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Interpersonal reconstructive therapy

Kenneth L Critchfield, Lorna Smith Benjamin, Kathleen Levenick
Interpersonal Reconstructive Therapy (IRT) case formulations describe psychosocial mechanisms of affective and personality pathology in ways that enhance the effectiveness of psychotherapy for individuals. With a valid and reliable IRT case formulation, a clinician is in a better position to draw upon effective techniques to maximize treatment effects. The case formulation and treatment models for IRT were described in depth along with the IRT treatment model by Benjamin (2003/2006). Data in this report from 93 adult inpatients with complex and comorbid presentations suggest that the case formulation is highly reliable and unique to individuals, and that symptoms reflect current interpersonal stresses linked to early interactions involving forms of hostility in relation with attachment figures and corresponding to three basic patterns in adulthood: identification (be like him or her), recapitulation (act as you did with him or her), and introjection (treat yourself as you were treated)...
August 2015: Journal of Personality Disorders
L Kawatsu, N Sato, J Ngamvithayapong-Yanai, N Ishikawa
SETTING: Since 2000, the Public Health Centre (PHC) in Shinjuku, an area of Tokyo with one of the largest homeless populations in Japan, has been implementing PHC-based DOTS treatment for homeless tuberculosis (TB) patients, with much epidemiological success. Anecdotal evidence indicates that homeless patients treated under DOTS have experienced various positive changes. However, this experience has not yet been systematically analysed. OBJECTIVE: To explore the changes experienced by homeless TB patients, and to discuss the possible role of PHC-based DOTS treatment in effecting these changes...
July 2013: International Journal of Tuberculosis and Lung Disease
A S Jacobson, J Zevallos, M Smith, C L Lazarus, H Husaini, D Okay, D Buchbinder, M Persky, M L Urken
Osteoradionecrosis (ORN) of the mandible is a severe complication of radiation therapy for head and neck cancer. In this case series, the authors analyzed their treatment and quality of life outcomes over the past 6 years. A retrospective chart review of 42 patients treated surgically for advanced ORN was conducted. A telephone survey was conducted and quality of life (QOL) questionnaires were completed in a subset of patients. 30 patients responded to the telephone survey assessing QOL for speech, swallowing and overall functioning correlated with oral nutrition and performance status...
September 2013: International Journal of Oral and Maxillofacial Surgery
Inge M Oskam, Irma M Verdonck-de Leeuw, Neil K Aaronson, Birgit I Witte, Remco de Bree, Patricia Doornaert, Johannes A Langendijk, C René Leemans
PURPOSE: To evaluate long-term changes in health related quality of life (HRQOL) in oral/oropharyngeal cancer survivors and their need for and use of supportive care. METHODS: Between 1999 and 2001, 80 advanced oral or oropharyngeal cancer patients treated with free-flap reconstruction and postoperative radiotherapy were included in a prospective study of whom 27 patients were long-term survivors (mean 9.2 years, range 8-11 years). The HRQOL of 26 patients (response rate 96%) was assessed with the EORTC QLQ-C30 and QLQ-H&N35 questionnaires at four points in time: pretreatment (baseline), and at 6 months, 12 months (short term) and 8-11 years (long-term) follow up...
May 2013: Oral Oncology
Yinghua Xia, Di Zhang, Xiaoming Li, Wen Chen, Qun He, Heiko J Jahn, Xin Li, Jun Chen, Pei Hu, Li Ling
Methadone maintenance treatment (MMT) has become an important modality of substitution treatment for opioid addicts in China since 2006. However, data are limited regarding the change in sexual function from heroin use to MMT and the influence of sexual dysfunction (SD) during MMT on patient's life and treatment. Face-to-face in-depth interviews were conducted with 13 male and 14 female MMT patients, five of their partners, and three clinicians. The interviews took place in four MMT clinics in Guangdong Province between August 2010 and February 2011...
