Cases reported "Alcoholism"

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1/16. Integrating group psychotherapy and 12-step work: a collaborative approach.

    Group therapists can expect to treat an increasing number of patients who are active in a 12-step program or other addiction-related self-help groups. The value of simultaneous participation in these two modalities has been recognized; 12-step work supports abstinence necessary for the focus on emotional growth in psychotherapy. However, mere simultaneous participation in the two modalities fails to incorporate the benefits of a collaborative relationship where both modalities are used to support both abstinence and emotional growth. The conjoint approach to group and individual treatment is used to (a) argue for the possibility of a collaborative relationship between psychotherapy and a patient's 12-step work, (b) understand the benefits and challenges to collaboration, and (c) provide guidelines for how to work collaboratively with a 12-step program. Illustrations are provided of typical issues raised by this type of collaborative relationship.
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keywords = psychotherapy
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2/16. Leader dilemmas and countertransference considerations in group psychotherapy with substance abusers.

    Leader issues and countertransference dilemmas that emerge in psychotherapy groups for substance abusers will be examined along with strategies to extricate the therapist from the impasses that emerge. Specific issues include feelings of helplessness and inadequacy when a patient relapses and resumes substance use, countertransference reactions emanating from an overlapping personal or family history of substance abuse, countertransference helplessness when the therapist is more invested in the treatment than the patient, feelings of incompetence related to partial familiarity with 12-step culture and lingo, and countertransference devaluation fostered by systemic issues in substance abuse settings.
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ranking = 0.83333333333333
keywords = psychotherapy
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3/16. Treating chronic-pain patients in psychotherapy.

    This article provides an overview of the breadth of issues a therapist may face in treating a person with chronic pain. Questions such as the relative contributions of biological and psychosocial influences on the patient's reported condition must be addressed. In addition, the counselor often must help the patient deal with psychopathology that occurs in reaction to the pain, which is likely to be contributing to it. Other financial, medical, and legal circumstances also may impinge on the therapeutic framework to limit or influence the course of treatment. Two examples of treatment lessons are offered, and a case example illustrates the lengthy and multidimensional course some treatments can take.
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keywords = psychotherapy
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4/16. To surrender drugs: a grief process in its own right.

    The basic thesis of this article is that addictive substances, because of their need-grafifying and self-medication value, become so central to the life of the addicted person that their absence is associated with a grief reaction. Painful feelings of loss and helplessness accompany drug surrender. This view contrasts with formulations that indicate that mourning experiences observed in recovering persons are specific to and determined by unresolved past losses of loved ones. The author discusses the theoretical underpinnings of the drug-loss grief reaction. Also presented are case vignettes that demonstrate the grief aspects of drug surrender. Finally, the role of brief psychotherapy as a vehicle for helping clients cope with their grief reactions is discussed.
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ranking = 0.16666666666667
keywords = psychotherapy
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5/16. Successful treatment of a chronic and disabling dermatosis by psychotherapy. A case report and discussion.

    It behooves us all to help contain rising medical costs. Accurate diagnosis and institution of appropriate treatment contribute to cost containment. A patient is described who entered psychotherapy after 14 years of competent dermatologic care for incapacitating and painful skin lesions with arthralgias. Drug and alcohol abuse, deteriorating peer and family relationships, and poor job performance had supervened. The successful outcome of her treatment is discussed.
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ranking = 0.83333333333333
keywords = psychotherapy
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6/16. Counterfeit calculi.

    We describe two patients whose initial clinical presentation was that of nephrolithiasis. Eventually, an incontrovertible diagnosis of factitious illness was established. We describe this syndrome, review the underlying psychodynamics, and suggest an approach to treatment, with a plea to physicians to recognize the compulsive behavior as a sign of a disordered psyche and the need for some form of psychotherapy.
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ranking = 0.16666666666667
keywords = psychotherapy
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7/16. metaphor as a diagnostic tool.

    A case study is reported wherein the patient's frequent use of metaphors was used as presumptive evidence that the patient had been misdiagnosed ten years earlier as having central nervous system disease. The ability to produce metaphors depends upon the capacity to condense several meanings into a word or two, and this in turn implies a rather active associative process. Concretism, not associative richness, characterizes central nervous system disease. The presumption as regards diagnosis was supported by subsequent data including the patient's response to psychotherapy.
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ranking = 0.16666666666667
keywords = psychotherapy
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8/16. Alcohol abuse and the borderline patient.

    Effective treatment of the alcohol-abusing borderline patient involves knowledge of two pathological processes. alcoholism treatment methods and theory can have a profound effect upon the approach used with such patients, helping the therapist deal with the patient in a way that is respectful of his strengths and weaknesses. This paper describes how a knowledge of alcoholism treatment can be used in psychoanalytic psychotherapy, which is defined as the application of analytically-derived insights into motivations and resistances. Treatment of the alcoholism and the psychiatric disorder are best begun together at the outset of therapy, each method assisting the other.
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ranking = 0.16666666666667
keywords = psychotherapy
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9/16. Clopentixol decanoate in the treatment of chronic alcoholism.

    The treatment of alcoholism still presents great problems because a number of factors have to be taken into consideration. Tranquilizers and chlormethiazol are only justified in the detoxication phase. For the subsequent after-care, depot neuroleptics are recommended because of the uniformly high plasma level. We gave clopentixol decanoate - 100 mg i.m. - in two-weekly intervals. The symptoms caused by ethylism were adequately overcome without side effects. Clopentixol decanoate creates the basis for successful psychotherapy: only when the mood situation is compensated and the internal unrest overcome can verbal therapy be successful.
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ranking = 0.16666666666667
keywords = psychotherapy
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10/16. Enhancing addiction treatment through psychoeducational groups.

    Clients with an addiction disorder generally present with an ego deficit in the area of self-care. This deficiency manifests itself in an inability to suffer and struggle with day-to-day problem solving. Outpatient addiction treatment today places significant resources in psychotherapy and psychodynamic group therapy often at the expense of teaching basic life skills our clients need to negotiate day-to-day living. To address both issues of ego and life skills deficits, the use of a psychoeducational group is presented. This specialized, task-oriented didactic group experience is a necessary component of a comprehensive addiction treatment program. A psychoeducational group in the treatment of addictions can serve as a synthesis for problem-solving skills training used in mental health and the psychodynamic theory of addictive behavior. Cases are presented to illustrate the efficacy of psychoeducational groups.
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ranking = 0.16666666666667
keywords = psychotherapy
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