Psychosis and multiple family group therapy

Despite the growing evidence base for the effectiveness of family intervention in the treatment of individuals suffering from a psychotic disorder, in practice only relatively few mental health teams use family approaches when treating and managing those with schizophrenia or other psychoses. This paper describes a pragmatic model, which may be used in addition to other ongoing treatments, such as medication, CBT or single family therapy. It was developed jointly by clinicians and service users over the past few years. It consists of regular multiple family group work, with six to eight families attending simultaneously, and aims to involve families directly in the treatment, rehabilitation and recovery of their members suffering from psychotic disorder.     

Experiences with intended dynamic group psychotherapy in the complex therapy of schizophrenic patients

Intention, setting (6 weeks intensive therapy, 2 years follow meetings) and premise for a integration of dynamic intended group psychotherapy (H ? c k) of schizophrenics in a psychiatric ward are discussed. The attitude of both therapeuts intending phases of group process hat to be taken into account as for the transference and the ego-disturbance of schizophrenics as for the dynamic evoked in the ward. (Supervision!)     

Concomitant group therapy with anorectics and their parents as a supplement to family therapy

A study was made of family therapy with anorexia nervosa patients in a child psychiatric outpatient department. Eight families referred in 1984 were offered group therapy and family therapy simultaneously, one group for patients with anorexia nervosa and one group for their parents. The participants of both groups reported that they had learned a lot from the experience but stated that they felt group therapy could not replace family therapy.     

A group analytic contribution to family therapy

This paper represents an attempt to add to the conceptual and technical repertoire of family therapy by drawing on experiences derived from group analytic practice. Despite many theoretical points of intersection, there are significant differences in technique dictated by an evolving experience with two fundamentally different types of group. This paper sets out the core concepts of group analysis, compares them with related concepts in family therapy and aims to achieve a synthesis of group analytic family therapy, which, though sharing matters of language and theory with many schools of family therapy, provides in its total conception a unique perspective on family therapy.     

The use of children's drawings in multiple family group therapy

This paper describes the advantages, difficulties and techniques of including young children in multiple family group therapy (MFGT). Multiple family group therapy consists of weekly sessions where three or more families meet conjointly with a therapist or cotherapists. Clinical vignettes demonstrate how to use children's drawings with parents to improve family communication. The efficiency of MFGT is compared to family therapy or individual therapy. The effective use of this modality with some children under 10 years is discussed.This research was supported in part by Alcohol, Drug Abuse, and Mental Health Administration Psychiatry Education Branch Grant MH 13882 from the National Institute of Mental Health.     

Experiences in running a staff group

This study examines an activating mechanism of aggressive behaviour in young children. Many studies on attachment theories have indicated disorganised attachment as a significant risk factor for externalising problems and have explained the aetiology of disorganised attachment in terms of deficits in affect, behaviour and cognitive functions from a traumatic or inconsistent environment. Via the moment-to-moment analysis of the play therapy process with a three-year-old, this paper attempts to identify how these emotional, behavioural and cognitive factors interact in actual situations and can lead to an observable behaviour: aggressive behaviour. The findings from this study indicate that the child with disorganised attachment was going through a dual process, one with her therapist and the other with her internalised caregivers. When anxiety and an ambiguous social cue from an unpredictable situation were added to the child's repetition of previous attachment experience, this ‘click’ lowered the threshold of regulation of affect, behaviour and cognition. The child turned to disorganised and aggressive behaviour, relying on her physiological signals regarding the perceived threat. Finally, this paper describes how these difficulties can be channelled by symbolic play via displacement and containment.     

Structural family therapy with Mexican-American family systems

Characteristics of traditional Mexican-American families with consequent family rules that affect these family systems are discussed along with selected clinical cases. The specific cases discussed involve: (1) interactions with family of origin in intercultural marriages, (2) intracultural differences in levels of acculturation and traditional family rules, and (3) extended family impact in response to severe life crisis. The development of therapeutic processes from structural and strategic family therapy approaches, which reflect appreciation for cultural differences and strengths, is suggested.This material was presented at the annual meeting of the Texas Association for Marriage and Family Therapy, January, 1994, San Antonio, TX.     

Experiences with directed dynamic group psychotherapy in psychotherapeutic ambulatory care

The psychotherapeutic situation of public assistance at a district without stationary institution for psychotherapy calls for the ambulant effort of methods personally centered group psychotherapy. The Intended Dynamic Group Psychotherapie was developed on stationary conditions of a therapeutic sommunity. In a practical report about eight therapy groups are discussed possibilities and limits of this method on ambulant conditions.     

Experiences with the combination of communication training and dynamic group psychotherapy

Three psychotherapy groups consisting of altogether 37 patients took part in communication training after L. Sch?bisch and M. Sieme in preparation for group-centred dynamic psychotherapy. The results of pretherapy and post-therapy surveys with the MMPI were tested for quantitative changes using Posthoff and H. F. B?ttcher's gnoseologically based test. The findings suggest that this combination of methods has a high standard of efficiency, which is finally discussed.     

Family discussion group therapy for major depression: a brief systemic multi‐family group intervention for hospitalized patients and their family members

This paper describes a brief systemic multi‐family group intervention for hospitalized patients with major depression and their family members. The presented treatment integrates elements of systemic therapy, social constructionist and narrative concepts and the family systems‐illness model. It has further adapted a specific multi‐family group format combining marital group sessions and family group sessions. Similarities and differences with other family interventions for depression are discussed. The therapeutic foundations and goals, the organization, and the therapeutic process are explained. A number of clinical vignettes are presented to illustrate the treatment procedure. Although the first clinical impressions about the usefulness of the family discussion group intervention are promising, the efficacy of the treatment awaits the completion of a clinical trial that is currently underway.