Family therapy preventing the bipolar patient against recurrent episode : A case series

2011 ◽  
Vol 26 (S2) ◽  
pp. 1313-1313
Author(s):  
H.C. Hsu ◽  
P.Y. Lin ◽  
Y. Takashi
Keyword(s):  
Family Therapy ◽  
Case Series ◽  
Bipolar Patient ◽  
Recurrent Episode ◽  
Affective Symptoms ◽  
Increased Risk ◽  
The Family ◽  
Therapy Model ◽  
Poor Outcomes ◽  
Therapy Sessions

Bipolar disorder is a chronic, recurrent disorder, and its dysfunction has been correlated with poor outcomes and increased risk of recurrence. The main purpose of the family therapy model at issue is to prevent the bipolar patient against recurrent episode.The focuses of the therapy sessions are on the apples drawn by the patient(DDAA), the patient, and the patient-parent relationship. Keywords are gathered from every participant during the therapy session. Besides, the subjects to have verbalized meaningful ideas or successful experiences are immediately, intensely praised by applause during the session. DAILY DRAW AN APPLE(DDAA) homework is that the patient has drawn an apple on a calendar everyday and shares with parents about the apple as well as the patient's feelings of the day. The participants of the family therapy are the patient, parents, and the therapists. The frequency of the model is once monthly. Each session consists of the 10 minutes pre-session, the 60 minutes family therapeutic session, and the 30 minutes post-session. It needs to be emphasized that the frequency of re-hospitalization definitely decreased after receiving therapy.Finally, positive transference was demonstrated in the high attendance rate, in their excitement in receiving the applause, and in their collaboration in presenting the keywords. With the aid of the family therapy, they have been almost free from affective symptoms, and the hostile dependent tie with their parents having been steadily improved. To prevent the bipolar patient against recurrent episode has been achieved in the five cases family therapy presented here.

Family therapy preventing the recurrent major depression with alcohol dependence patient against recurrent episode: A case study of three cases

2016 ◽  
Vol 33 (S1) ◽  
pp. S558-S559
Author(s):  
H.C. Hsu ◽  
F.Y. Lee ◽  
Y.C. Chen
Keyword(s):  
Family Therapy ◽  
Major Depression ◽  
Alcohol Dependence ◽  
Recurrent Episode ◽  
The Past ◽  
Affective Symptoms ◽  
Increased Risk ◽  
The Family ◽  
Competing Interest ◽  
Guilty Feeling

Major depressive disorder with alcohol dependence is an easily recurrent disorder, and its dysfunction has increased risk of recurrence. The main purpose of the family therapy model at issue is to prevent the recurrent major depression with alcoholism patient against recurrent episode.All three patients have had more than 10 relapses and hospitalizations during the past 5 years. Focuses of the therapy are on the apples drawn by the patient (DDAA), the patient, the couple, and the patient–child relationship. Keywords are gathered from every participant during the therapy session. Besides, the subjects to have verbalized meaningful ideas or successful experiences are immediately, intensely praised by applause. DAILY DRAW AN APPLE (DDAA) homework is that the patient has drawn an apple on a calendar everyday and shares with family members about the apple as well as the patient's feelings of the day. The participants of the therapy are the patient, wife/husband, children and the therapists (psychiatrist, social worker). The frequency of the model is from once weekly to twice monthly. Each session consists of the 10 minutes pre-session, the 40 minutes therapeutic session, the 10 minutes post-session. All patients have never been relapsed over the past 18 months after receiving our family therapy under medications.Finally, with the aid of the family therapy, they have been almost free from affective symptoms and the ambivalence, guilty feeling toward family, frustrations have been steadily gradually improved. To prevent the recurrent major depression with alcohol dependence patient against recurrent episode has been achieved in family therapy presented here.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A Trial of Family Therapy v. a Relatives Group for Schizophrenia

1989 ◽  
Vol 154 (1) ◽  
pp. 58-66 ◽  
Author(s):  
Julian Leff ◽  
Ruth Berkowitz ◽  
Naomi Shavit ◽  
Angus Strachan ◽  
Ilana Glass ◽  
...  
Keyword(s):  
Family Therapy ◽  
Relapse Rate ◽  
Expressed Emotion ◽  
Cost Effective ◽  
Or Education ◽  
Face To Face ◽  
Social Interventions ◽  
The Family ◽  
Schizophrenic Patients ◽  
Therapy Sessions

