By Hilde Bruch (auth.), John S. Strauss, Malcolm Bowers, T. Wayne Downey, Stephen Fleck, Stanley Jackson, Ira Levine (eds.)
This quantity is devoted to Theodore Lidz and Ruth W. Lidz, as was once the convention at the Psychotherapy of Schizophrenia hung on April nine and 10, 1979, at which the fabrics the following released have been provided. This 1979 sym posium replicated in a few respects the single held at Yale collage thirty years prior, at a time whilst psychotherapy with schizophrenic sufferers was once considered with a lot optimism and exuberance. Ruth and Ted Lidz contributed to this prior symposium additionally, emphasizing of their paper the serious mother-patient bond as a healing factor. for the reason that then, massive strides were made within the remedy of schizophrenic sufferers. The creation of psychopharmacologic brokers, the advance of kinfolk treatment, and extra refined tools in com munity-based deal with such sufferers, all have had vital affects. Psychotherapy with schizophrenics as such has remained a slightly restricted perform, in part since it is hard and significant of therapists' time and private funding, and partially simply because documenting its effectiveness on a statistically or epidemiologically legitimate airplane has eluded us.
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Extra info for The Psychotherapy of Schizophrenia
Sample text
What was the other person feeling? Processing Questions What was your short-term goal? What was your long-term goal? 42 CHAPTER 3 The initiating statement of the role-play is then replayed on the video equipment, and the following questions are asked of the patient who had done the role playing: Receiving Questions What topic area did you choose? Can you think of another topic area? Sending Questions Did you use an open-ended question? Can you think of an openended question you could have used?
Generalization, or transfer of therapeutic gains, is promoted by a number of procedures: 1. Giving "homework assignments" to carry out in the real world what was practiced in the training session. 2. Gradually fading the frequency of the sessions with "booster sessions" scheduled as needed. 3. Using multiple therapists and other patients in the role playing, so that the learning will not become stimulus bound to a single therapist. 32 CHAPTER 3 4. Teaching the patient to use self-instructions and self-reinforcement outside of the training situation.
Thus, many of the principles known to facilitate social learning-instructions, goal setting, modeling, prompting, positive reinforcement, shaping change through successive approximations-are packaged in the training approach. Table I lists the steps in social skills training, and Figures 2 and 3 illustrate trainers working with patients in a role-played situation. It is important to emphasize the directiveness, specificity, and active nature of the therapy process, as these characteristics sharply demarcate this type of behavior therapy from more conventional psychotherapies which rely on indirect discussion of problems and feelings.
