ABSTRACT
The outcome for a group of outpatients treated daily for 12 weeks in a dynamic group psychotherapy programme, was evaluated on both objective and subjective parameters. In the post-therapy year, the majority (82%) reduced their dependence on psychiatric services and showed considerable change in self-satisfaction, as assessed by an attitude test. Those available for follow-up three years later had maintained the change. There was a sub-group of patients (17%) who demonstrated an increase in service use in the post-therapy year.
Subject(s)
Psychotherapy, Group , Adolescent , Adult , Attitude , Community Mental Health Services/statistics & numerical data , Female , Humans , Male , Mental Disorders/therapy , Middle Aged , Self Concept , Time FactorsABSTRACT
Ninety-three chronic neurotic patients whose previous psychiatric treatments had proved unsuccessful were included in this study, and selected patients, relatives and G.P.s were briefed to expect stress during therapy. Assessment made by therapist and patients before and after therapy was made on the basis of the acceptability of eight aspects of their life. Follow-up lasted 2 1/2 years. Of the 93 patients, 87 per cent showed positive change, a small number showed temporary negative change and one patient became psychotic but later recovered. The "contamination' of results due to therapist involvement in assessment is offset against corroborative evidence of change, in that 96 per cent of patients became independent of the psychiatric and social services after years of dependency in many cases. There were also marked changes in life situations and relationships. A need for increased facilities for basic and in-service training of group therapists is indicated.