute care unit (p=0,000), admissions at day hospital
(p=0,000), emergencies (p=0,048) and pharmacological treatment increase (p=0,002). Analogue
results were observed in global relapses between groups at the end of the intervention and the
follow-up after 6 months (p=0,018; p=0,048 respectively).
Main conclusion: The results show a positive impact of the PIPE intervention program on the
improvement of symptoms and the relapses in patients who are in the initial phase of
schizophrenia.
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Mury, Louis. "Approche psychotherapique des schizophrenes : d'un entretien de la parole." Aix-Marseille 2, 1988. http://www.theses.fr/1988AIX20237.
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Gómez, García Montserrat. "Tratamiento del Juego Patológico en Pacientes con Patología Dual (Esquizofrenia)." Doctoral thesis, Universitat de Barcelona, 2015. http://hdl.handle.net/10803/346924.
Full textAbstract:
La tesis doctoral presenta el diseño del primer protocolo de intervención del juego patológico en pacientes con esquizofrenia y desarrolla el primer estudio controlado que realiza este tipo de terapia.
La investigación cuenta con 44 pacientes duales que se dividen en un grupo experimental (23 sujetos) que recibe tratamiento psicológico y en un grupo de control (21 sujetos) que permanece 3 meses sin intervención psicológica.
La tesis doctoral cuenta con diferentes objetivos principales: 1) Comprobar la efectividad del programa de tratamiento psicológico cognitivo-conductual para la ludopatía en un formato mixto (individual y grupal) diseñado específicamente para pacientes duales y aplicado en diversos dispositivos de Salud Mental (régimen ambulatorio y de ingreso). Los resultados obtenidos son satisfactorios, ya que el grupo experimental presenta un porcentaje de éxito superior (73,9%) al del grupo de control (19,0%) después del tratamiento y durante el seguimiento, evidenciándose la efectividad de la intervención terapéutica. 2) Conocer las características de los patrones de recaída de los pacientes duales de ambos grupos en el período de observación de 3 meses; y del grupo experimental durante el tratamiento (184 días) y el seguimiento (367 días). Los resultados obtenidos son positivos, ya que el grupo experimental en la observación de 3 meses recae menos que el grupo de control; en el tratamiento, el grupo experimental presenta 4 sujetos que recaen los primeros 30 días (17%), presenta un 65% de posibilidades de que no recaigan antes de 120-130 días y tienen una mediana de tiempo de abstinencia de 180 días, por lo que más de la mitad del grupo con tratamiento no recae en 6 meses; y en el seguimiento, el grupo experimental presenta 5 sujetos que recaen (25%), cuenta con un 90% de posibilidades de que no recaigan antes de 120-140 días y presentan una mediana de tiempo de abstinencia de 360 días, por lo que más de la mitad del grupo tratado no recae en 12 meses. 3) Obtener las posibles variables predictoras del riesgo de recaída en los pacientes duales. En este sentido, los resultados muestran que la edad de inicio de la conducta de juego (p=0,004) es la única variable predictora del riesgo de recaída, por lo que una mayor antigüedad en la conducta patológica de juego plantea mayor riesgo para recaer. 4) Analizar la evolución de los episodios de juego de los pacientes duales del grupo experimental en el tratamiento y el seguimiento. En esta línea, los resultados muestran una disminución del número de episodios de juego en relación con la evaluación pretratamiento, a partir de la observación postratamiento, y un mantenimiento de esta disminución en el seguimiento, aunque se produce un incremento moderado de los episodios de juego en el seguimiento de los 6 y 12 meses. 5) Recoger las variables más significativas de los pacientes duales de la muestra total. Los datos muestran que las variables demográficas más habituales son: sexo masculino (93,2%), edad 26-40 años (56,8%), estado civil soltero (81,8%), estudios primarios (72,8%), pensionista (86,4%), ingreso mensual 301-600 € (84,1%) y apoyo familiar (72,8%); las variables de consumo de sustancias psicoactivas más frecuentes son: no beber alcohol (56,8%), fumar 2-3 paquetes diarios (61,4%) y no ingerir otras sustancias tóxicas (88,6%); las variables de juego más usuales son: en una semana jugar 6-7 días (27,3%), dedicar 1 hora (43,3%) y gastar 12-30 € (31,8%); y las variables de la esquizofrenia más comunes son: presentar un curso de trastorno episódico con síntomas residuales interepisódicos (56,8%), desarrollar la enfermedad entre los 18-30 años (77,3%), contar