An Activities Approach to the Treatment of Mentally Retarded Clients in an Acute Care Psychiatric Hospital

This article describes therapeutic activities offered in an occupational therapy treatment program for mentally retarded patients in an acute-care hospital facility. Implications of therapeutic activities for the building of ego strengths are discussed.     

Evaluation of Symptoms and Alexithymia in Psychiatric Patients: A Naturalistic Longitudinal Study in a Day Hospital

This study aimed to examine the effectiveness of a time-limited (10 months), combined individual and group treatment in a Day Hospital (DH) setting. Participants (N = 73) completed measures of general symptoms and alexithymia. We hypothesized improvements in these symptoms at the end of the overall therapeutic treatment. Results showed significant improvement in ability to identify and describe emotions and feelings, and in general symptoms. Differences in age and personality disorders were found at the end of the treatment: younger patients had less difficulty in identifying emotions, and psychotic patients have higher difficulty to describe feelings compared to patients with personality disorders. Furthermore, patients with schizophrenia had lower pathological symptoms compared to patients with mood disorders. This naturalistic longitudinal study demonstrates that DH treatments in group setting increase the patient‘s ability to symbolize and to connect their symptoms to thought and emotions.     

Effectiveness of Group Music Therapy in a Psychiatric Hospital: A Randomized Pilot Study of Treatment Outcome

Individuals receiving inpatient psychiatric care (n = 32) were randomized to receive either brief music therapy or group therapy that constitutes the current standard of care (SOC), and completed measures of depression, mood, quality of life (QOL), and hope pre- and post-intervention. Group dynamics were evaluated by the therapists. Results indicate that significantly more patients in the music therapy group showed an increase in QOL than those in the SOC group. Regarding group dynamics, the music groups scored significantly higher on conflict and significantly lower on avoidance. Results of this study suggest that group music therapy in inpatient psychiatric settings may be as effective as SOC groups, more effective at impacting QOL, and more effective for particular diagnostic populations. Further research is needed to fully understand the impact of music therapy in this setting.     

An Occupational Therapist's Interdisciplinary Approach to a Geriatric Psychiatry Activity Group: A Case Study

Occupational therapy has long recognized the usefulness of activity groups to promote functional outcomes for clients in mental-health settings. An occupational therapist used an interdisciplinary approach (working with a psychiatric nurse practitioner and a manual arts therapist) to conduct a biweekly geriatric psychiatry activity group. A case study is presented to demonstrate the success and longevity of the interdisciplinary activity group. Each clinician contributed unique skills to provide occupation which provided positive outcomes for the clients. Practically, the employing of different disciplines allowed group coverage for each other in times of cost-containment and limited resources.     

An Integrative Approach to Teaching Dreamwork in Group Supervision

Dreams can be an important part of the counseling process to increase clients’ awareness of potentially unfinished business. We present an approach to teaching dreamwork in group supervision that is designed to assist supervisees’ integration of dreamwork techniques into their client consultation and to contribute to further development of advanced counseling skills.     

Human Figure Drawings as Predictors of Admission to a Psychiatric Hospital

Blind predictions were made as to admission or non-admission as an overall rating and as to degree of pathology in eight areas of personality, based only on human figure drawings. These drawings were obtained from a sample of 105 individuals presenting for psychiatric hospital admission. The judgments were all in the predicted direction and significant for admission-non-admission, impulsivity, and severity of pathology. Cues utilized in the successful judgments were categorized as structural or content and scaled by degree of pathology. Structural cues predominated. We conclude that HFD's are a useful screening device for clinical judgment of degree of psychopathology. The basis of such judgments can be specified in terms of structural deviations rather than from symbolic content.     

Transforming Individuals into Groups: Some Hallmarks of the SDS Approach to Small Group Research

During the past 25 years, Davis's social decision scheme (SDS) model, designed to clarify how individual-level characteristics combine to create group-level products, has had a major impact on small group research. Using formal, mathematical models, Davis and his colleagues first construct predictions, or theoretical baselines, about group products based on assumptions about members' characteristics and interactions and then compare these predictions to the performances of real groups. The SDS approach has been valuable in clarifying how group performance is affected by such variables as task characteristics, group size, individual differences (e.g., member status), procedural factors (e.g., straw polling, agendas), and temporal changes in social parameters.     

The Utility of the Megargee-Bohn Typology in a Forensic Psychiatric Hospital

The utility of the Megargee-Bohn MMPI typology (Megargee & Bohn, 1979) was examined in 1007 male forensic psychiatric inpatients. The 10 profile types were identified although the proportions differed as expected fiom the original sample. Comparison of demographic, clinical, and forensic characteristics revealed significant differences between 9 of the profile types. Our fmdings indicate that the typology can reliably and usefully describe different categories of patients in our setting. The typology can also be used to make inferences about treatment needs. Our findings support the continued development of an MMPI-based actuarial system for criminal populations as has been done for psychiatric populations.     

A Pilot Study of Emotion Regulation Strategies in a Psychodrama Group of Psychiatric Patients

The researcher analyzed two emotion regulation strategies in a group of adults attending psychodrama psychotherapeutic group at an outpatient psychiatric clinic. The subjects, nine men and 15 women between the ages of 19 and 63 (with 14 subjects in young and 10 in middle adulthood) self-assessed their use of reappraisal and suppression using the Emotion Regulation Questionnaire at the beginning of their treatment and at its end. They use reappraisal rarely to sometimes, regardless of their age, gender, and diagnosis. In the first assessment, the participants in middle adulthood and men reported using suppression more than young adults and women. During treatment, middle-aged adults and men succeeded to decrease their use of suppression significantly more than the young adults and women.     

Group Activities to Promote Early Rehabilitation in an Acute Psychiatric Ward: A Relationship-Based Approach Focusing on Movies

Our Psychiatry Institute has a long-standing tradition of providing training in the importance of relational and emotional skills and helping relationships. Here we describe techniques that are routinely used on our psychiatric ward (Maggiore della Carità Hospital, Novara, Italy) to promote early rehabilitation of acute psychiatric inpatients. We focus on the Cinema group, which is typical of our approach to informal, therapeutic group activity. Targeting social and relational issues as adjunct to treatment as usual is useful in acute settings and can begin at an early stage of hospitalization. Our intervention is designed to improve patients’ coping strategies, relational and communication skills, and overall quality of life.     

Applying the Group Process to Psychiatric Occupational Therapy Part 1

The authors trace the current use of group activities in occupational therapy from an historical perspective. A pilot study of thirty-four psychiatric treatment programs located in Wisconsin, Quebec, and Alberta are described. The five most frequent groups used in these facilities include: social skills training, independent living skills, leisure time activities, stress management and exercise. The results are compared to a previous study by Duncornbe and Howe, 1985.     

An Experimental Analysis of the Effects of Reading Interventions in a Small Group Reading Instruction Context

The current study examined the effects of several combinations of instructional and motivational interventions on oral reading fluency in the context of small group reading instruction. A treatment package consisting of acquisition, fluency, and motivational components was examined and then dismantled. Results were evaluated individually for each participant using a multiple-probe design in order to identify the most effective, yet efficient reading intervention package for each member of the group. The results indicated that, although all potential combinations of the package were effective, the experimental analysis was able to identify an effective yet more efficient package that produced substantial increases in performance across all students. Results are discussed in terms of effective instructional components in small group instruction and how to adapt methods for the experimental analysis of behavior to make decisions about the effectiveness of small group instruction in reading.This study is based on a dissertation submitted by the first author in partial fulfillment of requirements for the doctoral degree.