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Factors influencing continuance in psychoanalytic psychotherapy.

Factors influencing continuance in psychoanalytic psychotherapy.

The Glen Nevis Clinic in Melbourne provides subsidised psychoanalytic psychotherapy to patients of limited financial means. In order to provide such a service the Clinic receives financial assistance from a philanthropic trust as well as support from the Victorian Association of Psychoanalytic Psychotherapists. In addition to its clinical services, Glen Nevis in association with Monash University conducts a broad-ranging research program into the process and outcomes of the therapy provided at the Clinic, and the therapist and patient experience of the treatment. The study reported here investigated links between patient personality factors and patient symptoms, and whether these were associated with patients continuing their therapy to the Clinic’s two-year time limit or discontinuing at an earlier stage. The investigation did not demonstrate any clear association between these factors and continuance patterns amongst patients. 

However, a number of interesting results outside the original hypothesis came to light during the statistical analysis. Clinic patients’ personality factor scores were significantly different from both a standardised population score and the scores commonly encountered within clinical populations. This suggests that the Clinic is providing services to a population experiencing considerable psychological difficulties evidenced in a broad based measure of personality when compared to both standardised and clinical populations. Despite this fact continuance rates for patients of the Clinic were considerably above those commonly reported in the literature. Arising from this finding a number of recommendations are made for improving continuance rates for clients of psychotherapy services.

Speakers: Michael Green
Areas of Interest / Categories: WCP 2011

WCP 2011

The individual and the couple in the context of the perinatal experience. A dream or a nightmare?

"There is no such thing as marriage - merely two scapegoats sent out by their families to perpetuate themselves". Whittaker & Keith 1981. This presentation will explore the experience of Anxiety and Depression for both men and women, in the perinatal period. The perinatal period offers a unique opportunity to provide comprehensive care for parents diagnosed with perinatal Anxiety and/or Depression. There is significant evidence that the partner's risk for developing a related Anxiety or Depression, is increased from 4.8% to 36% at 6 weeks postnatally. 

The universality of infant-parent psychotherapy - a South African model

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Complex trauma: voices of healing

Within the context of the recent natural disasters occurring around the world, attention has been focussed on trauma's psychological consequences. The trauma spotlighted here is on that of childhood maltreatment and the effects on subsequent adult life. Described in this paper are experiences of recovery from patient perspectives, and an examination of how these are different from, and interact with, representations of therapy derived from published expert theoristpractitioner experience. It is based on a phenomenological study of reports from seven women with histories of chronic childhood maltreatment. These women have since been through significant recovery from dissociative symptoms, and it is this part of their journey that was the focus of this research. From the data, two models are proposed.

The Light In Darkness - Art-therapy, a powerful tool in Palliative Care!

Over the years, we as health care providers have proven that a good perinatal preparation, a good birthing process and a good postnatal care ensures the physical and mental well being of the newborn and his mother. A similar opportunity for quality outcome should be afforded at life`s final phase - preparation and a good 'gateway' for the dying person, as well as a good follow - up period of those left behind. A good death needs guidance to settle outstanding issues, to articulate values, beliefs and doubts and to live the remaining period of life in the fullest and most meaningful way. Early contact is pivotal to learn about our client and his life history. This time is needed to build our client`s trust, to endorse our commitment, and to collect the tools needed to guide him through the gateway and when taking his last breath. It is equally important to meet the immediate needs of his family and to develop the crucial trusting partnership that will ensure a good dying process for their loved one in setting of his choice, and a better acceptance of their loss. It is realistic to assume that people in the future will invest in their final time. 

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Lateral violence occurs when the violence associated with oppression is internalised by those who are oppressed, and redirected between the members of the oppressed group. Among Aboriginal and Torres

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For 1000 years during the beginning of Western medicine (500 B.C. - 500 A.D.,) of the hundreds of medical treatments offered at the time, only dream-based medicine was ubiquitously practiced throughout

Effects of childhood sexual abuse on marital functioning: implications for couples therapy

The goal of this workshop is to sensitize marital and family therapists to the unique issues involved in treating couples with history of childhood sexual trauma in one or both partners, and to prepare them to successfully meet the challenges inherent in working with this population. Individual therapists working with adults abused as children can also benefit from the workshop. First, is reviewed existing literature and research on gender-specific impact of childhood sexual trauma on adult functioning in the area of sexuality and intimate relationships. Second, a familiarization with existing models of treating couples with history of childhood sexual trauma such as psychoeducation, sex therapy, Susan Johnson's Emotionally Focused Therapy, and integrative model of Basham and Miehls. Third, a focus on practical implications: challenges for the therapists and common pitfalls and risk factors in working with such couples, including issues of vicarious traumatization, countertransference, complex dynamics of projective identification, and role of cultural factors.