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Group psychotherapists, primarily members of the American Group Psychotherapy Association, were surveyed to determine their practice and attitude toward inclusion of patients receiving psychotropic medication in their “typical” outpatient psychotherapy groups. One hundred forty-three questionnaire responses were received from 258 contacted practitioners (55.4% return rate). More than two-thirds of the physicians, social workers, and psychologists reported including medicated members, and the professions did not significantly differ. Mood disordered patients were most frequently and schizophrenic and manic patients were least frequently reported to receive medication.

Overall, clinicians' attitudes favored including medicated patients in the group. Indeed, therapists did not view inclusion of drugs as a detriment to the treatment process. Clinicians having only one medicated patient in their group felt more strongly that such individuals did not interfere with the treatment process when compared with those having none or more than one medicated patient. The one difference by discipline was that social workers and psychologists did not endorse the idea that medicated patients needed to be in groups led by psychiatrists.  相似文献   

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Abstract

This study examined the effectiveness of an integrated model of brief group psychotherapy for treatment of fibromyalgia syndrome, using cognitive behavioral and supportive expressive techniques. In the context of an outpatient, multidisciplinary fibromyalgia treatment program, group psychotherapy was provided to 35 patients with 21 control patients. Pre–post treatment measures of depression, anxiety, fibromyalgia impact, pain, fatigue, and morning tiredness were obtained. Using a quasi–experimental design with validated psychometric instruments, the results showed a significant decrease in pre-versus post treatment measures of depression, fibromyalgia impact, fatigue, and pain for the treatment patients, suggesting that an integrated model of group psychotherapy may have beneficial psychological and functional effects for some patients with fibromyalgia.  相似文献   

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This paper describes the ward group, a modified version of group psychotherapy, designed for use in conjunction with comprehensive long-term treatment for severely disturbed adolescents and young adults. The authors examine the structural features of the ward group and discuss the group in relation to the unit and the hospital regarding such issues as membership, confidentiality, space, time, and ward group identity. The complex issues of task boundaries, the ward group as both an administrative unit and as a therapy group, are given special attention. The ward group transmits unit and hospital values and expectations, maintains behavioral controls over patients, exercises administrative decision-making authority, operates as a reflective–explorational therapy group, and represents an important means through which patients can achieve a sense of significance within the institutional setting.  相似文献   

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基于对内在论与外在论、基础论与融贯论等当代知识论主流理论的批判,索萨(Erenst Sosa)建构了新的知识理论:德性知识论.德性知识论的提出对当代知识论研究具有导向性的意义,也可以说,引领了当代知识论的合理重建.但该理论仍然受到主流学者的围剿,并没能有效完成知识论的重建任务.  相似文献   

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This paper offers and analysis of Ernest Sosa's Virtue Perspectivism.Although Sosa has been credited with fathering the influentialcontemporary movement known as Virtue Epistemology, I argue that Sosaimprudently abandons the reliabilist-based insights of VirtueEpistemology in favor of a reflection-based, ``perspectival' view.Sosa's mixed allegiance to reliabilist-based and reflection-based viewsof knowledge, in fact, leads to an unwelcome tension in his thoughtwhich can be relieved by recognizing that his reflection-based view isin fact an account of the cognitive state of understanding,rather than an account of knowledge. Sosa makes mattersdifficult for himself because he expects too much, as it were, from theconcept of knowledge, and in the process burdens his view with elementsof reflection it does not require. To solve the problem, I suggest thatSosa needs to develop a two-tiered epistemology whichrecognizes that knowledge, on the one hand, and understanding, on theother, both have necessary and sufficient conditions unique tothemselves.  相似文献   

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