con una antigüedad en la esquizofrenia superior a 15 años (52,3%) y presentar de 1-5 ingresos psiquiátricos (56,8%) por descompensación psicótica.The thesis presents the design of the first protocol of intervention of pathological gambling (PG) in patients with schizophrenia (SZ) and develops the first controlled study that tests this type of therapy. In the research 44 dual patients are divided into an experimental group (EG) (23 subjects), receiving psychological treatment for PG, and a control group (CG) (21 subjects), remaining 3 months without psychological intervention. The main objectives are: 1) Determine the effectiveness of a cognitive behavioral treatment for PG in a mixed format, specifically designed for dual patients and applied in various facilities of Mental Health. The results are satisfactory, since the EG has a higher success rate (73.9%), than the CG (19.0%) after treatment and during follow-up. 2) Know the characteristics of patterns of relapse in dual patients in both groups in the observational period of 3 months; and in the EG during treatment (184 days) and monitoring (367 days). The results are positive, since the relapse rate of the EG in the 3-month observation is lower than the CG; in treatment, the EG has a 65% chance that do not relapse 120-130 days and has a median time of 180 days abstinence; and in monitoring, the EG has a 90% chance that do not fall before 120-140 days and has a median time of 360 days of abstinence. 3) Obtain the possible predictors of risk of relapse in dual patients. In this sense, the results show that the only predictor of the risk of relapse is the age of onset of gambling behavior (p = 0.004). 4) To analyze the evolution of the game episodes of dual patients in the EG in the treatment and the monitoring. Along these lines, the results show a decrease in the number of episodes of gambling relative to the pretreatment evaluation, from the post-treatment observation, and maintenance of the decrease in the follow up, while a moderate increase in episodes of gambling occurs in 6 and 12 months follow-up. 5) Collect the most significant variables (demographic, consumption of psychoactive substances, variables regarding PG and SZ) of dual patients of the total sample.
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CELLIER, CHANTAL. "Un travail institutionnel avec un psychotique dangereux." Montpellier 1, 1992. http://www.theses.fr/1992MON11028.
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JOUAN, ANDRE. "Le "jeu schizophrenique" du jeu repete. . . Au jeu rejoue." Bordeaux 2, 1988. http://www.theses.fr/1988BOR25392.
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Mas-Expósito, Laia. "Evaluación de la efectividad de un programa de gestión de casos para pacientes esquizofrénicos en centros de salud mental / Assessment of the effectiveness of a case management programme for schizophrenic patients in mental health centres." Doctoral thesis, Universitat de Barcelona, 2013. http://hdl.handle.net/10803/104109.
Full textAbstract:
El objetivo principal de esta tesis es evaluar la efectividad de un programa de gestión de casos frente a un programa de atención estándar en personas con esquizofrenia. El objetivo principal se operacionalizó en tres objetivos consecutivos.
Del objetivo preliminar surge el Estudio 1 que revisa la literatura sobre la gestión de casos. La gestión de casos ha experimentado importantes cambios y los modelos tradicionales están en desuso. Los resultados de las revisiones metanalíticas sobre la eficacia de la gestión de casos son heterogéneos. Las características de los pacientes y la fidelidad al programa podrían estar asociadas a los efectos de la gestión de casos. Se sugiere el desarrollo de estrategias de gestión de casos que ofrezcan diferentes grados de intensidad según las necesidades del paciente.
Del objetivo intermedio surgen los estudios 2, 3 y 4. Estos estudios se han centrado en la validación, en población con esquizofrenia, de la World Health Organization Quality of Life Brief Version, la Disability Assessment Schedule Short Form y la DUKE-UNC Functional Social Support Questionnaire. Las tres escalas muestran puntuaciones fiables y válidas, y son instrumentos útiles para la valoración psicosocial de esta población.
Del objetivo específico se derivan los estudios 5 y 6. El estudio 5 incide en el conocimiento de las necesidades de los pacientes con esquizofrenia asignados a un programa de gestión de casos. Se hace una propuesta de criterios y de variables a considerar cuando se incluya a un paciente en dicho programa así como de reconfiguración del mismo.
