[Group climate and therapist-patient relationship in two group therapy strategies for schizophrenic patients--a contribution to clarification of differential therapy effects].
A 5-year follow-up of 37 schizophrenic patients revealed that cognitive group therapy (CT) focused on optimum problem-coping skills led to a significant reduction in rehospitalisation, acute psychotic relapses and apathetic symptoms as compared with action-oriented group therapy (AT) directed towards improved social skills. This paper considers whether the group atmosphere and the therapist-patient relationship display important differences that might explain the divergent therapeutic outcomes of the two forms of group therapy. During half the group sessions, the AT patients felt better understood by their therapists than the CT patients. The AT patients were more emotionally involved during one third of the sessions than the CT patients. Towards completion of the therapy, they believed more strongly than the CT patients that they now had a better chance of solving their problems themselves and that they had learned more from their fellow-patients. In their relationships with the patients, the male At therapists felt more anxious, insecure and detached and inwardly less free than the male CT therapists. In contrast, the female AT therapists felt inwardly more free, empathetic and committed, and more confirmed in their relationship with the patients respect to their therapeutic method; the female CT therapists felt more uncertain and detached.(ABSTRACT TRUNCATED AT 250 WORDS)
Lewandowski
L
L
Klinik für Psychiatrie, Universität Münster.
Buchkremer
G
G
Stark
M
M
D000293:Adolescent; D000328:Adult; D014150:Antipsychotic Agents / Q000008:administration & dosage; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006126:Group Processes; D006801:Humans; D008297:Male; D008875:Middle Aged; D011369:Professional-Patient Relations; D011615:Psychotherapy, Group; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D016896:Treatment Outcome
D014150:Antipsychotic Agents
Das Gruppenklima und die Therapeut-Patient-Beziehung bei zwei Gruppentherapiestrategien für schizophrene Patienten--Ein Beitrag zur Klärung differentieller Therapieeffekte.