ABSTRACT
Within a study concerning process and outcome of inpatient longterm group treatments the specific question was tested to what extent characteristics of the "fit" between the therapist and the patients were related to treatment outcome. The study shows that a concordance in the formulation of the treatment goals seems to be favorable for a positive outcome. Similarly, congruences between the therapeutic factors of the group treatment, subjectively important for the patients, and those factors classified as typical for the treatment concept by the therapists, were related to treatment success. The results can be discussed within the context of concepts of the therapeutic alliance and might help to operationalize those concepts in a more specific manner.
Subject(s)
Mental Disorders/therapy , Patient Admission , Physician-Patient Relations , Psychotherapy, Group , Adolescent , Adult , Depressive Disorder/psychology , Depressive Disorder/therapy , Feeding and Eating Disorders/psychology , Feeding and Eating Disorders/therapy , Female , Humans , Male , Mental Disorders/psychology , Middle Aged , Patient Satisfaction , Personality Inventory , Treatment OutcomeABSTRACT
The paper describes an attempt to evaluate a highly specialized inpatient treatment setting differentially. In addition, it was investigated if patients differing with respect to their outcome, can be discriminated on the basis of their assessments of the basic component of the treatment program, i.e, the psychoanalytically oriented group psychotherapy. 31 patients (treated for approximately 6 months) formed the sample of the study showing that a differential assessment of treatment outcome could clarify questions related to specificities of inpatient settings. It is proposed to develop a basic inventory as well as a basic strategy to intensify differential process and outcome research within the field of inpatient psychotherapy.
Subject(s)
Hospitalization , Long-Term Care , Mental Disorders/therapy , Psychoanalytic Therapy , Psychotherapy, Group , Adult , Anxiety Disorders/psychology , Anxiety Disorders/therapy , Combined Modality Therapy , Depressive Disorder/psychology , Depressive Disorder/therapy , Female , Follow-Up Studies , Humans , Length of Stay , Male , Mental Disorders/psychology , Middle Aged , Outcome and Process Assessment, Health Care , Personality Disorders/psychology , Personality Disorders/therapyABSTRACT
Within a comprehensive research project investigating the outcome and process of inpatient longterm group psychotherapy, the initial and final interviews with the individual patients were video-tape-recorded and analysed using the Vanderbilt Psychotherapy Scales. The ratings of the interviews were related to self descriptions of the patients at the beginning of their psychotherapy, to the patients' perception of the group process during therapy and to the outcomes. In addition the characteristics of the initial and the final interviews were compared with each other. The results indicate process characteristics of the individual interviews to be a useful perspective to thoroughly describe the process and outcome of inpatient psychotherapy.
Subject(s)
Mental Disorders/therapy , Patient Admission , Patient Discharge , Personality Assessment , Psychotherapy , Adolescent , Adult , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Personality Development , Social Adjustment , Therapeutic Community , Treatment OutcomeABSTRACT
Based on the situation in the Federal Republic of Germany, this article reviews the development, organization and theoretical framework of in-patient and ward psychosomatic psychotherapy. Indications for treating psychosomatic patients in hospital, the effects of treatment and some results on the process of in-patient psychotherapy are summarized. Some of the specific features of in-patient and ward psychotherapy are adopted as components for a theoretical model of in-patient psychotherapy. Our experience with this form of therapy suggests that it can play an important role within the care system, is a fruitful field for training psychotherapists and acts as an excellent model for further research into psychotherapy.
Subject(s)
Psychophysiologic Disorders/therapy , Psychotherapy/organization & administration , Germany , Hospital Units , Hospitalization , Humans , Psychiatric Department, Hospital , Psychotherapy/methods , Treatment OutcomeABSTRACT
The Vanderbilt-Psychotherapy-Scales appeared to be useful instruments for the identification of process characteristics determining the outcome of brief dynamic psychotherapies. The German versions of the two scales measuring important components of the psychotherapeutic process and of negative indicators are described in this article. It could be shown that--similar to the original versions--both scales can be used economically and that rater agreement soon reaches satisfactory levels. To demonstrate the potential use of the scales, their application in two different short term treatments are described which are presently analysed in a multi-center study of "single case oriented process research" using a variety of different methods. The example demonstrates that both scales are useful to discriminate both different theoretical foundations of the treatments as well as specific features of the patients and their therapists. The usefulness of the scales in a broader context is mainly based upon the experience that they reveal a lot of important informations about the psychotherapeutic process with a minimum of expense.