2013: Psychology, Health & Medicine
Jan Rev Temple-Jones
This first-person, qualitative narrative follows the author's encounters with Maureen (M), a resident in a long-term care (LTC) facility whose husband has recently died. The author (C), a Spiritual Care Professional, explores how shifts in identity provoked by dementia impact Maureen's grief. The author focuses on intersections between identity and dimensions of care, as clients with dementia lose the self due to the effects of the disease processes and/or by grief. This article challenges Spiritual Care Professionals to think beyond the neurologically dissipative symptoms of dementia towards reconstructing clients' identities using new feelings and conceptualizations and drawing from memory-based narratives where possible...
June 2012: Journal of Pastoral Care & Counseling: JPCC
Timothy Anderson
Reviews the book, Interpersonal Reconstructive Therapy: Promoting Change in Nonresponders by Lorna Smith Benjamin (see record 2003-02042-000). Lorna Smith Benjamin offers a refreshing and unique treatment approach with this book, for a group of patients who are defined less by a specific diagnosis than by their failure to respond to one or more treatment trials. A master clinician, Benjamin has spent most of her career researching and treating the interpersonal processes of patients with personality disorders and other interpersonal problems...
2006: Psychotherapy
Athena Androutsopoulou
In this article, dreams are seen as stories within a self-narrative. Dream stories, like all other stories, are told in an effort to make sense of experiences. Here, dream content is linked to current concerns, some aspects of which are not given voice in waking. Dreams depict restricting themes but also openings in self-narratives. Several examples are provided of how dreams can be linked to early, middle, and late therapy phases associated with recognizing, challenging, revising, and maintaining a revising stance...
October 2011: Journal of Marital and Family Therapy
Eileen Bradbury
Those with congenital or acquired disfigurement are faced with the challenges of social reactions and their own psychological responses to looking different. There is no simple linear relation between the degree of disfigurement and the degree of experienced distress. Factors that influence an individual's ability to cope include the social meaning of the disfigurement, life history, social and family support, and developmental stage. Decision-making about surgery, including that for those seeking aesthetic surgery, should take account of these complex factors to understand the patient's needs, ensure informed consent, and avoid unnecessary or ill-timed surgery...
April 2012: British Journal of Oral & Maxillofacial Surgery
Adriana Manganiello, Luiza Akiko Komura Hoga, Luciana Magnoni Reberte, Carolina Morais Miranda, Cibele Aparecida Manganiello Rocha
AIM: To evaluate the sexual functioning of breast cancer patients post mastectomy and its association with their quality of life, the personal characteristics of women and their partners, breast reconstruction, cancer staging and adjuvant therapies. METHODS: A cross-sectional study was carried out in a University hospital located in the SouthEast of Brazil. A total of 100 women were included in the study. The parameters evaluated were sexual functioning, which was assessed based on the Sexual Quotient - Female Version (SQ-F), quality of life (QoL), evaluated by the Medical Outcomes Study 36-item Short Form (SF-36), cancer staging, breast reconstruction, adjuvant therapies and the personal characteristics of patients (age, years of study and years of marriage) and their partners (age, years of study)...
April 2011: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
Mary Reed, Rachel Harrington, Aine Duggan, Victorine A Wood
OBJECTIVE: A qualitative study using a phenomenological approach, to explore stroke survivors' needs and their perceptions of whether a community stroke scheme met these needs. METHODS: Semi-structured in-depth interviews of 12 stroke survivors, purposively selected from participants attending a new community stroke scheme. Interpretative phenomenological analysis of interviews by two researchers independently. RESULTS: Participants attending the community stroke scheme sought to reconstruct their lives in the aftermath of their stroke...
January 2010: Clinical Rehabilitation
Marianne Leuzinger-Bohleber
The relationship between 'narrative' and 'historical-biographical truth' in psychoanalytic treatment has become the subject of many controversial debates in recent years. Findings of contemporary memory research have lead to great scepticism as to whether therapists are able objectively and reliably to reconstruct biographical events on the basis of their observations in the therapeutic situation. Some authors even claim that psychoanalysts should concentrate exclusively on observing the here and now of the patient's behaviour within the transference relationship to the analyst...
