Active-interactional cotherapy

In the literature on cotherapy, little attention has been focused on maximizing the effectiveness of two therapists working in tandem with families and couples. While cotherapists may at times share their ideas and feelings with their clients, and after the therapeutic session exchange views between themselves, generally little interaction occurs between them during the session. In this paper, a case is presented for more active interactions between cotherapists during the session, in order to expedite and facilitate change and growth in their clients. Anecdotal examples are provided to illustrate the approach.     

Pastoral visitation to the institutionalized aged: Delivering more than a lick and a promise

A representative nationwide survey of elderly in nursing home facilities was conducted by the Lutheran Council U.S.A. Visitation by family ministers and facility chaplains, a major study focus, was characterized by the elderly as not meeting their needs in terms of frequency and time available with clergy. Time constraints of the clergy are communicated to the elderly, who are understanding but nevertheless felt shortchanged. The elderly without visits from relatives or significant others are particularly vulnerable. Dominant themes within pastoral care visitation are highlighted.Dr. Uhlman is Director of Research and Evaluation and Reverend Steinke is Director of the Clinical Pastoral Education Program with Mental Health Services of the Roanoke Valley, 920 South Jefferson Street, Roanoke, Virginia 24016. The authors wish to acknowledge the Aid Association for the Lutheran Insurance Company and Concordia Teachers College (River Forest, Illinois), which assisted with financial costs and data analysis. Special recognition and appreciation should be noted for the elderly respondents whose participation made our experience both rewarding and enlightening.