共查询到20条相似文献,搜索用时 15 毫秒
1.
We describe the assessment of a troubled adolescent boy to demonstrate the use of the Shedler-Westen Assessment Profile for Adolescents (Westen, Dutra, & Shedler, 2005) and the Social Cognition and Object Relations Scale-Global (Westen, 1995) to formulate the Mental Functioning for Children and Adolescents Axis (MCA) of the Psychodynamic Diagnostic Manual (PDM Task Force, 2006). The assessment made possible a meaningful psychodynamic therapy. 相似文献
2.
Gerrilyn Smith 《Journal of Family Therapy》1999,21(2):154-158
Resilience is a term used to describe relative resistance to psychosocial risk experiences. There is abundant evidence that there is enormous variation in children's responses to such experiences but research to determine the processes underlying the variations needs to take account of several crucial methodological issues. The findings emphasize that multiple risk and protective factors are involved; that children vary in their vulnerability to psychosocial stress and adversity as a result of both genetic and environmental influences; that family-wide experiences tend to impinge on individual children in quite different ways; that the reduction of negative, and increase of positive, chain reactions influences the extent to which the effects of adversity persist over time; that new experiences which open up opportunities can provide beneficial 'turning- point' effects; that although positive experiences in themselves do not exert much of a protective effect, they can be helpful if they serve to neutralize some risk factors; and that the cognitive and affective processing of experiences is likely to influence whether or not resilience develops. The implications of these findings for family therapy are considered in terms of the need for therapists to look carefully at the ways in which different risk factors interact; to assess and take account of individual differences in susceptibility; to consider the extent to which risk factors impinge on the individual and, in that connection, to note the importance of patterns of social interaction outside as well as inside the family; to appreciate the role of both the peer group and individual characteristics in the development of negative and positive chain reactions; and to pay attention to the ways in which individuals process their experiences. 相似文献
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4.
Michael B. Buchholz 《Journal of Family Therapy》1990,12(4):387-396
5.
Tali Levine Bar-Yoseph M.A. Eliezer Witztum M.D. 《Journal of Contemporary Psychotherapy》1992,22(4):263-276
This article describes a case of chronic post traumatic stress disorder (PTSD). The patient came to psychotherapy three years after he was injured in a terrorist attack. He was in a state of dysfunction. The article elaborates on theoretical issues, the choice of strategic model of psychotherapy, the various phases of the therapeutic process and the specific difficulties that such a case presents. 相似文献
6.
J. Patrick Early PhD 《Contemporary Family Therapy》1994,16(2):119-130
This paper presents a general treatment approach which uses play to integrate individual and family psychotherapy when working with young children as identified patients. Play therapy techniques are explored with regard to their potential impact upon a family system. Perspectives on concurrent and conjoint family oriented treatment using play are discussed with a focus upon achieving both individual and family system growth. 相似文献
7.
Lawrence W. Lazarus M.D. 《Journal of Contemporary Psychotherapy》1973,5(2):117-122
Summary The main therapeutic task was to help the family gradually finish the natural mourning process that was initially impeded by their denial. Negative memories of father, as well as the favorable ones, were brought to light, the expected punishment for the verbalization of these feelings was not fulfilled, and the family had a second chance to work through the mourning process in an atmosphere of acceptance, understanding, and support.The author wishes to express appreciation to Daniel Offer, M.D., and Andrea H. Lazarus, M.S., for their assistance. 相似文献
8.
Matthew B. Johnson Ph.D. 《Journal of Contemporary Psychotherapy》1993,23(1):19-39
This paper describes the application of short-term dynamic therapeutic techniques to treat both symptom disturbance and character pathology in an urban mental health clinic. Short-Term dynamic psychotherapy focuses extensively on the subjectivity and inner life of the patient with emphasis on repressed anger, sadness and desire. Methods to overcome patient ambivalence and resistance to psychotherapy are presented. The clinical psychodynamics associated with early life trauma are illustrated with a case of an African-American patient.Acknowledgments for support & critical feedback are expressed to Christine Baker, Ph.D., John Swanson, ACSW, Duncan Walton, Ph.D., and Isabelle Beveridge (Graphics). 相似文献
9.
