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1.
J Evid Inf Soc Work ; 14(3): 183-200, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28441104

RESUMO

This study examined the impact of gestalt intervention groups for anxious Chinese parents in Hong Kong. A non-randomized control group pre-test/post-test design was adopted. A total of 156 parents participated in the project. After 4 weeks of treatment, the intervention group participants had lower anxiety levels, less avoidance of inner experiences, and more kindness towards oneself and mindfulness when compared to control group participants. However, the dimension of self-judgment remained unchanged. The adaptation of gestalt intervention to suit the Chinese culture was discussed.


Assuntos
Ansiedade/terapia , Terapia Gestalt/métodos , Poder Familiar/etnologia , Pais/educação , Psicoterapia de Grupo/métodos , Adulto , Ansiedade/psicologia , Características Culturais , Feminino , Hong Kong , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Plena , Pais/psicologia , Projetos de Pesquisa , Fatores Sexuais , Fatores Socioeconômicos
2.
Clin Psychol Psychother ; 24(1): 36-47, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27098212

RESUMO

AIM: The aim of the present paper is to open the discourse regarding the unmet needs of specific patients, especially those with substance use disorder and/or personality disorder where 'multimorbidities', and/or 'overdiagnosis' and/or 'diagnosis overlap' are frequent. An additional aim is to review the main therapeutic purpose and concepts of Gestalt therapy which might be appropriate in the treatment of these patients often characterized by their difficulties in being aware and in contact in the 'here and now'. METHODS: I first start with an overview of Gestalt therapy concepts. Then, I illustrate Gestalt's 'here and now' and awareness concepts applied during 18 sessions with an inpatient diagnosed with substance use and bipolar disorders. In addition, the patient had to face an open criminal charge, was regarded as having an antisocial personality disorder and argued suffering from post-traumatic stress disorder. RESULTS: After this two-month therapy period, the patient entered for the first time a daily rehabilitation program in the community, where he was doing well (this after a few prior hospitalizations). The awareness development in the 'here and now' through which different contact styles and cycles of experiences are experienced is a process that allowed the patient to start experiencing contact with himself, his true needs and his environment. This contributed to his well-being improvement, led and supported his rehabilitation and reinsertion within the society and decrease his relapses, either with drugs or criminal activities. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: People with substance use disorder (where 'multimorbidities', 'overdiagnosis' or 'diagnosis overlap' are frequent), people with personality disorder(s) or people who have difficulties in defining what really disturbs them are the same people who could benefit of GT encouraging awareness and contact development in the 'here and now'. Gestalt therapy should not be regarded as a practitioner's toolbox but as a therapeutic process allowing awareness and I-boundaries development in the 'here and now' through authentic and genuine relationships. The therapist's awareness and contact with themselves and their environment are reflected in the therapist's relaxed but awake and aware state of mind as well as their wise, spontaneous and mindful approach.


Assuntos
Transtorno Bipolar/diagnóstico , Transtorno Bipolar/terapia , Terapia Gestalt , Hospitalização , Drogas Ilícitas , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Transtorno da Personalidade Antissocial/diagnóstico , Transtorno da Personalidade Antissocial/psicologia , Transtorno da Personalidade Antissocial/terapia , Conscientização , Transtorno Bipolar/psicologia , Criança , Maus-Tratos Infantis/diagnóstico , Maus-Tratos Infantis/psicologia , Maus-Tratos Infantis/terapia , Terapia Combinada , Comorbidade , Diagnóstico Duplo (Psiquiatria) , Seguimentos , Humanos , Israel , Acontecimentos que Mudam a Vida , Masculino , Fumarato de Quetiapina/uso terapêutico , Transtornos Relacionados ao Uso de Substâncias/psicologia
3.
Alcohol Alcohol ; 51(4): 436-41, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26861121

