Psychosocial Approaches to the Course and Treatment of Bipolar Disorder

CNS Spectrums ◽  
1998 ◽  
Vol 3 (5) ◽  
pp. 48-52 ◽  
Author(s):  
David J. Miklowitz
Keyword(s):  
Bipolar Disorder ◽  
Family Relationships ◽  
Skills Training ◽  
Psychosocial Treatment ◽  
Illness Episode ◽  
Problem Solving Skills ◽  
Psychoeducational Treatment ◽  
Significant Life ◽  
Psychosocial Approaches

AbstractThe course of bipolar disorder is marked by relapses and remissions, even when patients are maintained on appropriate pharmacotherapy. This variability in illness course may occur in part because the disorder is affected by socioenvironmental stressors, particularly significant life events and high-conflict family relationships. Considering these factors, clinicians have focused more attention on psychosocial treatments as useful adjuncts to pharmacotherapy. In this article, a psychosocial treatment program known as family-focused psychoeducational treatment (FFT) is described. Delivered in combination with pharmacotherapy during the postepisode stabilization period, FFT begins with an assessment of the family or marital environment. Then, in three consecutive, modules, participants receive education about the nature, causes, and treatment of bipolar disorder, communication enhancement training, and problem-solving skills training. The overall goals of the program are to restore family equilibrium and improve the patient's clinical functioning after the acute-illness episode. A case study illustrating the approach is presented, and the future directions of FFT are reviewed.

Psychosocial Approaches to the Treatment and Prevention of Bipolar Disorder

2016 ◽  
pp. 489-498
Author(s):  
Noreen A. Reilly-Harrington
Keyword(s):  
Bipolar Disorder ◽  
Behavioral Therapy ◽  
Treatment Strategies ◽  
Psychosocial Treatment ◽  
Future Research ◽  
Pediatric Bipolar Disorder ◽  
Treatment And Prevention ◽  
Social Rhythm ◽  
Psychosocial Approaches

Over the past two decades, adjunctive psychosocial treatments for bipolar disorder have been shown to hasten recovery, reduce relapse, and improve patients’ medication adherence, functioning, and quality of life. This chapter reviews four of the most widely studied psychosocial approaches for bipolar disorder: psychoeducation, cognitive-behavioral therapy (CBT), family-focused treatment (FFT), and interpersonal and social rhythm therapy (IPSRT). Core treatment strategies for each modality are presented, and key outcome studies are reviewed. The role of psychosocial treatment in pediatric bipolar disorder and in the prevention of bipolar disorder in youth at high risk for bipolar disorder is also presented. Suggestions for future research and the critical need for dissemination are also briefly discussed.

New Psychosocial Interventions for Bipolar Disorder: A Review of Literature and Introduction of the Systematic Treatment Enhancement Program

2006 ◽  
Vol 20 (2) ◽  
pp. 215-230 ◽  
Author(s):  
David J. Miklowitz ◽  
Michael W. Otto
Keyword(s):  
Bipolar Disorder ◽  
Behavioral Therapy ◽  
Empirical Support ◽  
Psychosocial Interventions ◽  
Psychosocial Treatment ◽  
Systematic Treatment ◽  
Future Directions ◽  
Group Psychoeducation ◽  
Psychoeducational Treatment ◽  
Social Rhythm

What is the evidence that psychosocial treatment adds to the efficacy of pharmacotherapy in forestalling episodes of bipolar disorder (BPD)? This article gives the rationale for including psychosocial intervention in the outpatient maintenance of BPD. Attention is placed on 4 psychosocial modalities that have achieved empirical support in randomized trials: family-focused psychoeducational treatment (FFT), cognitive-behavioral therapy (CBT), interpersonal and social rhythm therapy (IPSRT), and group psychoeducation. FFT, CBT, and IPSRT are being contrasted with a psychosocial control condition in the context of the ongoing, multicenter Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). The objectives, design, and potential contributions of the STEP-BD study are explained. Future directions for the evaluation and dissemination of manual-based psychosocial interventions are discussed.

