Download - Interpersonal psychotherapy

MR. JAYESH PATIDAR

www.drjayeshpatidar.blogspot.com

Interpersonal therapy is the term used by J.L Morena for a type of psychotherapy in which there is emphasis on the interpersonal relationship of the various person involved such as husband, wife, & one or more other parties.

4/24/2013 2Jay Patidar (M.Sc. Nursing)

1. Marital Therapy

2. Family Therapy

3. Transactional Analysis


This psychotherapy is directed at improving a disturbed marital relationship.

It is centered on efforts to change the psychodynamics & behavior of the partners.

The sessions are usually conjoint. In a conjoint session two partners meet the therapist in joint sessions.


Marital therapy may be conducted on a problem solving level in which grievances are aired & clashes worked through or on a more analytic level focusing on dreams, unspoken communication & the sources of defensive or aggressive attitude.

For example; the husband may say during the session. “She does not have any complaint against me, but still she is not happy; that makes me uncomfortable.” During the session the wife may start crying & confess, “Often I wanted to reply him back but seeing his anger & children around me I have been withdrawing into silence. But what‟s the use of talking?”

In other words, insight is shared by the couple which may help them in a satisfactory marital relationship.


Concept… Family therapy is that branch of psychiatry

which sees an individual‟s psychiatric symptoms as inseparably related to the family in which he lives. Thus the focus of treatment is not individual, but the family.

It is a form of group psychotherapy in which the family is a therapeutic unit.

Family is the matrix out of which all human interactions develop.

The objective of family therapy is not merely to improve relationship but to modify home influences that contribute to the disorder of one or more family members.


Indication…

Family therapy is indicated whenever there are relational problems within a family or marital unit , which can occur in almost all types of psychiatric problems, including psychoses, reactive depression, anxiety disorders, psychosomatic disorders, substance abuse & various childhood psychiatric problems.

4/24/2013Jay Patidar (M.Sc. Nursing) 7

Components of Therapy…

Assessment of family structure, roles boundaries, resources, communication patterns & problem solving skills.

Teaching communication skills

Teaching problem solving skills

Writing a behavioral marital contract

Homework assignments.


Patient Selection…

Families may be referred for treatment by private physicians, & agencies such as the school system, welfare board, parole officers, & judges.

Some families are referred for therapy from emergency room psychiatric services after a visit caused by a crisis in the family, such as a drug overdose.

On discharge from a psychiatric hospital, a patient & his family may be referred for family therapy, as part of follow up services.


Family therapy is the treatment of choice when there is a marital problem or sibling conflict; family therapy may also be indicated when problems are caused by using one child as the scapegoat.

Situational crises such as the sudden death of a family member, & maturational crises such as birth of the first child, may cause sufficient stress to warrant family therapy.


Types of Family Therapy:

1. Individual family therapy

2. Conjoint family therapy

3. Couples therapy

4. Multiple family group therapy

5. Multiple impact therapy

6. Network therapy


1. Individual Family Therapy:

In individual family therapy each family member has a single therapist.

The whole family may meet occasionally with one or two of the therapist to see how the members are relating to one another & work out specific issues that have been defined by individual members.


2. Conjoint Family Therapy

The most common type of family therapy is the single-family group, or conjoint family therapy.

The nuclear family is seen, & the issues & problems raised by the family are the ones addressed by the therapist.

The way in which the family interacts is observed & becomes the focus of therapy.

The therapist helps the family deal more effectively with problems as they arise & are defined.


3. Couples Therapy: Couples are often seen by the therapist

together. The couple may be experiencing difficulties in

their marriage, & in therapy they are helped to work together to seek a resolution for their problems.

Family patterns, interaction & communication styles, & each partner‟s goals, hopes & expectations are examined in therapy.

This examination enables the couple to find a common ground for resolving conflicts by recognizing & respecting each other‟s similarities & differences.


4. Multiple Family Group Therapy: In multiple family group therapy, four or five

families meet weekly to confront & deal with problems or issues they have in common.

Ability or inability to function well in the home & community, fear to talking to or relating to others, abuse, anger, neglect the development of social skills, & responsibility for oneself are some of the issues on which these groups focus.

The multiple family group becomes the support for all families.


5. Multiple Impact Therapy: In multiple impact therapy, several therapists

come together with the families in a community setting.

They lives together & deal with pertinent issues for each family members within the context of the group.

Multiple impact therapy is similar to multiple family group therapy except that it is more intense & time limited.

Like multiple family group therapy, it focuses on developing skills or working together as a family & with other families.


6. Network Therapy:

Network therapy is conducted in people‟s homes.

All individuals interested or invested in a problem or crisis that a particular person or parsons in a family are experiencing take part.

This gathering includes family, friends, neighbors, professional groups pr persons, & anyone in the community who has an investment in the outcome of the current crisis.

People who form the network generally know each other & interact on a regular basis in each other‟s lives.

Thus a network may include as many as 40 to 60 people.


It is a form of interpersonal psychotherapy developed by Eric Berne, which focuses on characteristics interactions that reveal internal „ego states‟ & the „Games People Play‟. The ego states are- Child, Adult & Parent.

Our parent is that part of our behavior which we have learnt from others or our parents.


“Go to sleep now”, is an example of our parent talking. These statements as an adult, if used for another adult like wife or husband, creates a problem. Being an adult, the wife may start crying. Or an adult in an individual/wife may reply to her husband, “I will sleep after sometime.”

In a transactional analysis the therapist analyses the interaction among the group members (often married) & helps the participants understand the ego state in which they are communicating with each other.


„Games People Play‟ are not „for fun‟ but because they are played according to a set of unspoken rules. Allowing the individual to adopt a sick role & act. A response like “Yes but …………” & allow the individual to reveal how to continue.

This provides an opportunity to an individual to reveal how we often unknowingly manipulate & harm other people as well as ourselves.


ThankYou
