Adolescents with health disorders experience an increased risk of psychological functioning problems. However, the lack of availability of psychological help and research on methods’ effectiveness in this group is still being extensively discussed worldwide. Theoretical assumptions of the Solution-Focused Brief Therapy (SFBT), closely related to the ideas of constructivism and systems theory, indicate that therapeutic effect of the model can be viewed as not limited to changes in the problem presented for the therapy, but as having potential of spreading into other areas of psychological functioning. Thus the aim of the dissertation is to estimate the changes in the severity of psychological functioning problems during SFBT among in-patient and out-patient adolescents experiencing mental or physical health disorders. Participants were 12-18 year old out-patients of two primary mental health care centers and in-patients of a rehabilitation hospital (N=131). Treatment group consisted of 23 out-patients and 21 in-patients (control groups accordingly 23 and 28 adolescents). Changes in the severity of problems presented for the therapy were assessed by The Therapist’s Evaluation of Improvement and The Client’s Evaluation of Progress, while the severity of psychological functioning problems and its changes were assessed by Standardized Interview for the Evaluation of Adolescents’ Problems and Checklist of Adolescent Behavior Changes. Results of the study revealed that mental... [to full text] / Sveikatos sutrikimų turintys paaugliai susiduria su padidėjusia psichologinio funkcionavimo problemų rizika. Tačiau dažnai diskutuojama psichologinės pagalbos prieinamumo ir metodų efektyvumo tyrimų šioje grupėje trūkumo problema. Darbe tyrinėjamo į sprendimus sutelkto trumpalaikio konsultavimo (SSTK) prielaidos, kurios glaudžiai siejasi su konstruktyvizmo ir bendrosios sistemų teorijos idėjomis, leidžia galvoti, kad SSTK terapinis poveikis neapsiriboja tik konkrečios problemos sprendimu, bet turi galimybę išsiplėsti į kitas psichologinio funkcionavimo sritis. Tad šio tyrimo tikslas – nustatyti dėl psichikos ir somatinės sveikatos sutrikimų gydomų paauglių psichologinio funkcionavimo problemų laipsnio kitimą SSTK metu. Tyrime dalyvavo 131 vienoje reabilitacijos ligoninėje ir dviejuose pirminės psichikos sveikatos priežiūros centruose gydomas 12 – 18 m. paauglys. Poveikio grupę sudarė 23 PPSPC ir 21 reabilitacinės ligoninės pacientas (kontrolines grupes – atitinkamai 23 ir 28). Konsultavime sprendžiamų problemų sunkumo pokyčiams vertinti taikyti Kliento vertinamas problemos sprendimo progresas ir Konsultanto vertinamo problemos sprendimo progreso skalė, o psichologinio funkcionavimo problemų laipsniui ir jo kitimui vertinti – Standartizuotas interviu paauglių problemoms įvertinti ir Paauglio elgesio klausimynas. Tyrimo rezultatai atskleidė, kad psichikos sveikatos sutrikimas paauglių psichologinį funkcionavimą paveikia labiau nei somatinės sveikatos sutrikimas, tačiau savęs... [toliau žr. visą tekstą]

Although clinical hypnosis has been studied in a variety of ways, most of the research has focused on individual and evidence-based approaches; few have examined relational or systemic models. Influenced by Milton Erickson’s hypnosis methods and Gregory Bateson’s systemic concepts, relational hypnotherapists value the importance of both the intra- and interpersonal context in the treatment of problems, accentuating the significance of the mind and body connection (or relationship) in inviting non-volitional therapeutic change. The author of this research explored how Douglas Flemons, the developer of relational hypnosis, facilitated an enduring non-volitional shift with a client, “Grace,” who desired to have a baby but could not see or talk about blood, needles, or medical procedures without fainting. Using context-enriched conversation analysis (CECA), the author embraced his theoretical understanding of relational hypnosis as a guide to examine multiple sources of data, which included selected audio-recorded excerpts from Douglas and Grace’s hypnotherapeutic sessions; Grace’s descriptions of change in her email correspondence with Douglas; and Douglas’s case notes. Although there were a total of eight sessions, the author’s analysis revealed that the most influential and significant moments occurred during the first two sessions. Douglas’s initial interventions, or as he would say, intraventions, laid the foundation for a shift in Grace’s identity, which helped her embrace a variety of resourceful skills and attributes to overcome her problem. The author also discussed the clinical and research implications for relational hypnosis, brief and family therapy, and psychotherapy in general.

