Discriminating between cognitive and supportive group therapies for chronic mental illness.
ABSTRACT This descriptive and comparative study employed a Q-sort process to describe common factors of therapy in two group therapies for inpatients with chronic mental illness. While pharmacological treatments for chronic mental illness are prominent, there is growing evidence that cognitive therapy is also efficacious. Groups examined were part of a larger study comparing the added benefits of cognitive versus supportive group therapy to the treatment milieu. In general, items described the therapist's attitudes and behaviors, the participants' attitudes and behaviors, or the group interactions. Results present items that were most and least characteristic of each therapy and items that discriminate between the two modalities. Therapists in both groups demonstrated good therapy skills. However, the cognitive group was described as being more motivated and active than the supportive group, indicating that the groups differed in terms of common as well as specific factors of treatment.
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ABSTRACT: Introduction: The purpose of this study is the identification of the differences and similarities in the processes relative to Systemic Relational Therapy (SRT), Cognitive Constructivist Therapy (CCT), and Brief Strategic Therapy (BST). Methods: The research was undertaken following an observational systematic approach: 62 therapy sessions (15 SRT, 4 CCT, 42 BST) were used, recorded on audio or audio-video and transcribed exactly, relative to 21 adolescent and adult participants (8 males and 13 females), and a preliminary Italian adaptation of the Psychotherapy Process Q-sort (PQS; Jones, 1985) was used. In order to investigate the processes which seem to best characterize the three psychotherapeutic approaches, descriptive analyses were conducted. Results: The results of this study have substantially an indicative value, but they nevertheless allow us to grasp some indications and trace some lines of development In this sector of research, Conclusions: Specifically, the Psychotherapy Process Q-sort seem to be an important pan-theoretical instrument, capable of offering a further strategy for the analysis of processes in psychotherapy.
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ABSTRACT: The purpose of this study is to generate a substantive theory of hospital-based home care for people with severe mental illness in Taiwan. Despite the documented advantages of hospital-based home care services, there is a lack of information and understanding regarding the practices, functions and limitations. Currently, there is no model for how those services are to be provided and what factors will affect these services. The grounded theory method of Strauss and Corbin (Basics of Qualitative Research: Grounded Theory Procedures and Techniques, SAGE Publications, 1990) was used to develop a substantive theory through a paradigm model, including causal conditions, context, intervening conditions, action/interaction strategies and consequences. This study was conducted in six different hospital areas in Central Taiwan in 2007-2008. Data were collected using semi-structured face-to-face interviews. Constant comparative analysis continued during the open, axial and selective coding process until data saturation occurred. Participants were selected by theoretical sampling. When theoretical saturation was achieved, 21 clients with mental illness, 19 carers and 25 professionals were interviewed. A substantive theory of hospital-based home care for people with severe mental illness in Taiwan was developed. The core category was the process of hospital-based home care in helping people with severe mental illness, with 15 categories and 33 sub-categories of the substantive theory. The substantive theory is the first to emerge from hospital-based home care services in Taiwan. Results showed those services had several effective functions for helping people with severe mental illness and their families. The recommendations based on the findings of this research can be used as a guide to improve the delivery of hospital-based home care services to community-dwelling people with severe mental illness and their carers.Journal of Clinical Nursing 10/2009; 18(21):2956-68. DOI:10.1111/j.1365-2702.2009.02908.x · 1.23 Impact Factor
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ABSTRACT: The purposes of this study were to understand the functions of hospital-based home care for people with severe mental illness in Taiwan, and the factors that affect functions of professionals who provide hospital-based home care. Hospital-based home care is a service which provides those people with serious mental illnesses who are in crisis and who are candidates for admission to hospital. Home care has been shown to have several advantages over inpatient treatment. However, there is a lack of knowledge about the functions of hospital-based home care for people with severe mental illness in Taiwan. This qualitative study was based on the grounded theory method of Strauss and Corbin. The study was conducted in six different hospital areas in central Taiwan in 2007-2008. Data were collected using semi-structured face-to-face interviews. Constant comparative analysis continued during the open, axial and selective coding processes until data saturation occurred. Participants were selected by theoretical sampling. When theoretical saturation was achieved, 21 clients with mental illness, 19 carers and 25 professionals were interviewed. Several functions were found when these professionals provided hospital-based home care services for people with severe mental illness in Taiwan, including stabilising the clients illness, supplying emergency care services, improving life-coping abilities, employment and welfare assistance, emotional support for both clients and carers, assistance with future and long-term arrangements and assistance with communication between carers and clients. Hospital-based home care provides several important services for helping clients and their families to live in the community. The recommendations based on the findings of this study can be used as a guide to improve the delivery of hospital-based home care services to community-dwelling clients with severe mental illness and their carers.Journal of Clinical Nursing 02/2010; 19(3-4):368-79. DOI:10.1111/j.1365-2702.2009.03052.x · 1.23 Impact Factor