RESUMO

AIMS: To assess views on the feasibility and acceptability of reduced-risk drinking (RRD) strategies within the very homogenous and abstinence-oriented Polish alcohol treatment system. METHODS: By online survey in 2014/15 we enquired into current attitudes of nationwide sample of professionals working in outpatient alcohol treatment facilities regarding non-abstinence goals as a function of severity of the disorder (abuse/dependence) and the finality of the outcome goal. RESULTS: Questionnaires were completed by experienced addiction therapists, trained primarily in cognitive-behavioral therapy (n= 246, response rate = 50%). Only one third accept RRD for alcohol dependent clients (fully or partially), the three fourths accept RRD for alcohol abusing clients (fully or partially). RRD as an intermediate goal of treatment is more accepted than when set up as a final treatment objective. RRD had significantly higher level of acceptance among younger professionals. Compared to male respondents, females were more open to offering RRD to patients experiencing alcohol-related problems. Finally, therapists working according to the principles of motivational interviewing or solution focused brief therapy were significantly more in favor of RRD than others. CONCLUSION: Comparing with other countries, the acceptance of RRD as a therapeutic objective in Poland is moderately low. Mistrust toward RRD strategies is mainly fueled by a belief that this strategy is not effective plus its inconsistency with therapists' own therapeutic philosophy.


Assuntos
Transtornos Relacionados ao Uso de Álcool/terapia , Atitude do Pessoal de Saúde , Planejamento de Assistência ao Paciente , Consumo de Bebidas Alcoólicas/epidemiologia , Alcoolismo/terapia , Terapia Cognitivo-Comportamental , Feminino , Terapia Gestalt , Humanos , Masculino , Polônia , Inquéritos e Questionários
4.
Psychother Psychosom ; 85(1): 16-26, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26610167

RESUMO

BACKGROUND: Although there are effective treatments for posttraumatic stress disorder (PTSD), there is little research on treatments with non-cognitive-behavioural backgrounds, such as gestalt therapy. We tested an integrative gestalt-derived intervention, dialogical exposure therapy (DET), against an established cognitive-behavioural treatment (cognitive processing therapy, CPT) for possible differential effects in terms of symptomatic outcome and drop-out rates. METHODS: We randomized 141 treatment-seeking individuals with a diagnosis of PTSD to receive either DET or CPT. Therapy length in both treatments was flexible with a maximum duration of 24 sessions. RESULTS: Dropout rates were 12.2% in DET and 14.9% in CPT. Patients in both conditions achieved significant and large reductions in PTSD symptoms (Impact of Event Scale - Revised; Hedges' g = 1.14 for DET and d = 1.57 for CPT) which were largely stable at the 6-month follow-up. At the posttreatment assessment, CPT performed statistically better than DET on symptom and cognition measures. For several outcome measures, younger patients profited better from CPT than older ones, while there was no age effect for DET. CONCLUSIONS: Our results indicate that DET merits further research and may be an alternative to established treatments for PTSD. It remains to be seen whether DET confers advantages in areas of functioning beyond PTSD symptoms.


Assuntos
Terapia Cognitivo-Comportamental , Transtornos de Estresse Pós-Traumáticos/terapia , Adolescente , Adulto , Idoso , Escalas de Graduação Psiquiátrica Breve/estatística & dados numéricos , Terapia Cognitivo-Comportamental/métodos , Feminino , Terapia Gestalt/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Veteranos/psicologia , Adulto Jovem
5.
J Clin Psychol ; 71(11): 1115-20, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26394219

RESUMO

As an older woman therapist, I find that my life experience grounds me in my work with people of all ages and backgrounds as they deal with life crises, aging issues, and loss. People with whom I work in therapy appreciate the fact that I am older and have had varied life experiences. Gender issues are still central to my work with clients whether I am working with a man or a woman. I am an integrative therapist, with a background in cognitive-behavioral therapy and gestalt therapy. Therapists need to help clients to identify less with their aging bodies and our culture's view of attractiveness, shifting instead to a paradigm that values life experience and the cultivation of wisdom. We need to find ways of embracing what we have learned about life instead of extolling youthful values. As I get older, I more fully appreciate a constructivism framework and life-cycle perspective, focusing on making sense of clients' life narratives. Storytelling and memoirs have both provided a framework for working with clients on coping with the many changes and challenges of life that bring them to therapy and added another layer to my integrative therapeutic work.


