Interpersonal psychotherapy

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  • 1.MR. JAYESH

2. Interpersonal therapy isthe term used by J.L Morena for a typeof psychotherapy in which there isemphasis on the interpersonalrelationship of the various personinvolved such as husband, wife, & oneor more other parties.4/24/2013 2Jay Patidar (M.Sc. Nursing) 3. 1. Marital Therapy2. Family Therapy3. Transactional Analysis4/24/2013 3Jay Patidar (M.Sc. Nursing) 4. This psychotherapy is directed atimproving a disturbed maritalrelationship. It is centered on efforts to change thepsychodynamics & behavior of thepartners. The sessions are usually conjoint. In a conjoint session two partners meetthe therapist in joint sessions.4/24/2013 4Jay Patidar (M.Sc. Nursing) 5. Marital therapy may be conducted on a problemsolving level in which grievances are aired & clashesworked through or on a more analytic level focusingon dreams, unspoken communication & the sourcesof defensive or aggressive attitude. For example; the husband may say during thesession. She does not have any complaint againstme, but still she is not happy; that makes meuncomfortable. During the session the wife maystart crying & confess, Often I wanted to reply himback but seeing his anger & children around me Ihave been withdrawing into silence. But whats theuse of talking? In other words, insight is shared by the couple whichmay help them in a satisfactory marital relationship.4/24/2013 5Jay Patidar (M.Sc. Nursing) 6. Concept Family therapy is that branch of psychiatrywhich sees an individuals psychiatric symptomsas inseparably related to the family in which helives. Thus the focus of treatment is notindividual, but the family. It is a form of group psychotherapy in which thefamily is a therapeutic unit. Family is the matrix out of which all humaninteractions develop. The objective of family therapy is not merely toimprove relationship but to modify homeinfluences that contribute to the disorder of oneor more family members.4/24/2013 6Jay Patidar (M.Sc. Nursing) 7. Indication Family therapy is indicated wheneverthere are relational problems within afamily or marital unit , which canoccur in almost all types of psychiatricproblems, including psychoses,reactive depression, anxiety disorders,psychosomatic disorders, substanceabuse & various childhood psychiatricproblems.4/24/2013Jay Patidar (M.Sc. Nursing) 7 8. Components of Therapy Assessment of family structure, rolesboundaries, resources, communicationpatterns & problem solving skills. Teaching communication skills Teaching problem solving skills Writing a behavioral marital contract Homework assignments.4/24/2013Jay Patidar (M.Sc. Nursing) 8 9. Patient Selection Families may be referred for treatment byprivate physicians, & agencies such as theschool system, welfare board, parole officers, &judges. Some families are referred for therapy fromemergency room psychiatric services after avisit caused by a crisis in the family, such as adrug overdose. On discharge from a psychiatric hospital, apatient & his family may be referred for familytherapy, as part of follow up services.4/24/2013Jay Patidar (M.Sc. Nursing) 9 10. Family therapy is the treatment of choicewhen there is a marital problem or siblingconflict; family therapy may also be indicatedwhen problems are caused by using one childas the scapegoat. Situational crises such as the sudden death ofa family member, & maturational crises suchas birth of the first child, may cause sufficientstress to warrant family therapy.4/24/2013Jay Patidar (M.Sc. Nursing) 10 11. Types of Family Therapy:1. Individual family therapy2. Conjoint family therapy3. Couples therapy4. Multiple family group therapy5. Multiple impact therapy6. Network therapy4/24/2013Jay Patidar (M.Sc. Nursing) 11 12. 1. Individual Family Therapy: In individual family therapy eachfamily member has a single therapist. The whole family may meetoccasionally with one or two of thetherapist to see how the membersare relating to one another & workout specific issues that have beendefined by individual members.4/24/2013Jay Patidar (M.Sc. Nursing) 12 13. 2. Conjoint Family Therapy The most common type of family therapy isthe single-family group, or conjoint familytherapy. The nuclear family is seen, & the issues &problems raised by the family are the onesaddressed by the therapist. The way in which the family interacts isobserved & becomes the focus of therapy. The therapist helps the family deal moreeffectively with problems as they arise & aredefined.4/24/2013Jay Patidar (M.Sc. Nursing) 13 14. 3. Couples Therapy: Couples are often seen by the therapisttogether. The couple may be experiencing difficulties intheir marriage, & in therapy they are helped towork together to seek a resolution for theirproblems. Family patterns, interaction & communicationstyles, & each partners goals, hopes &expectations are examined in therapy. This examination enables the couple to find acommon ground for resolving conflicts byrecognizing & respecting each otherssimilarities & differences.4/24/2013Jay Patidar (M.Sc. Nursing) 14 15. 4. Multiple Family Group Therapy: In multiple family group therapy, four or fivefamilies meet weekly to confront & deal withproblems or issues they have in common. Ability or inability to function well in thehome & community, fear to talking to orrelating to others, abuse, anger, neglect thedevelopment of social skills, & responsibilityfor oneself are some of the issues on whichthese groups focus. The multiple family group becomes thesupport for all families.4/24/2013Jay Patidar (M.Sc. Nursing) 15 16. 5. Multiple Impact Therapy: In multiple impact therapy, several therapistscome together with the families in acommunity setting. They lives together & deal with pertinent issuesfor each family members within the context ofthe group. Multiple impact therapy is similar to multiplefamily group therapy except that it is moreintense & time limited. Like multiple family group therapy, it focuseson developing skills or working together as afamily & with other families.4/24/2013Jay Patidar (M.Sc. Nursing) 16 17. 6. Network Therapy: Network therapy is conducted in peoples homes. All individuals interested or invested in a problemor crisis that a particular person or parsons in afamily are experiencing take part. This gathering includes family, friends, neighbors,professional groups pr persons, & anyone in thecommunity who has an investment in the outcomeof the current crisis. People who form the network generally know eachother & interact on a regular basis in each otherslives. Thus a network may include as many as 40 to 60people.4/24/2013Jay Patidar (M.Sc. Nursing) 17 18. It is a form of interpersonalpsychotherapy developed by Eric Berne,which focuses on characteristicsinteractions that reveal internal egostates & the Games People Play. Theego states are- Child, Adult & Parent. Our parent is that part of our behaviorwhich we have learnt from others or ourparents.4/24/2013 18Jay Patidar (M.Sc. Nursing) 19. Go to sleep now, is an example of our parenttalking. These statements as an adult, if usedfor another adult like wife or husband, creates aproblem. Being an adult, the wife may startcrying. Or an adult in an individual/wife mayreply to her husband, I will sleep aftersometime. In a transactional analysis the therapist analysesthe interaction among the group members(often married) & helps the participantsunderstand the ego state in which they arecommunicating with each other.4/24/2013 19Jay Patidar (M.Sc. Nursing) 20. Games People Play are not for fun butbecause they are played according to aset of unspoken rules. Allowing theindividual to adopt a sick role & act. Aresponse like Yes but & allowthe individual to reveal how to continue. This provides an opportunity to anindividual to reveal how we oftenunknowingly manipulate & harm otherpeople as well as ourselves.4/24/2013 20Jay Patidar (M.Sc. Nursing) 21. ThankYou4/24/2013 21Jay Patidar (M.Sc. Nursing)