Search results for "family therapy"
showing 10 items of 47 documents
Long-Term Outcome of Family Therapy in Schizophrenia
2007
Introduction: Cognitive-behavioral family interventions in schizophrenia have proven to be effective in reducing relapse and readmission rates, and also appear to offer other benefits to patients and their families, at least in the short-term. Of particular interest to mental health services is ascertaining how long family interventions should last to maintain their benefits over the course of time. Objective: To determine whether or not the benefits of a family intervention in schizophrenia, conducted in the clinical practice framework, are sustainable over a five-year period. Method: A follow-up over a five-year period with a representative sample of patients and their families who, five …
The comprehensive Open-Dialogue approach in Western Lapland: I. The incidence of non-affective psychosis and prodromal states
2011
Mental health services in a health district in Finland with a population of 72,000 were developed into a comprehensive family- and network-centered entity by giving all the psychiatric personnel training in family therapy or psychodynamic individual therapy, and by arranging a system in which all psychiatric crises were treated in a family- and network-centered manner by multidisciplinary crisis teams, mostly in the patient’s home. The system is a modification of the Need-Adapted Approach called the Open-Dialogue Approach (ODA). The changes in the incidence of first-contact non-affective psychoses and prodromal states were studied in two cities of the District, considering the five-year per…
The family in Italy: Cultural changes and implications for treatment
2012
In Italy family is characterized by strong ties and is based on mutual aid of all its members. In the last 20 years, the structure of families has been significantly influenced by demographic, economic and professional changes, determining a transition from a patriarchal to a nuclear family model, with a higher number of single-parent families, single-person households, childless couples, same-sex couples. However, this transition has been slower than that occurring in other countries, probably as an ongoing impact of prevalent Catholic ideology. Major demographic changes in Italian families include, 1) a decrease in the number of marriages, delays in getting married and an high number of c…
‘Can I tell?’ : Children’s participation and positioning in a secretive atmosphere in family therapy
2020
As a multifaceted phenomenon, family secrets affect interaction in the therapeutic system. This qualitative study, applying the multi‐actor Dialogical Methods for Investigations of Happening of Change, explored how children participated and positioned themselves in family therapy in a climate of family secrets. The results showed that the children were active co‐participants in the complex dynamics of a secretive atmosphere, involving themselves in the paradoxical processes of reconstructing and deconstructing the secretive and unsafe climate. In family therapy, a child’s symptomatic behaviour can function as a visible ‘cover story’ for invisible constructions of secrets, preventing sensiti…
Barn og unge i familieterapi : en litteraturstudie om hvordan barn og unge opplever å være deltager i familieterapi
2014
Masteroppgave i psykisk helsearbeid ME504 Universitetet i Agder 2014 The aim of this paper is to bring forth knowledge about children and young people's statements about how it is to be a participant in family therapy. To work out and produce this knowledge a literature review has been used as method. An extensive search was conducted in different databases. It turned out to be little research in this field of research. The articles this study is based on are all English, and concerns children and young people's statements about their experience of being participants in family therapy. There are a total of 7 articles included in this study, with participants from 5 to 22 years. The findings…
Open dialogues with good and poor outcomes for psychotic crises: examples from families with violence.
2002
In Open Dialogue the first treatment meeting occurs within 24 hr afer contact and includes the social network of the patient. The aim is to generate dialogue to construct words for the experiences embodied in the patient’s psychotic symptoms. All issues are analyzed and planned with everyone present. A dialogical sequence analysis was conducted comparing good and poor outcomes offirst-episode psychotic patients. In good outcomes, the clients had both interactional and semantic dominance, and the dialogue tookplace in a symbolic language and in a dialogical form. Already at the first meeting, in the good outcome cases, the team responded to the client’s words in a dialogical way, but in the …
The family-oriented Open Dialogue approach in the treatment of first-episode psychosis : nineteen–year outcomes
2018
Open Dialogue (OD) is a family-oriented early intervention approach which has demonstrated good outcomes in the treatment of first-episode psychosis (FEP). Nevertheless, more evidence is needed. In this register-based cohort study the long-term outcomes of OD were evaluated through a comparison with a control group over a period of approximately 19 years. We examined the mortality, the need for psychiatric treatment, and the granting of disability allowances. Data were obtained from Finnish national registers regarding all OD patients whose treatment for FEP commenced within the time of the original interventions (total N = 108). The control group consisted of all Finnish FEP patients who h…
The long-term outcome of 2 family intervention strategies in schizophrenia.
2006
The different family-based interventions that have proven to be effective in treating people with schizophrenia present some therapeutic elements in common and differ in certain other respects, although to date, none of the proposed approaches have demonstrated to be clearly superior to each other in reduced relapse and readmission rates. Although the approaches based on relatives group therapies save considerable amounts of time, some data reveal better short-term results when the intervention focuses on the family unit and the participant patient. Objective: The aim of this study was to determine whether the clinical and social benefits observed in the short term would be maintained 5 yea…
Mapping the concept, content, and outcome of family-based outdoor therapy for children and adolescents with mental health problems: a scoping review.
2022
Outdoor therapy and family-based therapy are suggested to be promising interventions for the treatment of mental health problems. The aim of the present scoping review was to systematically map the concept, content, and outcome of combining family- and outdoor-based therapy for children and adolescents with mental health problems. The Joanna Briggs Institute methodology and PRISMA guidelines were applied. Eligible qualitative and quantitative studies were screened, included, and extracted for data. Seven studies were included. Findings from these studies indicated that family-based outdoor therapy programs have a positive impact on family- and peer relationships, adolescent behavior, mental…
The effectiveness of local child weight management programmes: an audit study
2012
Background Many different child weight management programmes exist, with varying degrees of evaluation to provide evidence of their success. The purpose of this research was to use a standardized approach to audit the effectiveness of weight management intervention programmes in the West Midlands region of the UK, specifically to assess the benefits to participating children in terms of health improvement and behaviour change. Methods An audit of seven family-based intervention programmes currently in place in the West Midlands. Programmes were audited against the Standard Evaluation Framework. Results The programmes provided a partial data set relating to a change in weight from the baseli…