Louis A. Perrott PhD 《Contemporary Family Therapy》1986,8(4):279-290
This article describes how psychodramatic techniques can be used in structural family therapy sessions. After a preliminary discussion of the therapist's spontaneity and role functions in both psychodrama and family therapy, specific action techniques are then discussed using case examples. Auxiliary Ego, Role Reversal, Double, Use of Space, Physicalization, Warm-up, Soliloquy, Surplus Reality, and Future Projection are illustrated. 相似文献
10.
The concept of family myth can be used by the therapist to help organize the wealth of information provided by a family in therapy. Rituals, symbols and metaphors can be viewed as structurally related components within the family myth system which enable the therapist to interpret non-literal, analogic communications as a coherent yet primarily symbolic, narrative about the family's shared perceptions of its functioning. The concept of myth is explored in relation to mythology, the family therapy literature, and a case study. Several strategic intervention strategies are proposed which utilize the family's own metaphors, symbols and rituals to re-edit the family myth. Re-editing the myth on a symbolic level should be associated with improved system functioning, including more concrete areas of the family's life. 相似文献
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12.
Jeremy Holmes 《Journal of Family Therapy》1983,5(3):235-251
Freud's Dora case is considered from the perspective of family therapy. Her illness is homeostatic; it holds two disturbed fractured families together. Freud considered his analysis a failure; from a systems point of view it was a partial success. His challenging technique is similar to that of modern family therapists. The theories of change underlying family therapy and psychoanalysis are compared. There are many similarities. They are mutually compatible disciplines, working at different levels. 相似文献
13.
David A. Baptiste 《Journal of Family Therapy》1989,11(1):45-58
'Man is least himself when he talks in his own person, give him a mask and he will tell the truth' (Oscar Wilde).
This paper describes an innovative technique which uses masks as therapeutic aids in treating families in conflict. Structured within the framework of interpersonal perception, this technique uses play, humour, and the power and 'magic' of masks paradoxically to 'unmask' family members and facilitate reality-testing of perceptions distorted by the emotional masks individuals create and project onto each other. Mask usage is suggested as an adjunct to other therapeutic approaches currently used with families. Caveats and contradictions for the technique are presented. A case study illustrates the use of the technique with a reconstituted family. 相似文献
This paper describes an innovative technique which uses masks as therapeutic aids in treating families in conflict. Structured within the framework of interpersonal perception, this technique uses play, humour, and the power and 'magic' of masks paradoxically to 'unmask' family members and facilitate reality-testing of perceptions distorted by the emotional masks individuals create and project onto each other. Mask usage is suggested as an adjunct to other therapeutic approaches currently used with families. Caveats and contradictions for the technique are presented. A case study illustrates the use of the technique with a reconstituted family. 相似文献
14.
S. Robert Moradi MD 《Contemporary Family Therapy》1994,16(5):363-379
The purpose of this article is to provide psychotherapists with a tool for family evaluation using the basic principles of psychodynamic work; and to introduce a transitional format for therapists who have practiced family evaluations in their training institutions and now need to adapt this model to the private practitioner's office. A case example illustrates: (1) Use of the therapist's unconscious for diagnosis of the child and its family, (2) joining the family's intersubjective space, and (3) use of play and therapist's neutrality as ways that the psychodynamically oriented clinician involves the family in the evaluation and treatment of the child. 相似文献
15.
Adolescence is a developmental transition period during which there are profound transformations in emotional, cognitive, and behavioral systems. Despite being a time of rapid development and increasing rates of suicidality, limited research has examined possible interrelationships. Through the use of a case study, this paper illustrates the role of developmental factors in a teenage girl's experience becoming and overcoming being suicidal. The processes of cognitive development, identity formation, and autonomy-seeking are discussed within the context of her story. 相似文献
16.