A death in research exacerbates the lack of knowledge and information in respect of the needs and life view of the aged. Two studies were conducted in this population group with specific reference to the 'once-off interview'. Information was gathered using interview schedules focusing on therapeutic skills of social workers working within the system which cares for the aged. Results of a pilot study and an expanded study were compared in order to establish the inter-relationship between the. needs of the elderly, their elemental experiences in line with Bloom's theory (1984), and the role of the social worker. Findings revealed that the majority of "discontinuances" after the first interview were because the needs of the elderly clients had in fact been met. The need for day care services, transport and the expansion of the 'home help' facility was highlighted to enable the elderly to retain their independence in the community / Social Science / M.A. (Social Science: Mental Health)

Made available in DSpace on 2016-04-28T20:40:13Z (GMT). No. of bitstreams: 1 Monica Perri Kohl Greghi.pdf: 3478004 bytes, checksum: a580a5114c0db04ae57fb84e398509c7 (MD5) Previous issue date: 2009-10-16 / The objective of this study was to analyze the effects of a brief Jungian psychotherapeutic intervention for a group of individuals suffering from periodontal disease. A total of 26 subjects were selected, male and female, aged between 30 and 60. The subjects were randomly divided between an experimental group (N=13) and a control group (N=13). The experimental group experienced a psychotherapeutic process, which consisted of 14 weekly sessions, of one and a half hours each. The two groups were evaluated with respect to the level of cortisol saliva, level of stress and periodontal conditions, before and after the experimental period. The results identified improvements in the experimental group, that were statistically significant, with respect to the levels of cortisol saliva (NC), the levels of stress and evidence of plaque (IP) gingivitis (IG), which measure, respectively, the accumulation of bacterium plaque and gum inflammation. The control group, which did not undergo a psychotherapeutic process, reported a statistically significant worsening in the plaque levels (IP), with no statistically significant alterations in the other indices. Descriptions and qualitative analyses were made of some thematic categories from the psychotherapeutic sessions, highlighting, amongst others, the difficulty of verbal assertive expression by the subjects. Interpretations and symbolic interpretations were made of the mouth and speech. Non verbal expressive techniques and symbolic amplification provided the transduction of the organic symptom to the abstract expression of the complex, which resulted in improvements in the periodontal disease. The results identified the need to consider the use of psychotherapy as an integral part of treating periodontal disease / O presente trabalho objetivou analisar os efeitos de uma intervenção psicoterápica breve Junguiana em um grupo de portadores de doença periodontal. Foram selecionados 26 sujeitos, de ambos os sexos, com idades entre 30 e 60 anos. Os sujeitos foram divididos aleatoriamente em grupo experimental (N=13) e controle (N=13). O grupo experimental passou pelo processo psicoterápico, que constou de 14 encontros semanais, com a duração de 1H30. Os dois grupos foram avaliados quanto à taxa de cortisol salivar, nível de estresse e condições periodontais, antes e depois do período experimental. Os resultados apontaram melhoras no grupo experimental, com significância estatística, nas taxas de cortisol salivar (NC), nos níveis de estresse e nos índices de placa (IP) e gengival (IG), que medem, respectivamente, o acúmulo da placa bacteriana e a inflamação gengival. O grupo controle, que não passou pelo processo psicoterápico, apresentou piora estatisticamente significante para o índice de placa (IP), não ocorrendo modificações com significância estatística nos demais indicadores. Foram descritas e analisadas qualitativamente algumas categorias temáticas das sessões psicoterápicas, destacando-se entre elas, a dificuldade de expressão verbal assertiva dos sujeitos. Foram feitas interpretações e amplificações simbólicas da boca e da fala. As técnicas expressivas não-verbais e o método de amplificação simbólica propiciaram a transdução do sintoma orgânico para a expressão abstrata do complexo, promovendo a melhora da doença periodontal. Os resultados apontam para a necessidade de se considerar o uso da psicoterapia como parte integrante no tratamento da doença periodontal