Problem Solving Skills Training for Return to Work

2013 ◽  
Author(s):  
William S. Shaw ◽  
Michael Feuerstein ◽  
Virginia I. Miller ◽  
Patricia M. Wood
Keyword(s):  
Problem Solving ◽  
Return To Work ◽  
Skills Training ◽  
Problem Solving Skills

Parent and Grandparent Relationships in Emerging Adulthood

2018 ◽  
Author(s):  
Michael W. Pratt ◽  
M. Kyle Matsuba
Keyword(s):  
Emerging Adulthood ◽  
Attachment Theory ◽  
Emerging Adults ◽  
Family Relationships ◽  
Longitudinal Research ◽  
Study Data ◽  
Family Development ◽  
Data Set ◽  
Theory Framework

Chapter 7 begins with an overview of Erikson’s ideas about intimacy and its place in the life cycle, followed by a summary of Bowlby and Ainsworth’s attachment theory framework and its relation to family development. The authors review existing longitudinal research on the development of family relationships in adolescence and emerging adulthood, focusing on evidence with regard to links to McAdams and Pals’ personality model. They discuss the evidence, both questionnaire and narrative, from the Futures Study data set on family relationships, including emerging adults’ relations with parents and, separately, with grandparents, as well as their anticipations of their own parenthood. As a way of illustrating the key personality concepts from this family chapter, the authors end with a case study of Jane Fonda in youth and her father, Henry Fonda, to illustrate these issues through the lives of a 20th-century Hollywood dynasty of actors.

The Rhetorical Case: Its Roman Precedent and the Current Debate

1989 ◽  
Vol 19 (3) ◽  
pp. 203-226 ◽  
Author(s):  
Michael Mendelson
Keyword(s):  
Problem Solving ◽  
Technical Writing ◽  
Current Debate ◽  
Case Study Method ◽  
Full Spectrum ◽  
Problem Solving Skills ◽  
Early Case ◽  
New Phase

Because of the recent emphasis on rhetorical context in business and technical writing (BTW) instruction, the problem-solving case has become a staple in BTW classrooms. However, a number of critics have voiced concerns about the use of the rhetorical case. These concerns recall an ancient debate among Roman rhetoricians over an early case-study method called declamation. For contemporary theorists, the debate over case study revolves around its value as a stimulant to problem-solving skills, its ability to imitate the realistic circumstances of professional BTW, and its emphasis on persona and audience along with its deemphasis of the teacher. A full spectrum of arguments on these and other issues in the case-study debate indicates that the discipline is entering a new phase in its deliberations over the role of problem-solving and pragmatics in the BTW classroom.

scholarly journals Project-Based Learning in a Transinstitutional Research Setting: Case Study on the Development of Sustainable Food Products

2019 ◽  
Vol 12 (1) ◽  
pp. 233 ◽  
Author(s):  
Hartmut Derler ◽  
Simon Berner ◽  
Daniela Grach ◽  
Alfred Posch ◽  
Ulrike Seebacher
Keyword(s):  
Secondary School ◽  
Food Products ◽  
Research Process ◽  
Project Based Learning ◽  
Sources Of Information ◽  
Research Setting ◽  
School Students ◽  
Sustainable Food ◽  
Problem Solving Skills

Project-based learning (PBL) has been thoroughly integrated in university sustainable development curricula, but has not been well-established in curricula used at pre-university educational levels. Integrating real-world settings into the teaching of secondary school students can help to promote problem-solving skills and competencies at younger ages, which is a crucial task in sustainability education. Therefore, in this article we describe the results of a case study on the development of sustainable food products that involved a university and two secondary schools in Austria. The methods used in this case study were drawn from the transdisciplinary case study (TCS) and the PBL literature. Data were collected by carrying out participatory research methods such as photovoice, focus group discussions, food diaries, student evaluations, and surveys. We divided the study design into three phases: (1) exploration, (2) product ideation, and (3) product prototyping and optimisation. The case study illustrates that the use of PBL research approaches by students at different levels of education provides promising results, if the research process is clearly structured and managed. When a demand for learning is encountered by students, secondary school teachers and university researchers must provide the students with additional sources of information. The establishment and management of a transinstitutional research setting is a promising, yet time-consuming endeavour.

Medical Comorbidity and Recovery in Individuals with Bipolar Disorder

CNS Spectrums ◽  
2009 ◽  
Vol 14 (S15) ◽  
pp. 16-19
Author(s):  
Martha Sajatovic
Keyword(s):  
Bipolar Disorder ◽  
Functional Recovery ◽  
Medical Comorbidity ◽  
Treatment Approaches ◽  
Medical Burden

This discussion will focus on medical comorbidity and recovery in individuals with bipolar disorder. The complexity of care will be discussed in the context of a case study, with particular focus on the medical burden of mania, aging and bipolar disorder, and treatment approaches that promote functional recovery.

scholarly journals Development of an Integrated Psychosocial Treatment to Address the Medical Burden Associated with Bipolar Disorder

2011 ◽  
Vol 17 (3) ◽  
pp. 224-232 ◽  
Author(s):  
Louisa G. Sylvia ◽  
Andrew A. Nierenberg ◽  
Jonathan P. Stange ◽  
Andrew D. Peckham ◽  
Thilo Deckersbach
Keyword(s):  
Bipolar Disorder ◽  
Psychosocial Treatment ◽  
Medical Burden
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