December 2008: International Journal of Psycho-analysis
Marie Crowe, Sue Luty
This case study involves a set of transcripts of Interpersonal Psychotherapy (IPT) sessions from the Christchurch Psychotherapy for Depression Study. The case study explores the techniques employed by the therapist for a depressed patient who has identified interpersonal disputes as the interpersonal area to focus on. The psychotherapeutic interventions utilized by the IPT therapist included: seeking information; exploring parallels in other relationships; exploring relationship patterns; exploring communication patterns; signalling what is significant; providing support, exploring affect; exploring options; problem-solving; drawing analogy; and challenging...
2005: Psychiatry
Liora Navon, Amira Morag
The paper analyses the adverse impact of the hormonal therapy's side-effects on advanced prostate cancer patients' capacity for maintaining their pre-treatment spousal relationships, the pros and cons of their ways of coping with the difficulties involved, and the implications of these issues for oncology nursing interventions. In-depth interviews were conducted with 15 Israeli prostate cancer patients, and the data were processed according to the constant comparative analysis method. The findings show that partners' supportive attitude and patients' attempts to stage resilience led to pre-treatment relationships' maintenance, and that, accordingly, patients' rejection by their partners and resignation to this difficulty resulted in spousal ties' disruption...
June 2003: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
Jean-Yves Bobin, Nicole Guiochet, Simone Saez
Can we say the magic word "cured", "cancer free" for breast cancer patients or can we say only survivors? This litterature review was focused on what mean cured of breast cancer with the long term effects on quality of life of locoregional and systemic therapies and the role of breast reconstruction. Finally changes in the intimacy, sex and love live and psychosocial live were stressed.
June 2002: Bulletin du Cancer
P N Liston, D C Tong, N A Firth, J A Kieser
Bites are serious injuries that constitute 1 percent of all emergency-department visits in the United States of America. Human bite injuries may lead to loss of function, infection, and gross disfigurement, and often are associated with interpersonal and sexual violence, and child abuse. Issues with infection from oral contaminants, tissue damage, and difficult surgical reconstruction make the management of human bite injuries a challenge. The unique nature of teeth and the bite marks they produce are invaluable in forensic pathology...
June 2001: New Zealand Dental Journal
R Newell
Qualitative accounts suggest that social difficulties are a major source of psychological disturbance to disfigured people. However, there have been few systematic investigations of their psychological and social difficulties, and those which do exist are usually small studies with methodological difficulties. Social skills training and cognitive-behavioural therapy are promising interventions, particularly if it can be demonstrated that anxiety is a major element of the psychological difficulties experienced by disfigured people...
July 2000: British Journal of Plastic Surgery
J M Lewis
Widespread changes in the criteria and resources for psychiatric inpatient treatment of adolescents present enormous challenges and demand serious and far-reaching adaptive efforts. Among these efforts may be a redesigning of the inpatient treatment milieu to accommodate different patient populations for whom different models of treatment and therapeutic strategies are necessary. This paper describes the redesigning and successful integration of an adolescent inpatient unit at a private psychiatric hospital to include separate treatment tracks for three different patient populations...
1991: Psychiatric Hospital
H Deserno
In modern view, the transference process is both repetition and change. To grasp specific relationship patterns systematically different content-analytical methods are used in the context of singles case studies. FRAMES, BIP (PERT) and CCRT, as demonstrated in the foregoing articles by Hölzer, Herold, Deserno et al. place various accents: expressed emotions, interpersonal experience, and the central relational conflict. They do not lead only to a concentrated reconstruction of the respective situational dynamics obtained according to known rules; they also seem to be able to confirm the clinical experience that repetition and change meet in the patient-analyst relationship...
August 1998: Psychotherapie, Psychosomatik, Medizinische Psychologie
H J Peiper
The diagnosis of breast cancer causes severe psychological conflicts. This is because of the sudden need for a mutilating breast operation and because of the threatening confrontation with a potentially lethal disease. The consequence can be a spectrum of physical and mental sequelae, access to which the physician may find difficult. Here, the interpersonal relationship between the patient and the operating surgeon is of particular relevance, not only for the hospital phase but also in the time to follow. These effects therefore fall into the sector of psychosocial care...
May 1998: Anticancer Research
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