Studien ämnade att undersöka området för lösningsfokuserat arbetssätt. Lösningsfokuserat arbetssätt handlar om att skifta fokus från problem till att istället fokusera på lösningar. Tidigare har arbetssättet främst initierats i klientsamtal men idag är det även förekommande inom ledarskap. Lösningsfokuserat ledarskap handlar om att hjälpa medarbetaren hitta vägar framåt med fokus på målet som medarbetaren har. Studiens syfte var att undersöka hur chefer inom den offentliga sektorn använder lösningsfokuserat arbetssätt och hur cheferna upplever att det fungerar i organisationen och i relationen med medarbetarna. En kvalitativ forskningsansats valdes som metod med semistrukturerade intervjuer som datainsamlingsmetod. Vid analys av det insamlade materialet genomfördes en manifest innehållsanalys. Studiens resultat visar att chefernas intresse för lösningsfokuserat arbetssätt väcktes för att det fokuserade på lösningar istället för problem. Detta kan koppla samman med ett salutogent perspektiv, där det handlar om att fokusera på vad som gör människor friska istället för på vad som gör människor sjuka. Cheferna upplevde också att de arbetar med lösningsfokus som en pågående process och hade bland annat uppnått resultat i form av delaktighet, kreativitet och medskapande hos medarbetarna. Detta kan kopplas till socialkonstruktion, vilket är utgångspunkten för lösningsfokuserat arbetssätt. Då handlar det om att verkligheten skapas i dialogen mellan människor. Cheferna upplevde också att effektiviteten hade ökat inom organisationen och att det hade resulterat i ett öppnare klimat på arbetsplatsen. Detta i sin tur kan kopplas samman med hälsofrämjande arbetsplatser då det är viktigt att det finns utvecklingsmöjligheter och möjlighet till välmående. / The intention with this study was to gain broader understanding for solution-focused brief therapy. Solution-focused brief therapy is a method that is shifting focus from problems to focus on solutions instead. Previously, the work method has been initiated in client talks, but today it is also used in leadership. Solution-focused leadership is about helping employees to find ways forward with a focus on the goal that they have. It is about asking solution-focused questions. The aim of the study was to investigate how public sector managers use solution-focused brief therapy methods and how they experience that the method works in the organization and in the relationship with the co-workers. A qualitative research method was chosen with semi-structured interviews as the data collection method. When analyzing the collected material a manifest content analysis was conducted. The results of the study show that the managers’ interest for solution-focused approaches was created because it focused on solutions instead of problems. This can be linked to a salutogenic perspective, which focuses on what makes people healthy instead of what makes people sick. The managers also experience that working with solution-focus is an ongoing process and, among other things, achieved results in terms of participation, creativity and employee co-creation. This can be linked to social construction where solution-focused work methods have it origins from. In social construction it is about creating reality in the dialogue between people. The managers also felt that the efficiency had increased within the organization and that it had resulted in a more open climate at the workplace. This in turn can be linked to health-promoting workplaces as it is important that there are development opportunities and opportunities for well-being.

A death in research exacerbates the lack of knowledge and information in respect of the needs and life view of the aged. Two studies were conducted in this population group with specific reference to the 'once-off interview'. Information was gathered using interview schedules focusing on therapeutic skills of social workers working within the system which cares for the aged. Results of a pilot study and an expanded study were compared in order to establish the inter-relationship between the. needs of the elderly, their elemental experiences in line with Bloom's theory (1984), and the role of the social worker. Findings revealed that the majority of "discontinuances" after the first interview were because the needs of the elderly clients had in fact been met. The need for day care services, transport and the expansion of the 'home help' facility was highlighted to enable the elderly to retain their independence in the community / Social Science / M.A. (Social Science: Mental Health)