Assuntos
Envelhecimento/psicologia , Terapia Cognitivo-Comportamental/métodos , Terapia Gestalt/métodos , Pessoal de Saúde/psicologia , Idoso , Feminino , Humanos
6.
J Pastoral Care Counsel ; 69(1): 40-5, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26162206

RESUMO

This is a report of a short-term, pastoral counselling group conducted with Jewish internees in a high security prison in Israel. It was held as an adjunct to daily secular individual and group counselling and rehabilitation run by the Department of Social Work. Pastoral counselling employed spiritual and psychosocial methodologies to reduce anger, improve prisoner frustration tolerance, and develop a sense of self-efficacy and communal identity. It combined semi-didactic scriptural input with Pierre Janet's personality model, Fritz Perls' gestalt therapy, and analysis of the group process.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Terapia Gestalt/métodos , Assistência Religiosa/métodos , Prisioneiros/psicologia , Psicoterapia de Grupo/métodos , Adulto , Humanos , Imagens, Psicoterapia/métodos , Israel , Pessoa de Meia-Idade , Prisões , Adulto Jovem
7.
Glob J Health Sci ; 7(4): 130-5, 2015 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-25946950

RESUMO

Dynamics of experience as such and its corporeal, emotional and cognitive elements in the situation of psychological consulting provisioning is covered. The aim of research was to study psychological crisis experience dynamics in the situation when psychological consulting by gestalt therapy methods is provided. Theoretical analysis of the problem of crisis situations, phenomenon and structural, and dynamic organization of experience of the subject of consulting have been carried out. To fulfill research project test subjects experience crisis situation have been selected, studied in the situation when they provided psychological consulting by methods of gestalt therapy, and methodology of study of crisis situations experience has been prepared. Specifics of psychological crisis experience have been revealed and its elements in different stages of psychological consulting by gestalt therapy methods. Dynamics of experience of psychological crisis and its structural elements have been revealed and reliable changes in it have been revealed. Dynamics of psychological crisis experience and its structural elements have been revealed and reliable changes in it have been revealed. "Desiccation" of experience is being observed, releasing its substantiality of negative impression to the end of consulting and development of the new experience of control over crisis situation. Interrelations of structural elements of experience in the process of psychological consulting have been shown. Effecting one structure causes reliable changes in all others structural elements of experience. Giving actual psychological help to clients in crisis situation by methods of gestalt therapy is possible as it was shown in psychological consulting sessions. Structure of client's request has been revealed - problems of personal sense are fixed as the most frequent cause of clients' applications, as well as absence of choices, obtrusiveness of negative thoughts, tend to getting stuck on events took place in the past, drawing into oneself, etc.


Assuntos
Intervenção na Crise/métodos , Terapia Gestalt/métodos , Transtornos Mentais/terapia , Encaminhamento e Consulta , Adulto , Feminino , Humanos , Masculino , Inquéritos e Questionários , Adulto Jovem
8.
Acta Neurol Scand ; 131(6): 355-63, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25639732

RESUMO

OBJECTIVES: The aim of the present exploratory clinical study was to evaluate LD as an add-on therapy for treating nightmares. METHODS: Thirty-two subjects having nightmares (ICD-10: F51.5) at least twice a week participated. Subjects were randomly assigned to group: A) Gestalt therapy group (= GTG), or B) Gestalt and lucid dreaming group therapy (= LDG). Each group lasted ten weeks. Participants kept a sleep/dream diary over the treatment. Examinations with respect to nightmare frequency and sleep quality (Pittsburgh Sleep Quality Index) were carried out at the beginning, after five and ten weeks and at a follow-up three months later. RESULTS: Concerning nightmare frequency, a significant reduction was found in both groups after the ten-week-study and at the follow-up (Wilcoxon test: P ≤ 0.05). Significant reduction in dream recall frequency could only be observed in the GTG (Wilcoxon test: P ≤ 0.05). For subjects having succeeded in learning lucid dreaming, reduction was sooner and higher. Sleep quality improved for both groups at the follow-up (P ≤ 0.05, Wilcoxon test). Only the LDG showed significant improvement at the end of therapy (P ≤ 0.05). CONCLUSION: Lucid dreaming, in combination with Gestalt therapy, is a potent technique to reduce nightmare frequency and improve the subjective quality of sleep.


