[Qualitative evaluation of systemic aspects of inpatient therapy in child and adolescent psychiatry].
In this essay, the author introduces the use of a method of qualitative evaluation of the "family board" (Ludewig et al.) in the presentation of systemic aspects of in-patient therapy in child and juvenile psychiatry. Comparison of the ideal and the real images held by the patient at different times during therapy can bring to light changes in the network of his/her relationships. This approach makes possible a well-suited examination of systemic processes in therapy since, in contrast to other approaches, it does not begin with a possibly distorted or speculative ideal family norm but allows the patient to establish his/her own view of the initial situation of the family as a norm. Drawing on two case studies from the material gathered in empirical investigation of 144 juveniles, this essay discusses the systemic aspects of the situation at the time of in-patient admission, the effects of therapy, the processes of change, and the patients degree of satisfaction with the situation at the time of release from in-patient therapy.
Kowerk
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H
Abt. f. Kinder- und Jugendpsychiatrie, Psychiatrischen Universitätsklinik, Hamburg.
D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology / Q000628:therapy*; D005190:Family; D005196:Family Therapy / Q000379:methods*; D006760:Hospitalization; D006801:Humans; D010555:Personality Inventory; D011368:Professional-Family Relations