El estudio 6 analiza la efectividad de un programa de gestión de casos frente a un programa de atención estándar. El grupo de pacientes en gestión de casos muestra peor funcionamiento y mayor uso de servicios que el grupo en programa estándar en la evaluación inicial. Al seguimiento, ambos grupos mejoran y el grupo en gestión de casos alcanza niveles similares a los del grupo en atención estándar en la mayoría de variables.
Esta tesis profundiza en el conocimiento de dos modalidades de tratamiento comunitario del Servicio Catalán de Salud. Ambas son efectivas y podrían ofrecerse consecutivamente según necesidades del paciente.The psychiatric deinstitutionalization leaded to an increase of community resources for persons with Severe Mental Illness (SMI). These resources include the so-called case management programs that aim to organize, coordinate and integrate the resources available for patient care through continuous contact with one or more key workers. The Mental Health Strategy of the Spanish National Health System (2007) recommends case management programs for the coordination, access and use of mental health resources. However, these programs are not implemented throughout and there are differences between Autonomous Communities. In Catalonia, these programs are available at Adult Mental Health Mental Health Care Centres of the State Mental Health Network of the Catalan Health Service. Specifically, the Severe Mental Illness Specific Care Program, known as PAE-TMS, covers the health care for most patients with SMI so it is particularly important to assess its effectiveness. This PhD thesis addresses this issue and its main objective is to assess the effectiveness of the PAE-TMS versus a standard treatment program (STP) in persons with schizophrenia. This objective was operationalized in three consecutive objectives: 1) preliminary objective: literature review of case management; 2) intermediate objective: validation of assessment instruments in persons with schizophrenia, and 3) specific objective: to improve knowledge of the needs of patients with schizophrenia included in the PAE-TMS and analyze its effectiveness. Each goal is associated with one or more studies. The preliminary objective leads to study 1. It reviews the literature regarding the origins, principles, tasks, models and effects of case management programs. This study shows that case management has undergone major changes over time and that the traditional models seem not to be in use, as evidenced by the most recent models. The results of meta-analytic reviews of the effectiveness of case management programs are diverse. Recent studies suggest that some variables, such as patient characteristics and fidelity to the program, may be associated with the effectiveness of case management. It is suggested, therefore, the development of case management strategies that may offer different degrees of intensity depending on patients’ needs. The intermediate goal leads to studies 2, 3 and 4. These studies are psychometric and have focused on the validation in persons with schizophrenia of the following instruments: the World Health Organization Quality of Life Brief Version, the Disability Assessment Schedule Short Form and the DUKE-UNC Functional Social Support Questionnaire. The three instruments showed good psychometric properties. Their scores are reliable and valid and, therefore, are useful and appropriate for the assessment of quality of life, disability and social support in persons with schizophrenia. The specific goal leads to studies 5 and 6. The study 5 provides a better understanding of the needs of patients with schizophrenia assigned to the PAE-TMS or the STP. We suggest criteria and variables that may be considered when assigning a patient to the PAE-TMS. Considering these variables, we suggest a reconfiguration of the program by means of the addition of evidence-based elements. The study 6 assesses the effectiveness of the PAE-TMS versus the STP. At baseline, the group of patients in the PAE-TMS showed a profile characterized by worse clinical and psychosocial functioning and greater use of services than patients in the STP. At one year follow-up, both groups improved and the group in the PAE-TMS achieved a similar level to that in the STP group in most outcomes. This PhD thesis provides a deeper insight into two modalities of care that target the care of most of persons with SMI in the Catalan Health Service. The PAE-TMS and the STP are effective and could be offered consecutively according to patients’ needs.
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Meunier, Jean-Louis. "Analyse d'un travail thérapeutique auprès d'une jeune mère schizophrène en période périnatale." Montpellier 1, 1991. http://www.theses.fr/1991MON11020.
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Smith, Michelle. "The role of Lorikeet Clubhouse in psychiatric rehabilitation." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1063.
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Previous studies have suggested that participation in psychosocial support groups such as the Foundation House (Clubhouse) model have psychological benefits for patients with major mental disorders. In this research, 47 members of the Lorikeet Clubhouse in Shenton Park, WA completed the Brief Symptom Inventory, the Level of Expressed Emotion Scale and the Coping Scale for Adults to investigate whether differences existed between active and inactive Clubhouse members. Analyses of variance found no group differences on these measures, although trends in the data suggest that Clubhouse participation have a protective effect for members who report high levels of expressed emotion (EE) in their home. These conclusions are tentative due to the small sample size. Members perceived the Clubhouse to have lower levels of EE than their home environments, however these measures were correlated.