Assuntos
Sonhos , Terapia Gestalt , Transtornos do Sono-Vigília/terapia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
9.
Psychother Res ; 25(4): 420-34, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24689912

RESUMO

In this naturalistic study, 262 audiotaped psychotherapy sessions--randomly drawn from 81 individual therapies from eight different psychotherapy approaches--were rated completely on treatment adherence using a newly developed rating manual. In the therapy sessions, a relatively low percentage of treatment specific interventions (ranging from 4.2% to 27.8%) was found for all eight approaches, 50% to 73% of the interventions were nonspecific or common, and approximately 18% to 27% were intervention techniques from other approaches. Different types of psychotherapy differed highly significantly in levels of treatment adherence. There was no statistically significant association between the type of psychotherapy and its outcome, or between the degree of therapists' treatment fidelity and the treatment outcome. However, there were significant associations between therapists' degree of professional experience, clients' initial psychological burden, and treatment response. Clients' severity of psychological problems prior to treatment predicted quality of therapeutic alliance while therapists' treatment adherence was predicted by therapists' professional experience and by the quality of the therapeutic alliance. We discuss the seemingly indirect importance of treatment adherence for psychotherapy outcome that we found in this study in relation to findings from other studies and in the context of the role of schools within psychotherapy.


Assuntos
Transtornos Mentais/terapia , Relações Profissional-Paciente , Processos Psicoterapêuticos , Psicoterapia/métodos , Adolescente , Adulto , Idoso , Terapia pela Arte , Competência Clínica , Existencialismo , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Feminino , Terapia Gestalt , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos do Humor/terapia , Transtornos da Personalidade/terapia , Terapia Psicanalítica , Psicoterapia Psicodinâmica , Índice de Gravidade de Doença , Transtornos de Estresse Pós-Traumáticos/terapia , Transtornos Relacionados ao Uso de Substâncias/terapia , Resultado do Tratamento , Adulto Jovem
10.
Clin Psychol Psychother ; 22(3): 258-66, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24634051

RESUMO

UNLABELLED: This study investigates three common factor mechanisms that could affect outcome in clinical practice: response expectancy, the affective expectation model and motivational concordance. Clients attending a gestalt therapy clinic (30 clients), a sophrology (therapeutic technique) clinic (33 clients) and a homeopathy clinic (31 clients) completed measures of expectancy and the Positive Affect and Negative Affect Schedule (PANAS) before their first session. After 1 month, they completed PANAS and measures of intrinsic motivation, perceived effort and empowerment. Expectancy was not associated with better outcome and was no different between treatments. Although some of the 54 clients who endorsed highest expectations showed substantial improvement, others did not: 19 had no change or deteriorated in positive affect, and 18 had the same result for negative affect. Intrinsic motivation independently predicted changes in negative affect (ß = -0.23). Intrinsic motivation (ß = 0.24), effort (ß = 0.23) and empowerment (ß = 0.20) independently predicted positive affect change. Expectancy (ß = -0.17) negatively affected changes in positive affect. Clients found gestalt and sophrology to be more intrinsically motivating, empowering and effortful compared with homeopathy. Greater improvement in mood was found for sophrology and gestalt than for homeopathy clients. These findings are inconsistent with response expectancy as a common factor mechanism in clinical practice. The results support motivational concordance (outcome influenced by the intrinsic enjoyment of the therapy) and the affective expectation model (high expectations can lead for some clients to worse outcome). When expectancy correlates with outcome in some other studies, this may be due to confound between expectancy and intrinsic enjoyment. KEY PRACTITIONER MESSAGE: Common factors play an important role in outcome. Intrinsic enjoyment of a therapeutic treatment is associated with better outcome. Active engagement with a therapeutic treatment improves outcome. Unrealistic expectations about a therapeutic treatment can have a negative impact on outcome.


Assuntos
Afeto , Cultura , Motivação , Avaliação de Processos e Resultados em Cuidados de Saúde , Processos Psicoterapêuticos , Adolescente , Adulto , Idoso , Instituições de Assistência Ambulatorial , Feminino , Terapia Gestalt , Homeopatia , Humanos , Masculino , México , Pessoa de Meia-Idade , Relações Metafísicas Mente-Corpo , Poder Psicológico , Inquéritos e Questionários , Adulto Jovem
11.
Arch Phys Med Rehabil ; 95(9): 1656-61, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24907640

