Multiple Psychotherapeutic Practice: Preliminary Report

Mullan, Hugh; Sangiuliano, Iris

doi:10.1176/appi.psychotherapy.1960.14.3.550

Cited by 10 publications

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“…A comprehensive survey of 40 articles published between 1950 and 1970 1 finds many advocates of this procedure and relatively few detractors. Mullan and Sangiuliano (14), to cite an example, list twenty‐eight reported advantages of the use of two therapists in treatment. These center on (a) the more “valid” and objective observation and clarification of transference and countertransference, (b) the greater likelihood of a source of support for each therapist and for each patient, and (c) more rapid growth and knowledge of self for both the therapists and the patients as a by‐product of enhanced feedback.…”

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confidence: 99%

Therapist Experience and “Style” as Factors in Co‐therapy

1972

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Self‐descriptions of general in‐therapy behavior, attitudes toward co‐therapy, and ratings of co‐therapy effectiveness were collected from 25 experienced (E) and 25 inexperienced (IE) therapists who treated a total of 48 married couples in co‐therapy. Major findings were: (a) six different therapeutic “styles” emerged via factor analysis of thetherapists' self‐descriptions of in‐therapy behavior, (b) E and IE therapists as a group had different personal therapeutic styles and preferences as to the style desired in a co‐therapist, (c) subjectively rated effectiveness of co‐therapy correlated with the degree of comfort felt by the therapist in the relationship and the acceptance by the co‐therapist, and (d) there was evidence of a “point of diminishing returns” in satisfaction for therapists in general, which came with increasing experience in doing co‐therapy.

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confidence: 99%

Therapist Experience and “Style” as Factors in Co‐therapy

1972

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“…In co-therapy there is a pre-arranged strategy before each session and the therapists are assigned specified rolesone supportive, the other confronting (2,8,14). Multiple therapy is more processoriented and the atmosphere is one of in timate personal encounter where there is a freer interplay of association and interpreta tion among the participants than there is in most single-handed psychotherapy (6,17,19,26).…”

Section: Introductionmentioning

confidence: 99%

“…During co-psychotherapy the conflicts of early life become reactivated (3,(17)(18)(19), but the transference does not attain the allengulfing intensity which leads in singlehanded psychotherapy to the therapeutic im passe frequently seen with psychotic or borderline patients (9,20,27). Slavson refers to the transference as becoming 'diluted' and thinks that co-psychotherapy is undesirable for non-psychotic patients (24).…”

Section: Introductionmentioning

confidence: 99%

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Explorations in Co-Psychotherapy

Watterson

Collinson

1974

Canadian Psychiatric Association Journal

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Publications regarding the joint psychotherapy of individual patients or couples describe a variety of therapist-pairings, many styles of treatment approach, and an increasing interest, in the last two decades, in a treatment tool which impresses workers as having particular therapeutic effect with both research and training potential. The pairings of therapists show many permutations by profession, previous experience, and relatedness. In this ongoing study the partners are a male psychoanalytically trained psychiatrist and a female social psychology graduate. The style used has been referred to as multiple therapy although the term co-psychotherapy is less ambiguous and more specific. Patients seen in private practice readily accepted the joint participation of the junior partner, no matter whether they were already underway in psychotherapy or were newly referred. Co-psychotherapy appears to be more effective than single-handed psychotherapy, especially in the treatment of psychotic and borderline patients. When one member of a therapeutic pair is a trainee, co-psychotherapy offers an apprenticeship in psychotherapy by direct and intense immersion. Its value as part of psychotherapy training would seem to warrant more extensive deployment.

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“…However they seem to see these as due primarilyto thedifferencesin orientation or personality characteristicsof the two therapists rather than as emanating from a whole range of factors in this quite complex relationship. Mullan and Sangiuliano (1960) in giving a list of 'reported advantages of multiple therapy' noted six papers citing its advantage for training and/or research: Dyrud and Rioch (1953); Hayward et al (1952); Loeffler and Weinstein (1954); Warkentin et al (1951);Dreikurs et al (1952); Haigh and Kell (1950);and Rabin (1967) reports some research in which respondents rated co-therapy as 'much more' useful in training group therapists than 'regular' group therapy. By contrast Sager (1968) suggests that it is the luck of proper training in family therapy that leads to the use of co-therapy, a method which he feels to have disadvantages.…”

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The use of co-working (co-therapy) as a training method

Latham

1982

Journal of Family Therapy

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This paper formed the basis of a Workshop at the A.F.T. Conference 1981, although the bulk of the theoretical material was not presented in the Workshop. The primary aim of the Workshop itself was to enable participants to think about how they themselves would use the co‐working method as a way of training and to test these thoughts out to some extent in role‐play. The experimental part of the Workshop fell into two sections. In the first the aim was for participants to consider in pairs what they might wish to teach by this method and how; and in the second it was intended that they test out in pairs an attempt to teach a specific aspect of family therapy. In practice members found in the first part some of the difficulties that this method presents, as shown in my research, and thus for the second part they felt it essential to focus on the issue of developing a contract between the two potential co‐workers in order to clarify and confirm the nature of the training relationship. This was no doubt as it should be, since there is evidence that to press ahead with trying to teach a method in this close working relationship when there are substantial problems in, or uncertainty about the relationship can be disruptive. Hence the workshop as a whole was much concerned with the nature of the training experience rather than the actual transmission of family therapy skills.

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Multiple Psychotherapeutic Practice: Preliminary Report

Cited by 10 publications

References 0 publications

Therapist Experience and “Style” as Factors in Co‐therapy

Therapist Experience and “Style” as Factors in Co‐therapy

Explorations in Co-Psychotherapy

The use of co-working (co-therapy) as a training method

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