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Leßmeier, Deborah [Verfasser], and Helge [Akademischer Betreuer] Frieling. "Untersuchung des Methylierungsstatus der Gene NR3C1, NMDA2B und BDNF4 bei Schizophrenie und Alkoholabhängigkeit / Deborah Leßmeier ; Akademischer Betreuer: Helge Frieling ; Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie der Medizinischen Hochschule Hannover." Hannover : Bibliothek der Medizinischen Hochschule Hannover, 2017. http://d-nb.info/1135490589/34.
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Hoag, David Nelson. "Facial Expression Decoding Deficits Among Psychiatric Patients: Attention, Encoding, and Processing." Thesis, North Texas State University, 1988. https://digital.library.unt.edu/ark:/67531/metadc330648/.
Full textAbstract:
Psychiatric patients, particularly schizophrenics, tend to be less accurate decoders of facial expressions than normals. The involvement of three basic information processing stages in this deficit was investigated: attention; encoding; and processing. Psychiatric inpatients, classified by diagnosis and severity of pathology, and nonpatient controls were administered seven facial cue decoding tasks. Orientation of attention was assessed through rate of diversion of gaze from the stimuli. Encoding was assessed using simple tasks, requiring one contrast of two facial stimuli and selection from two response alternatives. Processing was assessed using a more complex task, requiring several contrasts between stimulus faces and selection from numerous response alternatives. Residualized error scores were used to statistically control for effects of attention on task performance. Processing task performance was evaluated using ANCOVA to control for effects of encoding. Schizophrenics were characterized by generalized information processing deficit while affective disorder subjects evidenced impairment only in attending. Attention impairments in both groups were related to severity of psychopathology. Problems in encoding and processing were related only to a schizophrenic diagnosis. Their decoding deficits appeared attributable to general visuospatial discrimination impairment rather than repression-sensitization defenses or the affective connotation of cues. Adequacy of interpersonal functioning was associated with measures of attending and processing but not encoding. The measures of encoding, however, may have lacked adequate discriminating power due to low difficulty.
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Nadler, Karsten [Verfasser], and Stefan [Akademischer Betreuer] Kropp. "Untersuchung zur erhöhten Inanspruchnahme stationärer und teilstationärer Behandlungen von Patienten aus dem schizophrenen Formenkreis / Karsten Nadler ; Akademischer Betreuer: Stefan Kropp ; Zentrum Seelische Gesundheit; Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie." Hannover : Bibliothek der Medizinischen Hochschule Hannover, 2017. http://d-nb.info/1143982274/34.
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Racinet, Guy. "Football et psychothérapie en milieu hospitalier, ou l'apport thérapeutique du Jeu Football pour des sujets adultes souffrant de divers troubles psychiques." Bordeaux 2, 1995. http://www.theses.fr/1995BOR28357.
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Nischwitz, Diana Ulrike Verfasser], Eckart [Akademischer Betreuer] [Rüther, Jean-François [Akademischer Betreuer] Chenot, Reinhard [Akademischer Betreuer] Hilgers, and Detlef [Akademischer Betreuer] Degner. "Analyse der Versorgungsstruktur schizophrener Patienten der Klinik für Psychiatrie und Psychotherapie der Georg-August-Universität Göttingen anhand der Basisdokumentation (BADO) / Diana Ulrike Nischwitz. Gutachter: Jean-François Chenot ; Reinhard Hilgers ; Detlef Degner. Betreuer: Eckart Rüther." Göttingen : Niedersächsische Staats- und Universitätsbibliothek Göttingen, 2012. http://d-nb.info/1042925941/34.
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Su, Mei-Chun, and 蘇玫君. "A case study for recovery process of schizophrenia and psychotherapy experience of the counselor." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/36564178838319303728.
