3 research outputs found
The change in perception of illness monitored by group psychotherapy of family members of patients with psychotic disorder
Cilj: Opisati promjene odnosa prema bolesti kroz ÄetverogodiÅ”nji rad grupne psihoterapije Älanova obitelji. U sklopu Programa rane intervencije kod prvih epizoda psihotiÄnih poremeÄaja (RIPEPP) roditelji bolesnika oboljelih od psihotiÄnih poremeÄaja ukljuÄeni su, uz psihoedukacijske radionice, i u psihodinamsku grupnu psihoterapiju.
Metode: PraÄenje protokola seansi koje se bilježe po sjeÄanju nakon održanih grupa.
Rezultati: Tijekom ÄetverogodiÅ”njeg rada s Älanovima obitelji opazili smo da je postupno doÅ”lo do promjene stava prema bolesti. U poÄetku grupnog rada uoÄeno je neprihvaÄanje bolesti, negacija te pomak problema prema van (npr. uzimanje droga). U drugoj fazi proraÄuju se osjeÄaji srama (bolest kao narcistiÄka povreda) i krivnje (bolest kao kazna) te teÅ”koÄe suoÄavanja s ozbiljnoÅ”Äu i dugotrajnoÅ”Äu bolesti. Prepoznata je i treÄa faza rada u kojoj Älanovi grupe (roditelji) fokus pomiÄu s djece i njihovih poteÅ”koÄa na sebe (poÄinje prorada tugovanja).
ZakljuÄak: Grupna klima koja se tijekom ÄetverogodiÅ”njeg rada u grupi stvorila pridonijela je postupnom prihvaÄanju bolesti te time i promjeni odnosa prema djeci. Bolja uspostava granica stvara uvjete za separaciju najprije od grupe, a kasnije i od oboljelog Älana.Aim: This paper gives the description of changes in the perception of illness during the four-year involvement of the patientsā family members in group psychotherapy. Within the program of early intervention in the first episodes of psychotic disorder, parents of patients with psychotic disorder take part in psycho-educational workshops as well as in psychodynamic group psychotherapy.
Methods: The method of work is based on the monitoring of session protocols noted from memory after the group therapies have been finished.
Results: Unacceptance of illness, denials and outer transfer of the problem (such as drug abuse) were noticed in the beginning of the group work. In the second phase, the feelings of shame were dealt with (illness as a narcissistic injury) and guilt (illness as punishment) as well as difficulties in facing the severity and long duration of illness. The third phase was also recognized in which we noticed that the group members (parents) focused their attention from their childrenās difficulties to themselves (the period of grieving process started).
Conclusion: The group atmosphere which developed during the four- year period of work in the group contributed to the gradual acceptance of illness and so changed the relationship with children. Better setting of boundaries allowed separation, first from the group, and also from the inflicted family member later on
EARLY INTERVENTION PROGRAM FOR PSYCHOTIC DISORDERS AT THE PSYCHIATRIC HOSPITAL \u27\u27SVETI IVAN
The Early intervention program for the first episodes of psychotic disorders (RIPEPP) at the Psychiatric Hospital āSveti Ivanā
in Zagreb encompasses patients hospitalized due to various psychoses (acute psychotic disorder, schizophrenia, schizoaffective and
delusional disorder, bipolar affective disorder with psychotic symptoms) in the ācritical periodā of illness, i.e. within five years after
the occurrence of the first symptoms. The RIPEPP Program consists of an in- and out-patient part, and includes psychotherapeutic
and psychoeducative components as well as the administration of antipsychotics. The Psychotherapeutic part, conducted by
psychotherapists ā group analysts, comprises psychodynamic group psychotherapy for patients and for family members. The
Psychoeducative part, led by cognitive-behavioral therapists, is carried out through educative interactive workshops for both
patients and their family members.
The paper describes the theoretical framework, as well as the professional, personnel, educative and organizational basis of the
Program, the principles of evaluation and some experiences after five years of implementation