RESUMO

OBJECTIVE: To determine whether the Feldenkrais method is an effective intervention for chronic neck/scapular pain in patients with visual impairment. DESIGN: Randomized controlled trial with an untreated control group. SETTING: Low vision center. PARTICIPANTS: Patients (N=61) with visual impairment (mean, 53.3 y) and nonspecific chronic (mean, 23.8 y) neck/scapular pain. INTERVENTIONS: Participants were randomly assigned to the Feldenkrais method group (n=30) or untreated control group (n=31). Patients in the treatment group underwent one 2-hour Feldenkrais method session per week for 12 consecutive weeks. MAIN OUTCOME MEASURES: Blind assessment of perceived pain (visual analog scale [VAS]) during physical therapist palpation of the left and right occipital, upper trapezius, and levator scapulae muscle areas; self-assessed degree of pain on the Visual, Musculoskeletal, and Balance Complaints questionnaire; and the Medical Outcomes Study 36-Item Short-Form Health Survey bodily pain scale. RESULTS: Patients undergoing Feldenkrais method reported significantly less pain than the controls according to the VAS and Visual, Musculoskeletal, and Balance Complaints questionnaire ratings at posttreatment follow-up and 1-year follow-up. There were no significant differences regarding the Medical Outcomes Study 36-Item Short-Form Health Survey bodily pain scale ratings. CONCLUSIONS: Feldenkrais method is an effective intervention for chronic neck/scapular pain in patients with visual impairment.


Assuntos
Dor Musculoesquelética/etiologia , Dor Musculoesquelética/reabilitação , Cervicalgia/etiologia , Cervicalgia/reabilitação , Manejo da Dor/métodos , Baixa Visão/complicações , Exercícios Respiratórios , Dor Crônica , Terapias Complementares , Terapia por Exercício , Feminino , Seguimentos , Terapia Gestalt , Humanos , Masculino , Pessoa de Meia-Idade , Movimento , Exercícios de Alongamento Muscular , Dor Musculoesquelética/classificação , Cervicalgia/classificação , Medição da Dor , Modalidades de Fisioterapia , Qualidade de Vida , Inquéritos e Questionários , Resultado do Tratamento
12.
Psychother Res ; 24(4): 514-21, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24279513

RESUMO

OBJECTIVE: The research on psychotherapy for posttraumatic stress disorder (PTSD) stems predominantly from a cognitive-behavioral orientation while other approaches are underrepresented. We evaluated dialogical exposure in trauma therapy (DET), a treatment for PTSD combining cognitive-behavioral elements with an interpersonal, gestalt-based framework. METHODS: In this uncontrolled pilot trial, 25 PTSD patients were treated with DET in an outpatient setting and 21 completed therapy. RESULTS: There was a significant reduction in self-rated PTSD symptoms from pre- to posttreatment. Effect sizes were large in the completer sample and moderate to large in the intent-to-treat sample. General psychopathology also decreased significantly. The dropout rate was rather low at 16%. CONCLUSION: These results show that further research on DET as a treatment for PTSD is warranted.


Assuntos
Psicoterapia/métodos , Transtornos de Estresse Pós-Traumáticos/terapia , Resultado do Tratamento , Adulto , Terapia Cognitivo-Comportamental/métodos , Estudos de Viabilidade , Feminino , Terapia Gestalt/métodos , Humanos , Terapia Implosiva/métodos , Masculino , Pessoa de Meia-Idade , Pacientes Ambulatoriais/psicologia , Projetos Piloto
14.
Int J Group Psychother ; 63(1): 117-25, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23252818

RESUMO

Compared to other intervention modalities, there are relatively few outcome studies of gestalt therapy. This study aimed to address this gap by evaluating the therapeutic effects of four gestalt-oriented group workshops designed to enhance well-being in professionals trained as social workers, counselors, and psychologists. The results of this preliminary, uncontrolled study indicated that the 55 participants had better emotional well-being and experienced a heightened sense of hope following the workshops. The factors leading to these positive outcomes are discussed.