Schizophrenic patients living in high contact with relatives having high expressed emotion (EE) were recruited for a trial of social interventions. The patients were maintained on neuroleptic medication, while their families were randomly assigned to education plus family therapy or education plus a relatives group. Eleven out of 12 families accepted family therapy in the home, whereas only six out of 11 families were compliant with the relatives group. Non-compliance was associated with a poorer outcome for the patients in terms of the relapse rate. The relapse rate over nine months in the family therapy stream was 8%, while that in compliant families in the relatives group stream was 17%. Patients' social functioning showed small, non-significant, gains. The data from the current trial were compared with data from a previous trial. The lowering of the relapse rate in schizophrenia appears to be mediated by reductions in relatives' EE and/or face-to-face contact, and is not explained by better compliance with medication. Reduction in EE and/or contact was associated with a minuscule relapse rate (5%). Very little change occurred in families who were non-compliant with the relatives group. On the basis of these findings, we recommend that the most cost-effective procedure is to establish relatives groups in conjunction with family education and one or more initial family therapy sessions in the home. It is particularly important to offer home visits to families who are unable to or refuse to attend the relatives groups.

An Integrative EMDR and Family Therapy Model for Treating Attachment Trauma in Children: A Case Series

2018 ◽  
Vol 12 (4) ◽  
pp. 196-207 ◽  
Author(s):  
Debra Wesselmann ◽  
Stefanie Armstrong ◽  
Cathy Schweitzer ◽  
Meghan Davidson ◽  
Ann Potter
Keyword(s):  
Statistical Analysis ◽  
Family Therapy ◽  
Traumatic Stress ◽  
Case Series ◽  
Small Sample ◽  
Attachment Trauma ◽  
Attachment Relationships ◽  
Case Series Study ◽  
History Of ◽  
Therapy Model

This case series study investigated the effectiveness of an integrative eye movement desensitization and reprocessing (EMDR) and family therapy model, specifically the Integrative Attachment Trauma Protocol for Children (IATP-C), for improving traumatic stress, attachment relationships, and behaviors in children with a history of attachment trauma; specifically, adopted children with a history of maltreatment and foster or orphanage care. Of the 23 child participants, one family dropped out at 6 months, and 22 completed treatment in 6–24 months. Mean treatment length was 12.7 months. Statistical analysis demonstrated significant improvement in scores on children's traumatic stress symptoms, behaviors, and attachment relationships by the end of treatment. Statistical analysis of secondary measures showed significant improvement in mothers' scores related to symptomology and attitudes toward their child. Gains were maintained for the 15 families who complied with completion and returning of follow-up measures. Limitations of the study include the lack of a control group and small sample size. Future directions include controlled efficacy studies with larger sample sizes as well as exploration of application of the model to a similar population of children in other cultures and to children who are not residing in permanent placements.

scholarly journals Virginia Satir’s Family Education and Therapy Model

2017 ◽  
Vol 5 (12) ◽  
pp. 72 ◽  
Author(s):  
Neşide Yıldırım
Keyword(s):  
Family Therapy ◽  
Family Education ◽  
Dynamic Variable ◽  
Human Relationships ◽  
Basic Family ◽  
Self Confidence ◽  
The Family ◽  
Improve Compliance ◽  
Therapy Model ◽  
Practical Model

Satir’s model (1916-1988) is not theoretical; it is a practical model; she has developed it by applying herself. It does not include stereotyped shapes in human relationships, but dynamic, variable applications. According to Satir, “the form is not the method itself”, the method is motion; this is a dynamic phenomenon. It constantly changes and tries to remove certain bans that have examined itself and prevented it from changing. A person who grows in a constantly restricted, prohibited environment since childhood cannot fully demonstrate his capacity without being aware of his potential. Such a result is manifested only in a limited environment where development is hindered. The change will take place after the problem is recognized. The goal is to increase self-confidence in the family, to nurture or support better choices, to increase responsibility, and to improve compliance within the family or between people.This study was carried out by using the copy of Satir’s book, which was originally called “The Conjoint Family Therapy” and translated into Turkish by Selim Ali Yeniçeri as “Basic Family Therapy” and published in Istanbul by Beyaz Yayınları in 2016.