Novice solution-focused brief therapists often have difficulty delivering scaling questions within the languaging of their clients. To help beginning Solution-Focused Brief Therapy (SFBT) trainees, this researcher has created the metaphorically enhanced scaling question (MESQ) training program. By incorporating a meaning making system such as the metaphor, the scaling question becomes expressive and symbolic to the client and his or her own story. The MESQ objective is to assist novice therapists in facilitating the SFBT scaling question creatively through the use of metaphor. A metaphor is a created meaning isomorphic to its original meaning or experience. The metaphor will be co-constructed through collaboration between client and therapist. The MESQ program encompasses three key elements of SFBT: listening, selecting, and building into three tangible activities designed for novice therapists to learn, articulate, and demonstrate their comprehension of the modified scaling technique (Bavelas, De Jong, Franklin, Froerer, Gingerich, Kim, Korman, Langer, Lee, McCullum, Jordan, & Trepper, 2013) This research is qualitative in nature, due to the examined experiences of the MESQ training program participants. Action research has been chosen to emphasize the learning aspect, and assist in training development. The MESQ training program will be evaluated based on Kirkpatrick’s four levels of evaluating training programs: reaction, learning, behavior, and results. (Kirkpatrick, 1996). The focus of this research project will be to refine and develop the MESQ training program through analytic evaluation.

Studien har ämnat att undersöka om den lösningsfokuserade metoden kan användas för att skapa ett tillitsbaserat ledarskap som är aktuellt inom offentliga verksamheter. Den lösningsfokuserade metoden har sin grund i att fokusera på resurser och tillgångar hos individen, deras önskade tillstånd i framtiden samt på vad som fungerar istället för att fokusera på vad som inte fungerar. Lösningsfokus har sin grund i samtalsterapi men är idag en evidensbaserad metod som används inom både ledarskap och organisationsutveckling. Studiens syfte har varit att undersöka hur ledare använder den lösningsfokuserade metoden i praktiken samt vad detta har gjort för skillnad för dem, deras ledarskap och deras verksamheter. Studien har även noga undersökt vad tillit som begrepp innebär och om det lösningsfokuserade arbetssättet bidrar till en ökad tillit och ett tillitsbaserat ledarskap. Teoriansatsen har bestått av systemteori, socialkonstruktivistisk teori, lösningsfokuserad metod samt teorier om tillit. En kvalitativ forskningsansats har valts med fem stycken semistrukturerade intervjuer. Intervjupersonerna är ledare inom offentlig verksamhet samt managementkonsulter inom lösningsfokuserat ledarskap. Vid analysen av det empiriska materialet användes en innehållsanalys. Studiens resultat visar att den lösningsfokuserade metoden har skapat en stor skillnad för våra informanter i deras ledarskap och organisationer. Deras upplevelse av lösningsfokus är att det inte bara är ett metodarbete utan även en värdegrund samt ett sätt att förhålla sig till livet på och andra människor. Den lösningsfokuserade metoden erbjuder samtalstekniker där man med specifika frågor letar efter styrkor och bygger vidare på individens resurser. Informanternas upplevelse är att den lösningsfokuserade metoden sparar tid, förhindrar energiläckage, arbetsmiljön blir bättre, effektiviteten höjs, man når målen fortare och har roligare på sin arbetsplats. Studiens resultat visar även att den lösningsfokuserade metoden bidrar till en hög grad av tillit inom och utom organisationer vilket skapar stora vinster såsom enade ledningsgrupper och höga resultat på medarbetarenkäter. / The study aims to investigate whether the solution-focused method can be used to create a trust-based leadership that is highly relevant in the public sector. The solution-focused method is based to focus on the resources and assets of the individual, their desired state in the future and the focus on what functions, rather than what does not function. Solution-focus is based on individual therapy but is today an evidence-based method used in both leadership and organizational development. The purpose of the study has been to investigate how leaders in the public sector use the solution-focused method in practice, and what difference this has made for them, their leadership and their organizations. The study has also carefully examined what trust as a concept means, and whether the solution-focused approach contributes to increased trust and trust-based leadership. The theory approach has consisted of system theory, social constructionist theory and theories of trust. A qualitative research approach has been chosen with five semi-structured interviews as a method. The interviewees are leaders in the public sector, and management consultants within solution-focused leadership. In the analysis of the empirical material, a content analysis was used. The results of the study reveal that the solution-focused method has made a great difference for our informants in their leadership and organizations. Their experience of solution-focus is that it is not only a method of work, but also a value base and a way of relating to life and other people. The solution-focused model provides conversational techniques where you look for strengths with the help of specific questions, and build on the individual resources. The informants’ experiences show that the solution-focused method saves time, prevents energy leakage, improves the work environment, increases efficiency, leads to faster goal achievement and creates a more enjoyable workplace. The results of the study also present that the solution-focused method contributes to a higher degree of trust within and outside organizations which also creates large profits such as united management teams and high results on employee surveys.