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碩士國立暨南國際大學
輔導與諮商研究所
99
This study explored the recovery process of the schizophrenia client who had received psychotherapy, and the psychotherapy experience of the counselor. In this study, we use psychotherapy verbatim of a client as the transcript, and conducted data analysis by the means of qualitative research, the main findings are shown as follows: 一、The recovery processes of the schizophrenia client receiving psychotherapy: （一）Under the assistance of psychotherapy, "talk experience supported by sufficient empathy", "epiphany experience of improved insight" and "successful experience of disease control" were turned up in the recovery process of the client. Each experience is the turning point that made the client to have further growth and beyond in the recovery process. (二) The client was assisted by psychotherapy to accomplish five tasks of the recovery process: "Integration of emotional experiences," "integration of past life experience", "control of disease and treatment", "acceptance of reality plight" and "face to future life". The completion of each task empowered the client, and helped the client to continuously forward to rehabilitation. (三) In the course of psychotherapy, the client had showed "alienation", "confusion", "realization", "relapse", "adaptation", "relapse again", "growth", a total of seven recovery phases, the overall process trend to grow up rather than liner. 二、The psychotherapy experience of the counselor: (一) The statuses of psychotherapy, that corresponding to different stages in the recovery process of the client, can be divided into three major phases: "Relationship building", "disease treatment and coping", and "relationship ending". The counselor was to create a supportive and empathic environment and use different treatment to provide assistance for the client at each stage. (二) Five orientation of the treatment model: "Assessment", "person-centered psychotherapy" "cognitive-behavior therapy", "post-modern orientation of therapy", and "crisis intervention" were used by the counselor during the recovery process of the client. The viewpoint of community counseling was used in the process, and assesses problems and needs of the environmental system of the client at any time. Finally, the researcher discusses and provides recommendations for counseling and psychotherapy professionals and future researchers according as these findings.
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Marlowe, Michelle Hart. "Narrative approaches to recovery-oriented psychotherapy with individuals with schizophrenia a project based upon an independent investigation /." 2009. http://hdl.handle.net/10090/9903.
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Peters, Eric J. "An empirical and theoretical investigation of psychodynamic psychotherapy and neuroleptic medication for the treatment of schizophrenia." 2009. http://etd.utk.edu/2009/Spring2009Dissertations/PetersEricJ.pdf.
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Raymond, Neville Vincent. "A study of the acute neurological side effects in hospitalized psychiatric patients receiving neuroleptic drug treatment." Thesis, 1993. http://hdl.handle.net/10413/7894.
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Neuroleptic drugs are essential in the treatment of schizophrenia and many other psychiatric disorders. These drugs do however cause a wide range of side effects which can be very distressing to patients. In particular the acute neurological side effects of parkinsonism, akathisia and dystonia, which are termed extrapyramidal syndromes, can be a limiting factor in the use of these drugs (Weiden et al 1987). Fort Napier Hospital is a large psychiatric referral hospital and the majority of patients admitted require neuroleptic drug treatment. Extrapyramidal side effects are regularly seen amongst these patients. This study was designed to discover the incidence of parkinsonism, akathisia and dystonia amongst patients treated with neuroleptic drugs and what specific factors were responsible for these side effects. Relevant literature on this topic was reviewed and comparable studies done in America, Europe and South Africa are discussed. The study sample consisted of one hundred patients who were examined regularly over a two week period for signs of parkinsonism, akathisia, or dystonia which were rated
quantitatively according to specific rating scales. Patient and drug variables were then analysed to assess what factors were responsible for these side effects. The incidence of drug-induced parkinsonism was 29%, akathisia 35% and dystonia 20%. Combinations of these three syndromes were observed resulting in an overall incidence of 47%. High potency drugs such as haloperidol and trifluoperazine were
responsible for a large percentage of all the side effects, while of the low potency drugs, thioridazine produced less side effects than chlorpromazine. Oral drugs combined with intramuscular depot drugs resulted in a high incidence of side effects. The phase of treatment was clinically important with dystonia occurring more often within the first three days of treatment, akathisia within ten days and parkinsonism after ten to fourteen days. Other factors that were studied included the patients age, sex and prior history of neuroleptic-induced neurological side effects. Due to the predominantly young patient population in this study, the mean age of those patients who developed parkinsonism was 26,7 years, akathisia 27,5 years and dystonia 25,8 years. These side effects were seen more commonly in males than in females. Of the 27 patients in this study who had a prior history of neurological side effects, 15 (56%) developed similar side effects following re-exposure to neuroleptic drugs. Conclusions derived from this study include the need for clinicians to select the correct type and dose of neuroleptic
for individual patients in order to minimize the development of neurological side effects. Accurate, early diagnosis of side effects by regular examination of patients is necessary for effective patient management. Clinicians should be made more aware of the side effects that can develop with the use of neuroleptic drugs and the effect these side effects have on patients.Thesis (M.Med)-University of Natal, 1993.