Adolescence is a period of turbulence for the young person as well as his family. This particular transition phase requires changes of adaptation for all family members to facilitate the unique needs of growth of the adolescent. This article will discuss certain characteristics and factors which make some families more vulnerable in this period: e.g., a family's structure, catastrophic or unusual events within or outside the family, regardless of whether they occur in the present or have taken place in the past. Case examples are given to illustrate how a systemically oriented family therapy approach can enable these families to become unstuck, resulting in the adolescent's ability to enter the next life phase, and the family's achieving once again a new equilibrium.Gerda L. Schulman, LL.D., M.S., is Associated Professor of Family Therapy in the advanced clinical program at Hunter College; School of Social Work, and teaches in the doctoral program at Adelphi University SSW.This paper is adapted from a presentation on November, 18, 1983, at the Long Island Jewish Hillside Medical Center. 相似文献
17.
Storm A. King Susan Engi Stephan T. Poulos 《British Journal of Guidance & Counselling》1998,26(1):43-52
Possible uses of the internet to assist family therapy, especially in the treatment of families where members are geographically separated, are explored. The potential value of using e-mail and other Internet functions to facilitate family therapy is explained. The possible negative aspects of this new and experimental approach are evaluated. A case example is presented of a family that benefited from exposure to Internet resources. Ethical considerations in working with the new information and communication media are discussed. Analysis of a report on the use of the telephone to assist family therapy reveals many of the pros and cons that similar use of the Internet is likely to encounter. An evaluation of the use of the written word in recently developed family therapies lends support to the use of the Internet as a means of facilitating therapeutic family communications between remote members. 相似文献
18.
Fowler JC Hilsenroth MJ Groat M Biel S Biedermann C Ackerman S 《Journal of the American Psychoanalytic Association》2012,60(3):555-576
This study explored a psychodynamic model for suicide risk by examining risk factors for medically serious suicide attempts, including assessments of affect flooding, negative self-schema / fragmentation, and impaired reality testing, closely approximating Maltsberger's psycho-dynamic formulation of suicide crisis. Baseline risk factors including age, gender, psychiatric symptoms, high-risk behaviors, and the Implicit Risk for Suicide Index (IRSI) were used to detect medically serious suicide attempts monitored for up to a year after the assessment. Twenty-five psychiatric inpatients who made life-threatening suicide attempts after assessment were compared to 25 inpatients and 25 psychotherapy outpatients who made no suicide attempts during follow-up. Statistical analysis revealed that a history of at least one suicide attempt and elevated IRSI scores accounted for 60 percent of the variance in detecting medically serious suicide attempts. Elevated IRSI accurately identified suicide attempt status above and beyond past suicide attempts and other empirically validated risk factors. Results are discussed in light of psychodynamic formulations of suicide risk. 相似文献
19.
Monica McGoldrick, Carol M. Anderson, and Froma Walsh (Eds.). (1989).Women in families: A framework for family therapy. New York: W. W. Norton. 相似文献
20.
Hill RM Pettit JW Green KL Morgan ST Schatte DJ 《Suicide & life-threatening behavior》2012,42(1):11-21
Factors distinguishing adolescents who experienced a precipitating event in the week preceding a suicidal crisis from those who did not were examined. Among 130 suicidal inpatients (mean age = 15.01 years), those who experienced a precipitating event reported significantly lower depressive symptom scores, better perceived problem solving, less suicidal intent, and a lower rate of prior suicide attempts than those without a precipitating event. Levels of trait impulsivity, suicidal ideation, and current attempt status did not differentiate groups. Findings provide preliminary evidence consistent with at least two possible pathways to a suicidal crisis. Clinical implications and future directions are discussed. 相似文献