Text in Afrikaans / Some of the limited research available on narrative reflecting team therapy was used in this study to develop a reflecting team therapy story. The reflecting team therapy story was developed using qualitative methodology in the form of an experimental text, which was strongly influenced by narrative discourse. The adopted methodology contributed to allowing the reflecting team therapy story as experienced by the client to speak very clearly to us. The following issues, inter alia, emerged: therapy is faster, clients are empowered, gender is important in therapy, the process is promoted by the multiplic ity of interactions and clients experience a scense of enpathy. The reflecting team therapy story can therefore serve as a working document which the reader can co-author. In the true spirit of narrative methology, I believe that every story contains an alternative story. There is no one true and final story. / Van die beperkte beskikbare navorsing oor reflekterende spanwerk is in hierdie studie gebruik om 'n reflekteringspanterapieverhaal daar te stel. Die reflekteringspanterapieverhaal is ontwikkel deur gebruik te maak van kwalitatiewe metodologie, in die vorm van 'n 'experimentele teks', wat sterk deur narratiewe diskoerse belnvloed is. Die veranderde metodologie het daartoe bygedra dat die verhaal van die reflekteringspanterapie soos ervaar deur die klient baie duidelik tot ons spreek. Die volgende sake het onder andere na vore getree: terapie is vinniger, kliente word bemagtig, geslag is van belang by terapie, die proses word bevorder as gevolg van die meervoudigheid van interaksie en kliente beleef 'n gevoel van empatie. Die reflekteringspanterapieverhaal kan dus dien as 'n werksdokument waaraan die leser as ko-redakteur deelneem. In die ware gees van narratiewe metodologie glo ek dat daar in elke verhaal 'n alternatiewe verhaal skuil. Daar is dus geen ware en finale verhaal nie. / Philosophy, Practical & Systematic Theology / M.Th. (Praktiese Teologie)

Text in Afrikaans / Some of the limited research available on narrative reflecting team therapy was used in this study to develop a reflecting team therapy story. The reflecting team therapy story was developed using qualitative methodology in the form of an experimental text, which was strongly influenced by narrative discourse. The adopted methodology contributed to allowing the reflecting team therapy story as experienced by the client to speak very clearly to us. The following issues, inter alia, emerged: therapy is faster, clients are empowered, gender is important in therapy, the process is promoted by the multiplic ity of interactions and clients experience a scense of enpathy. The reflecting team therapy story can therefore serve as a working document which the reader can co-author. In the true spirit of narrative methology, I believe that every story contains an alternative story. There is no one true and final story. / Van die beperkte beskikbare navorsing oor reflekterende spanwerk is in hierdie studie gebruik om 'n reflekteringspanterapieverhaal daar te stel. Die reflekteringspanterapieverhaal is ontwikkel deur gebruik te maak van kwalitatiewe metodologie, in die vorm van 'n 'experimentele teks', wat sterk deur narratiewe diskoerse belnvloed is. Die veranderde metodologie het daartoe bygedra dat die verhaal van die reflekteringspanterapie soos ervaar deur die klient baie duidelik tot ons spreek. Die volgende sake het onder andere na vore getree: terapie is vinniger, kliente word bemagtig, geslag is van belang by terapie, die proses word bevorder as gevolg van die meervoudigheid van interaksie en kliente beleef 'n gevoel van empatie. Die reflekteringspanterapieverhaal kan dus dien as 'n werksdokument waaraan die leser as ko-redakteur deelneem. In die ware gees van narratiewe metodologie glo ek dat daar in elke verhaal 'n alternatiewe verhaal skuil. Daar is dus geen ware en finale verhaal nie. / Philosophy, Practical and Systematic Theology / M.Th. (Praktiese Teologie)