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SAHAJOVÁ, Ludmila. "Psychopatologické projevy v oblasti psychóz - schizofrenie." Master's thesis, 2012. http://www.nusl.cz/ntk/nusl-111539.
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The work deals with the lives of people with mental illness - schizophrenia and opportunities that contribute to improving or maintaining their current health status. The theoretical part includes the characteristics of psychotic illness, legal protection of patients, possible treatment and aftercare. The practical part describes and compares three selected services or facilities. This is the Horizon Zlín, therapeutic workshops Kotva Strážnice and day service center Uherské Hradiště - Jarošov. It also includes assessment of the importance of individual therapeutic activities with clients focusing on the reduction of recurrent symptoms of schizophrenia and pointing out the importance of aftercare services and improving the facilities that this follow-up care for people with schizophrenic disorders are provided. A major benefit would be the establishment of other centers, care centers and therapeutic workshops offering services already mentioned, which would benefit not only for patients, their families, but also for the general public.
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Nischwitz, Diana Ulrike. "Analyse der Versorgungsstruktur schizophrener Patienten der Klinik für Psychiatrie und Psychotherapie der Georg-August-Universität Göttingen anhand der Basisdokumentation (BADO)." Doctoral thesis, 2012. http://hdl.handle.net/11858/00-1735-0000-000D-F004-1.
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LIN, MEI-FENG, and 林梅鳳. "The communication themes of schizophrenic couples and nursing intervention skills during psychotherapy." Thesis, 1992. http://ndltd.ncl.edu.tw/handle/32677160180326414993.
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Percie, du Sert Olivier. "Psychothérapie en réalité virtuelle pour traiter les hallucinations auditives réfractaires de la schizophrénie : un essai clinique pilote." Thèse, 2017. http://hdl.handle.net/1866/20511.
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Goldbeck, Frank Wilhelm [Verfasser]. "Handlungskontrolle in der Psychopathologie und Psychotherapie schizophrener Patienten / vorgelegt von Frank Wilhelm Goldbeck." 2005. http://d-nb.info/977175731/34.
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Badenhorst, Anita. "'n Postmodernistiese kritiek op Selvini-Palazzoli se formulering van die skisofreniese gesin." Thesis, 2014. http://hdl.handle.net/10210/9078.
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M.A. (Clinical Psychology)Postmodernistic thinking supports the existence of various realities rather than the existence of an universally accepted objective truth. Knowledge is seen as an aspect of a constructed truth which may change over time, context, therapist and client and is therefore relative. An ethical approach, according to which the observer takes responsibility for his participation in what he observes, replaces the search for "the cause" or "the truth" constructionism and ecosystemic thinking are offered as ways of creating a postmodernistic interpretive framework. In using these frameworks or ways of thinking, the observer's participation in what he observes, as well as the existence of multiple realities and the influence of context, become recognized. The therapist that functions according to a postmodernistic perspective, gives up the idea that therapy is only about diagnosing an objective static condition. The therapists acknowledges that the observed condition always exists within the interaction between people. The therapist assumes a co-operative, respecting, therapeutic stance. The therapist sees himself as a catalyst rather than an expert who forces the therapy in a theoretically chosen direction. The therapist refrains from prescribing solutions, relying rather on the client himself to find new options and realities. Although this thesis focused primarily on a critique of Selvini Palazzoli's theoretical approach, it also comments on the pragmatic application of theories in general. A postmodernistic framework is offered as a broader more functional framework under which a variety of theories can be applied. within this framework already existing theories can be reconsidered and differently applied without rejecting their praqmatic value. A systemic perception of changing ideas replaces a systemic perception of things or objects. A debate about which school of theory is the most effective in dealing with a specific client, is replaced by an ethical approach according to which the observer takes responsibility for his choice of lenses in making distinctions and decisions.
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Hamann, Melanie [Verfasser]. "Mangelnde Krankheitseinsicht und Compliance in Korrelation zu biographischen und krankheitsbezogenen Daten : eine Studie an 100 stationären schizophren erkrankten Patienten der Klinik und Poliklinik für Psychiatrie und Psychotherapie des Klinikums rechts der Isar der Technischen Universität München / Melanie Hamann." 2009. http://d-nb.info/995535159/34.
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