The Family Therapy Chronogram: An Aid to Supervision

1986 ◽  
Vol 67 (3) ◽  
pp. 174-179 ◽  
Author(s):  
Ben-Zion Cohen ◽  
Orly Shlomy
Keyword(s):  
Family Therapy ◽  
The Family ◽  
Therapy Sessions

Complex family therapy sessions have given rise to a need for structured and innovative supervisory techniques. One, the family therapy interaction chronogram, provides a framework for workers to organize and analyze the interactional data of therapy sessions under the direction of a supervisor.

scholarly journals Early Prognostic Indicators of Subsequent Hospitalization in Patients with Mild COVID-19

2021 ◽  
Vol 10 (8) ◽  
pp. 1562
Author(s):  
Alyssa Ylescupidez ◽  
Aaron Rips ◽  
Henry T. Bahnson ◽  
Cate Speake ◽  
Punam Verma ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Case Series ◽  
Area Under The Curve ◽  
Adverse Outcomes ◽  
Symptom Clusters ◽  
Prognostic Indicators ◽  
Close Monitoring ◽  
Increased Risk ◽  
Male Sex ◽  
Poor Outcomes

Comprehensive data on early prognostic indicators in patients with mild COVID-19 remains sparse. In this single center case series, we characterized the initial clinical presentation in 180 patients with mild COVID-19 and defined the earliest predictors of subsequent deterioration and need for hospitalization. Three broad patient phenotypes and four symptom clusters were characterized, differentiated by varying risk for adverse outcomes. Among 14 symptoms assessed, subjective shortness of breath (SOB) most strongly associated with adverse outcomes (odds ratio (OR) 21.3, 95% confidence interval (CI): 2.7–166.4; p < 0.0001). In combination, SOB and number of comorbidities were highly predictive of subsequent hospitalization (area under the curve (AUC) 92%). Additionally, initial lymphopenia (OR 21.0, 95% CI: 2.1–210.1; p = 0.002) and male sex (OR 3.5, 95% CI: 0.9–13.0; p = 0.05) were associated with increased risk of poor outcomes. Patients with known comorbidities, especially multiple, and those presenting with subjective SOB or lymphopenia should receive close monitoring and consideration for preemptive treatment, even when presenting with mild symptoms.

scholarly journals An approach that puts the family at the centre of haemophilia care

2015 ◽  
Vol 2 (2) ◽  
pp. 22-23
Author(s):  
Nicola Dunn
Keyword(s):  
Family Therapy ◽  
Multidisciplinary Team ◽  
Team Approach ◽  
Multidisciplinary Team Approach ◽  
Family Counselling ◽  
Family Issues ◽  
The Family ◽  
Therapy Model ◽  
Systemic Family Therapy ◽  
Therapy Team

Abstract Staff at the Katharine Dormandy Haemophilia Centre pioneered a systemic family therapy model for haemophilia, in which reviews combined medical care and family counselling. That approach has now been extended to specialised joint clinics such as in orthopaedics, women’s and genetic counselling. This multidisciplinary team approach enables specialist clinicians to focus on what they do best while the family therapy team manages the psychological, practical and family issues, and supports patients to make difficult decisions regarding their care.

scholarly journals Caregiving for Persons Living With Dementia in the New Normal: Family Caregiver’s Perspective

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1036-1036
Author(s):  
Priyanka Shrestha ◽  
Donna Fick ◽  
Marie Boltz ◽  
Susan Loeb ◽  
Andrew High
Keyword(s):  
Family Caregivers ◽  
Family Caregiving ◽  
Qualitative Methodology ◽  
Well Being ◽  
Intensive Care Admission ◽  
Increased Risk ◽  
The Family ◽  
Poor Outcomes ◽  
Person With Dementia ◽  
The Impact

Abstract Persons living with dementia (PLWD) are at increased risk for COVID-19 and associated poor outcomes, including: incident delirium, hospitalization, severe symptoms, intensive care admission, and even death. PLWD are likely to rely on family caregivers to maintain their health and well-being in the community. Under normal circumstances, caregiving can be stressful and complex, and the COVID-19 pandemic has the potential to change and exacerbate the stresses of family caregiving. As a part of a larger study using descriptive qualitative methodology to explore the family caregiver understanding and experiences related to delirium in caring for a person with dementia, 14 participants (age x̄ =67, SD= 13.8) were asked about the impact of COVID-19 on their caregiving for PLWD. Thematic analysis of the transcribed interviews using Dedoose generated four overarching themes associated with the family caregiver’s perspective of changes in caregiving during the COVID-19 pandemic: 1) Cautious of COVID-19 exposure, 2) We can’t go in, 3) Feeling of isolation for both the PLWD and caregiver, and 4) Six-feet distance. The current study highlights the importance of understanding the needs of PLWD during a pandemic based upon the perspective of their family caregivers and will inform the development of ways to safely incorporate family caregivers in the interdisciplinary care team. Caregivers are integral to the care of PLWD across settings of care and should be partners even during a pandemic. Solutions for care include integrating technology for individualized approaches. Finally, future areas for research will be discussed.

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