China
Africa
Explore chapters and articles related to this topic
The Psychosexual Genital Examination*
Published in Philipa A Brough, Margaret Denman, Introduction to Psychosexual Medicine, 2019
Point 4, previously mentioned, causes concern and confusion for the IPM trainee. It applies neatly to the ‘black and white’ medical model of working. However, it fails to take into account the unique scenario when the physical examination is integrated with brief psychotherapy. The whole ethos of IPM training is to comment on the subconscious, which is one of the most personal parts of our patients. Consequently, gaining informed consent is difficult when you are still grappling with understanding the need for it yourself. We do need to explain why an examination is necessary and how a psychosexual genital examination may throw some light on the problem presented. It may help to think of the psychotherapeutic examination as a clinical measurement in its own right, just like a blood pressure recording; it is necessary and lies firmly within the scope of work of IPM trainees as well as diplomates and members.
From the body to the mind
Published in Ruth Skrine, Blocks and Freedoms in Sexual Life, 2019
Because of the physical aspects of the work it does not sit comfortably with the psychotherapies, even though we may share some psychodynamic principles. We must recognize too that the training, based as it is on group work, with no insistence on personal therapy or personal supervision, provides a different level of interpersonal work. The responsibility of the body/ mind doctor to recognize those occasions when a more directive approach is necessary, indeed a central part of professional responsibility, as in the diagnosis and treatment of physical disease, means that the relationship with the patient, who is not a client, is bound to be very different from that of a psychotherapist. The length of treatment too, when offered in special consultations, is short, even when compared with so-called 'brief psychotherapy, or episodic when a part of normal on-going medical care.
Checkpoint 2 (Summarising): listening and eliciting skills
Published in Roger Neighbour, The Inner Consultation, 2018
I have a ‘greed’ problem. (Doesn’t that sound nicer than ‘I’m greedy’?) Recently I went to a training workshop about ‘Strategies of Brief Psychotherapy’. Lunch that day was a cold buffet. We participants formed a salivating queue. Long before I reached the serving counter a rather bored waitress caught my eye and called, ‘Do you want chicken?’ I was still too far away to see what the chicken looked like, or what else was on offer that I might prefer, so I hesitated. I didn’t want to miss out on some even more delicious alternative, but suppose chicken was all there was. Then I had a brainwave. ‘Would you like to fix me the meal you think I’d most enjoy?’, I suggested. It was magnificent. No chicken, but lobster, spiced beef, a nut and lentil salad, asparagus. Some of my fellows, their own plates crowded out with chicken and lettuce, eyed mine with envy. I felt pleasantly special, cherished. I also couldn’t help noticing that the waitress no longer looked bored. She was smiling.
Interpersonal Decentering and Interpersonal Problems: Testing the Multi-Method Utility of Person-Situation Interactions in Thematic Apperception Tests
Published in Journal of Personality Assessment, 2022
Sharon Rae Jenkins, Alana Harrison Fondren, Richard S. Herrington
The clinician’s examination of the content of stories may reveal aspects of the client’s recurrent maladaptive interpersonal scenario (e.g., Levenson, 1995) that may guide effective brief psychotherapy for individuals with relationship problems. However, romantic thematic content may not be consistently informative about the link between decentering and interpersonal problems. This study provided empirical evidence for the clinical technique of choosing TAT cards that will elicit stories most relevant to the client's interpersonal problems (Jenkins, 2017b). This technique is sometimes derided by psychometric specialists but is supported by McClelland's (1980) conceptualization of the TAT as a technique for ‘thought sampling’. Taking McClelland's view seriously implies that just as a survey researcher creates a selective or stratified random sampling frame for the population to which generalization will be made, so a clinician might reasonably create a sampling frame of stimuli resembling the class(es) of situations to which generalization is wanted (Jenkins, 2017b), even if it means going beyond the Murray (1943) cards (e.g., O’Gorman et al., 2020).
Gerontological social work and cardiac rehabilitation
Published in Social Work in Health Care, 2019
Avani Shah, James T. Meadows, Kimberly Granda Anderson, Victoria H. Raveis, Forrest Scogin, Stacey Templeton, Kersey Simpson, Lee Ingram
Data recorded and coded by the social worker was analyzed using SPSS 19.0. Descriptives are reported below. A sample of 90 out of 707 CR patients were referred for services from March 2013 to April 2016; indicating that 12.7% of the CR patients expressed a willingness to meet with the social worker. Of the full sample (N = 90), 20% did not complete any sessions, 30% completed 1 session, and 50% completed more than one session. Of those who completed 1 or more sessions of services N = 72, 73.6% engaged in brief psychotherapy and 26.4% required referral to other services or case management. The types of problems CR patients presented with included; depression, anxiety, stress, grief, marital issues, employment concerns, resource needs (medication, food, clothing, transportation, medical housing, GED, medical provider referral), caregiving, grandparenting, and lifestyle compliance aid (diet/nutrition, smoking cessation, and exercise).
Treatment for cognitive and neuropsychiatric non-motor symptoms in Parkinson’s disease: current evidence and future perspectives
Published in Expert Review of Neurotherapeutics, 2023
Elisa Mantovani, Chiara Zucchella, Andreas A. Argyriou, Stefano Tamburin
Among psychological interventions, cognitive behavioral therapy (CBT), i.e., psychotherapy approach to detect and modify maladaptive thoughts and behaviors that contribute to an individual’s distress through cognitive restructuring and behavioral techniques to achieve change [144], has been suggested by the MDS Task Force as possibly useful for depressive symptoms in PD [115]. Other approaches, such as the brief psychotherapy, i.e., any form of symptom-specific psychotherapy that pursues the goal of achieving positive changes throughout a limited number of sessions [144], may have beneficial effects on depressive symptoms in PD, but further studies are needed [145].