Depression Following Stroke: Brief, Problem-Focused Family Treatment |
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| Authors: | Paul Watzlawick PhD James C Coyne PhD |
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| Institution: | Research Associate, Mental Research Institute, Palo Alto, California, and Adjunct Clinical Professor of Psychiatry and Behavioral Sciences, Stanford Medical Center, Stanford, California.;Research Associate, Mental Research Institute, Palo Alto, California and Assistant Professor of Psychology, University of California, Berkeley. |
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| Abstract: | The brief, problem-focused treatment of a case of depression is described. Members of a family were seen in the treatment of a 58-year-old man suffering from depression secondary to two strokes. The identified patient did not attend any of the five sessions. Therapeutic interventions emphasized interdicting the self-defeating efforts of family members to be supportive and encouraging. It is proposed that successful therapeutic interventions often involve changing the behavior of persons other than the identified patient but that traditional therapists have avoided the full implication of this. Ethical concerns about this mode of treatment are considered. |
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