{"title":"Working with Oncology Patients","authors":"J. Beder","doi":"10.1300/J288V01N03_05","DOIUrl":"https://doi.org/10.1300/J288V01N03_05","url":null,"abstract":"Abstract Clinical work with oncology patients is challenging, exhilarating and, at times, painful. As one might expect, there are a number of difficult issues that surface for the clinician. This article will explore some of the complexities of the case of a 53-year-old man and will examine the struggles for the clinician to maintain boundaries and to assess and treat the questions of denial and hope. Another area of inquiry is that of the relationship which developed between the clinician and the patient's wife. Suggestions for clinical intervention are offered.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115595001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Remarks and Reflections on Managed Care","authors":"H. Rothstein, Osna L. Halle, D. Bernstein","doi":"10.1300/J288v01n03_07","DOIUrl":"https://doi.org/10.1300/J288v01n03_07","url":null,"abstract":"Abstract The New Jersey Psychological Association surveyed New Jersey psychologists in late 1996 about the impact of managed care on the practice of psychology. Four statements: (SI) My morale and professional identity have changed; (S2) I have changed my approach to therapy; (S3) I have felt pressure to change the quality of care I deliver; and (S4) I have felt pressure to compromise my ethical principles were presented for open-ended responses. Ninety-three to ninety-six percent of psychologists who responded Yes to managed care having affected their practices provided codable comments. Analysis of the codable Yes comments yielded responses emphasizing: loss of control over decision making (SI); excessive emphasis on brief treatment (S2); superficial approach to therapy (S3); and intrusions into confidentiality (S4). The implications for the practice of psychology highlight three key areas where action is needed: professional ethics, funding and coverage, and accountability.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115319505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recognizing Sequelae of Carbon Monoxide Poisoning","authors":"L. Hartlage, R. Gage","doi":"10.1300/J288v01n03_06","DOIUrl":"https://doi.org/10.1300/J288v01n03_06","url":null,"abstract":"Abstract Carbon monoxide poisoning represents a frequent environmental hazard with protean presentations and potentially severe neuropsychological sequelae. In many cases, carbon monoxide is not identified as the cause of behavioral problems, and psychotherapy is initiated without recognition by either patient or therapist of the etiology of the underlying problem. Although the literature contains occasional case reports of neuropsychological findings with individuals following CO exposure, no referent data base of common findings on standardized measures is available. This paper describes neurocogni-tive and neurobehavioral findings for 15 individuals following CO exposure.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126299909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Use of Nonerotic Touch with Children","authors":"Anthony T. Aquino, S. S. Lee","doi":"10.1300/J288v01n03_02","DOIUrl":"https://doi.org/10.1300/J288v01n03_02","url":null,"abstract":"Abstract This article examines the use of touch in psychotherapy with adults, and then moves to analyzing the use of touch with children by helping professionals. Current and past research suggests that deficiencies in physical contact can have detrimental effects on the development of a child. However, many therapists/agencies continue to practice a “no touch” policy when working with children. This is, in part, due to the fear of possible misunderstandings of touch. Children's understanding of the meaning of different kinds of touch is explored. Developmental, ethical, and clinical concerns are addressed. The article concludes with seven guidelines, which are presented to help ensure touch is used in an ethical, nurturing manner with children in the helping professions.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134066997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to Group Therapy in Independent Practice","authors":"S. Fehr","doi":"10.1300/J288V01N02_01","DOIUrl":"https://doi.org/10.1300/J288V01N02_01","url":null,"abstract":"It is with pleasure and excitement that I have been asked to be the editor for this special edition of the Journal of Psychotherapy in Independent Practice. As you are aware, group therapy is a continuing and rapidly growing viable force in the art and practice of psychotherapy. The practice of group therapy in comparison to individual psychotherapy in independent private practices continues to be limited to a small percentage of licensed practitioners although it is a part of almost every in-hospital therapeutic program. Very often it is to be heard that group is a second rate modality in comparison to individual psychotherapy but usually this statement comes from someone who either does not run group or is ignorant to the profound influence group therapy has on personality change. Group is not secondary to any modality and of all the psychotherapeutic interventions utilized by psychotherapists, group therapy most closely resembles real world interactions. Interestingly, the majority of my referrals from other colleagues are for their clients to enter into one of my groups because these practitioners do not implement, for whatever reason(s), group in their own private practices. This creates an opportunity for the private practitioner with group therapy skills another avenue for treating clients’ interpersonal