Assuntos
Terapia Gestalt/métodos , Pessoal de Saúde/psicologia , Satisfação Pessoal , Adulto , Educação/métodos , Feminino , Hong Kong , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Psicoterapia de Grupo/métodos , Resultado do Tratamento
15.
BMC Musculoskelet Disord ; 13: 166, 2012 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-22950571

RESUMO

BACKGROUND: There is continuing uncertainty in back pain research as to which treatment is best suited to patients with non-specific chronic low back pain (CLBP). In this study, Gestalt therapy and the shock trauma method Somatic Experiencing® (SE) were used as interventions in parallel with the usual cross-disciplinary approach. The aim was to investigate how these treatments influence a patient's capacity to cope with CLBP when it is coupled with depression. METHODS: In this qualitative explorative study, a phenomenological-hermeneutic framework was adopted. Patients were recruited on the basis of following criteria: A moderate depression score of 23-30 according to the Beck Depression Inventory Scale and a pain score of 7-10 (Box scale from 0-10) and attendance at five- six psychotherapeutic sessions. Six patients participated in the study. The data was comprised of written field notes from each session, which were subsequently analysed and interpreted at three levels: naive reading, structural analysis and critical interpretation and discussion. RESULTS: Three areas of focus emerged: the significance of previous experiences, restrictions in everyday life and restoration of inner resources during the therapy period. The study revealed a diversity of psychological stressors that related to loss and sorrow, being let down, violations, traumatic events and reduced functioning, which led to displays of distress, powerlessness, reduced self-worth, anxiety and discomfort.Overall, the sum of the stressors together with pain and depression were shown to trigger stress symptoms. Stress was down-played in the psychotherapeutic treatment and inner resources were re-established, which manifested as increased relaxation, presence, self-worth, sense of responsibility and happiness. This, in turn, assisted the patients to better manage their CLBP. CONCLUSIONS: CLBP is a stress factor in itself but when coupled with depression, they can be regarded as two symptom complexes that mutually affect each other in negative ways. When pain, stress and depression become overwhelming and there are few internal resources available, stress seems to become prominent. In this study, Gestalt therapy and the SE-method may have helped to lower the six patients' level of stress and restore their own internal resources, thereby increasing their capacity to cope with their CLBP.


Assuntos
Dor Crônica/terapia , Depressão/terapia , Terapia Gestalt , Dor Lombar/terapia , Terapias Somáticas em Psiquiatria , Estresse Psicológico/terapia , Adaptação Psicológica , Adulto , Dor Crônica/diagnóstico , Dor Crônica/epidemiologia , Efeitos Psicossociais da Doença , Dinamarca/epidemiologia , Depressão/diagnóstico , Depressão/epidemiologia , Emoções , Feminino , Humanos , Acontecimentos que Mudam a Vida , Dor Lombar/diagnóstico , Dor Lombar/epidemiologia , Masculino , Medição da Dor , Escalas de Graduação Psiquiátrica , Pesquisa Qualitativa , Estresse Psicológico/diagnóstico , Estresse Psicológico/epidemiologia , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
16.
Stud Hist Philos Biol Biomed Sci ; 43(2): 483-92, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22520197

RESUMO

This paper examines the claims of the Gestalt psychologists that there was a crisis in experimental psychology ca. 1900, which arose because the prevailing sensory atomism excluded meaning from among psychological phenomena. The Gestaltists claim that a primary motivation of their movement was to show, against the speculative psychologists and philosophers and Verstehen historians, that natural scientific psychology can handle meaning. Purportedly, they revealed this motivation in their initial German-language presentations but in English emphasized their scientific accomplishments for an American audience. The paper finds that: there was a recognized crisis in the new experimental psychology ca. 1900 pertaining especially to sensory atomism; that the Gestaltists responded to the crisis with new experimental findings and theoretical concepts (Gestalten) that challenged atomism; in both languages, they raised problems of meaning and discussed the contest with speculative psychology and philosophy only after presenting their scientific case; that they introduced phenomenological observations on meaning and perceptual organization into their psychology but did not develop a theory of meaning or solve philosophical problems; that they argued "philosophically," that is, using abstract, conceptual arguments; and that this aspect of their cognitive style was not received well by some prominent members of their American audience.


