No abstract

The authors present an overview of qualitative psychotherapy research in German-speaking countries. Special attention is paid to specific characteristics of methods, topics, and results, about which little is known in English-speaking countries. The authors describe historical and sociological developments in psychiatry, psychosomatic medicine, clinical psychology, and the social sciences relevant to the advancement of qualitative psychotherapy research. They then focus on the development of methods of analyzing and generalizing data obtained from qualitative observations. Finally, they outline the most important topics and results of these methods: first interviews with patients/diagnostics, psychosomatic syndromes, patient's experience of the therapy process, interaction between patient and therapist, therapist's experience of the therapy process, and follow-up research.

It was our objective to compare the influence of patients' variables and circumstances of admission on the use of observation levels in acute psychiatric admissions in a British mental health unit. We performed a prospective case note survey of all acute psychiatric admissions during 28 consecutive days in June and July 1991 within a large teaching hospital and a traditional psychiatric hospital in Nottingham, England. We compared, the demographic characteristics of 88 consecutive admissions, admission procedures, clinical data, initial observation levels and changes in observation levels. As for the results, most patients were admitted outside of regular working hours (weekends or after 5 p.m.). Most patients were placed on intermediate (close) observation. The most important factor associated with the choice of observation level was the legal status of the patient (chi2 = 14.79, df = 2, p< 0.001, Fisher's exact test p < 0.0001). There were significantly fewer incidents (chi2 = 7.72, df= 2, p < 0.05, Fisher's exact test p < 0.01) on the highest (special) category of observation. The observation policy of the unit was not followed consistently. The number of factors contributing to the choice of observation levels reflects the complexity of the task facing the staff. Special observation is an effective method of managing acutely disturbed patients. The time of admission of most patients implies that more trained staff should be provided outside of regular hours. Clinical staff should be regularly trained in the use of observation procedures. It should be a regular topic in clinical audit.

This exploratory study focused upon persisters and nonpersisters in a graduate level, nontraditional, liberal education program. Five demographic factors proved to be significant: age, type of Bachelor's degree held, years between completion of the Bachelor's Degree and enrollment in the Master's degree program, distance from Masters degree program site, and the social science score on the Undergraduate Assessment Program Test. Three areas of personal variables also were examined: purposes, personality traits and abilities, and instructional preferences. Significantly different responses were obtained from the two groups on one purpose statement, but none from the personality traits and abilities or instructional preference. Significant findings and trends are discussed. Canonical discriminant analysis is used to determine the most parsimonious combination of variables in explaining the variance between persisters and nonpersisters.

Psychodynamic inpatient psychotherapy, as practiced under naturalistic conditions, is an effective treatment of depression. Predictors of therapeutic effects within different therapeutic settings, however, remain unclear. The sustainability of the therapeutic effects found and their impact on psychodynamic relevant constructs have still to be proven.

No abstract

No abstract

No abstract