difficulties and the possibility of substantial professional economic gains. In relation to the practice of this modality, group therapy is one of the most naturalistic and therapeutic laboratories for interpersonal learning and relationships. It truly represents a microcosm of the fami-","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115905179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Group Therapy in Promoting Identity Development in ADHD Adolescents","authors":"D. Cantor","doi":"10.1300/J288v01n02_07","DOIUrl":"https://doi.org/10.1300/J288v01n02_07","url":null,"abstract":"Summary This paper examines the role that group psychotherapy plays inpromoting the development of identity in adolescents who are diagnosed withAttention Deficit Disorder with Hyperactivity (ADHD). Negotiating identity issues is the central task of adolescence (Erikson, 1950). It is also one of the most difficult periods for ADHD adolescents because of their innate and learned sensitivities to the experience of shame. Shame is the feeling we have when we evaluate ourselves using the standards of valued others and of society and determine that we do not meet those standards (Lewis, 1992). Group psychotherapy thus becomes the treatment of choice for adolescents diagnosed with ADHD because the process of group psychotherapy addresses the issues of identity and shame in a way that individual therapy is unable.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125745036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Some Aspects of Intimacy in an Analytic Therapy Group","authors":"M. Liebmann","doi":"10.1300/J288v01n02_03","DOIUrl":"https://doi.org/10.1300/J288v01n02_03","url":null,"abstract":"Abstract Failure to establish or sustain intimacy is a major reason most patients give for entering therapy, and this is especially so for group therapy. Their hope is that through the here-and-now nature of the group, the peer feedback from the group, and the development of interpersonal dynamics withinthe group, an atmosphere will be created in which issues of trust and intimacy can be safely explored and worked through. After a brief review of theliterature on the subject, case material will be used from the presenter's practice, notably excerpts from a session of a long-term (25 years) analytic therapy group illustrating members' attempts to establish and foster intimacy on the one hand, and to defend against and avoid it, on the other. Discussion will focus on the identification of mechanisms that encourage or deter the development of intimacy.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114675996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bereavement Groups with the Elderly","authors":"M. Cohen","doi":"10.1300/J288V01N02_05","DOIUrl":"https://doi.org/10.1300/J288V01N02_05","url":null,"abstract":"Abstract Grief and bereavement are issues that affect almost all of us at some time. The elderly are a group in particular that is strongly affected by bereavement. One out of every elderly couple will eventually lose his/her spouse. Based upon my work with the elderly in bereavement groups, a pattern ofwhat the group provides that is therapeutic to the individual has emerged. These curative factors are the instillation of hope, acceptance, a decrease in social isolation, finding of a new identity and meaning in life, support, catharsis, amelioration of fears, education, assistance in processing and dealing with painful or intense feelings, and an opportunity to help others. These factors and their manifestation in the elderly bereavement group are discussed.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121120374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Introduction to the Internet for Independent Group Therapists","authors":"Ralph Cafolla","doi":"10.1300/J288V01N02_09","DOIUrl":"https://doi.org/10.1300/J288V01N02_09","url":null,"abstract":"Summary In the past several years, the growth of the Internet and World Wide Web has caused professionals in all occupations, including independent group therapists, to seek ways to use this new technology in the workplace. The purpose of this paper is to provide independent group therapists with a brief overview of the Internet and the World Wide Web and how it can be used to enhance their professional practices. The first part uses a question and answer format to present a brief overview of the Internet, including a discussion of the hardware and software needed to get on-line. The second part focuses on the uses of the Internet for communication and research for practicing health professionals.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"353 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115982722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Activity Analysis of Group Process","authors":"M. A. Barnes, S. L. Schwartzberg","doi":"10.1300/J288v01n02_04","DOIUrl":"https://doi.org/10.1300/J288v01n02_04","url":null,"abstract":"Summary There are a variety of theoretical models accepted within the practice of group psychotherapy. These approaches include interpersonal, in-trapsychic, and behavioral methods. The focus on here-and-now versus there-and-then varies. It is often determined by the leader's clinical training and demands of the setting relative to reimbursement factors. Regardless of these factors a match must be made between the member's ability to function and the group process activity.","PeriodicalId":146212,"journal":{"name":"Journal of Psychotherapy in Independent Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128618723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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