Assuntos
Teoria Gestáltica/história , Filosofia/história , Psicologia Experimental/história , América , Terapia Gestalt/história , História do Século XIX , História do Século XX , Humanos , Idioma , Motivação , Ciência/história
17.
Psychother Psychosom Med Psychol ; 62(3-4): 142-8, 2012.
Artigo em Alemão | MEDLINE | ID: mdl-22473431

RESUMO

Schema Therapy (ST) is a comprehensive approach deriving from cognitive behavioral therapy (CBT) for the treatment of chronic personality problems. ST extends CBT in 3 major issues: 1. The Schema-Mode-Model. 2. The therapeutic relationship. 3. The intensive use of experiential techniques. Schemas are persistent, rigid, and dysfunctional patterns preventing the patient from further personal emotive-interpersonal development. The central focus of the therapeutic process is the relationship between the therapist and the patient. Supported by the therapeutic relationship the patient gets in touch with painful childhood experiences. In ST, the core schemas are identified, put into a biographical context, and weakened by using several specific therapeutic techniques including experiential methods and strategies taken from Gestalt therapy that enrich traditional CBT techniques.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Transtornos da Personalidade/terapia , Transtorno da Personalidade Borderline/psicologia , Transtorno da Personalidade Borderline/terapia , Doença Crônica , Emoções/fisiologia , Terapia Gestalt , Humanos , Relações Interpessoais , Modelos Psicológicos , Transtornos da Personalidade/psicologia , Escalas de Graduação Psiquiátrica
18.
J Clin Psychol ; 68(2): 159-67, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23616296

RESUMO

We offer a view of the nature and role of client-therapist collaboration in experiential psychotherapy, focusing on Gestalt and emotion-focused therapy (EFT). We distinguish between the necessary condition of mutual trust (the emotional bond between client and therapist) and effective collaboration (regarding the goals and tasks of therapy). Using a case study of experiential therapy for social anxiety, we illustrate how the development of collaboration can be both complex and pivotal for therapeutic success, and how it can involve client and therapist encountering one another through taking risks by openly and nonjudgementally disclosing difficult experiences in order to enrich and advance the work.


Assuntos
Transtornos de Ansiedade/terapia , Comportamento Cooperativo , Relações Profissional-Paciente , Psicoterapia/métodos , Transtornos de Ansiedade/diagnóstico , Terapia Gestalt , Humanos , Masculino , Apego ao Objeto , Resultado do Tratamento , Confiança , Adulto Jovem
19.
Int J Ment Health Nurs ; 20(4): 296-304, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21429062

RESUMO

Psychiatric nurses interested in extending their interpersonal and psychotherapeutic skills sometimes undertake postgraduate training in gestalt therapy. Little is known about how this new knowledge and psychotherapeutic skill base informs their practice. This paper presents the findings of a qualitative study that aimed to explore the influence of gestalt therapy training on psychiatric nursing practice. Within a framework of narrative inquiry, four psychiatric nurses trained in gestalt therapy were invited to tell their stories of training in a gestalt approach to therapy, and recount their experiences of how it influenced their practice. In keeping with narrative analysis methods, the research findings were presented as a collection of four stories. Eight themes were derived from a thematic analysis conducted within and across the four stories. The discussion of the themes encapsulates the similarities and differences across the storied collection, providing a community and cultural context for understanding the individual stories.


Assuntos
Terapia Gestalt/educação , Narração , Enfermagem Psiquiátrica/métodos , Austrália , Terapia Gestalt/métodos , Humanos , Pesquisa Metodológica em Enfermagem , Enfermagem Psiquiátrica/educação , Pesquisa Qualitativa
20.
J Bodyw Mov Ther ; 14(3): 227-33, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20538219

RESUMO

This study describes two similar approaches to human movement: Qi Gong exercises and the Feldenkrais method. These systems are investigated in terms of Gestalt concepts and humanistic psychology. Moshe Feldenkrais created the concept known as Awareness Through Movement. This concept assumes that by becoming more aware of one's movements, one functions at a higher level. In similar ways to those using the Feldenkrais method, individuals may become more aware of their own movements by performing Qi Gong exercises: A therapeutic modality that facilitates mind-body integration. Qi Gong exercises commonly lead to increased personal awareness accompained by enhanced quality, fluency and smoothness of movement. These two methods of movement therapies are explored in terms of their relations with Gestalt concept and humanistic psychology.


Assuntos
Exercícios Respiratórios , Terapia Gestalt , Psicofisiologia , Conscientização/fisiologia , Imagem Corporal , Terapias Complementares , Terapia por Exercício , Humanos , Exercícios de Alongamento Muscular , Doenças Musculoesqueléticas/reabilitação , Filosofia Médica
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