RESUMO
Nurturing attitudes and behaviors among seven married couples, each of which contained one partner who had manic-depressive illness, and their young children were compared with those of normal control families. Mothers from index families, in contrast to control mothers, were less attentive to their children's health needs, emphasized performance in some achievement-related areas, were more overprotective, and reported more negative affect toward the child. They also were more disorganized, less active with their children, and more unhappy, tense, and ineffective. Index parents secured lower scores in the areas of family interaction and social adjustment, and they experienced situational problems of considerable severity, including clinical depression in the well parent.
Assuntos
Transtorno Bipolar/genética , Educação Infantil , Logro , Adolescente , Adulto , Atitude Frente a Saúde , Pré-Escolar , Família , Feminino , Humanos , Lactente , Masculino , Comportamento Materno , Relações Mãe-Filho , Apego ao Objeto , Determinação da Personalidade , Ajustamento SocialRESUMO
Use of couples therapy groups in conjunction with lithium in the long-term management of married manic-depressive patients is described. Among bipolar patients on lithium, those in couples group therapy had more benign posthospital course than those given minimal support beyond medication. The structure and benefits of the couples group are discussed.
Assuntos
Transtorno Bipolar/terapia , Lítio/uso terapêutico , Terapia Conjugal , Psicoterapia de Grupo , Adulto , Assistência ao Convalescente , Fatores Etários , Transtorno Bipolar/tratamento farmacológico , Divórcio , Estudos de Avaliação como Assunto , Feminino , Seguimentos , Humanos , Relações Interpessoais , Lítio/sangue , Masculino , Pessoa de Meia-Idade , Ambulatório Hospitalar , Readmissão do Paciente , Psicoterapia Múltipla , Ajustamento Social , SuicídioRESUMO
In group psychotherapy and follow-up studies, the interpersonal relationships and psychodynamics of the married manic depressive patient and spouse were studied. Prominent among these subjects were massive denial of grief, rage, and dependency in the context of symbiotic relationships; and the absence of a father during early development. Clinical expressions of these factors are presented, and therapeutic implications are discussed.
