Providing a cost-effective treatment model that is respectful of patients' needs, their strengths, and their limitations, this book presents the first dynamic and coherent approach to group treatment for the chronically mentally ill. By structuring members' variable attendance, the flexibly bound model, which utilizes group dynamic principles to maximize therapeutic opportunities, respects the actual behavior of many chronically ill persons, making this treatment format available to a broad portion of this population. Illustrated with numerous case vignettes, the book outlines the elements of supportive treatment and therapeutic goals and then describes in detail specific strategies and interventions.
Walter N. Stone, MD, is Professor of Psychiatry at the University of Cincinnati, College of Medicine. A coauthor (with J. Scott Rutan) of "Psychodynamic Group Psychotherapy," he is past president of the American Group Psychotherapy Association, a Fellow in the American Psychiatric Association, and has written over 30 articles on group psychotherapy training and practice.
Introduction. Defining Chronic Mental Illness. History. The Impact of Social Relations on Chronic Mental Illness. Group Dynamics and Development. Initiating a Group Program. Therapeutic Goals and Supportive Treatment. Forming the Group. The Role of the Therapist. The Beginning Sessions. The Group Census: Attendance, Newcomers, Dropouts, and Terminations. Special Leadership Considerations. Special Treatment Considerations. Conclusion.
..".The approach put forth in this text is both practical and clinically sophisticated...The author is able to support his model throughout the book with many case vignettes that add a richness to his writing. It is the type of writing that effectively introduces new group therapists to complex ideas, and it also evokes more seasoned clinicians' recollection of similar clinical experiences from their practice in a way that enriches clinical understanding...The author presents a great deal of clinical wisdom in a readable and concise fashion...Stone's clear thinking and humane approach are revitalizing to clinicians who work with the chronically mentally ill. All those considering development of such a group are encouraged to take advantage of this resource...Experienced group therapists will find much to put into use to keep their work intellectually stimulating and challenging and to better serve a group of individuals who have been unable to tolerate existing groups." --Stephen L. Spyres, MSSW, CGP "Bulletin of the Menninger Clinic" "Relevant for the beginning practitioner, as well as the seasoned clinician, this is a book intended for psychotherapists of all disciplines and orientations. Stone's treatment model offers the first compelling approach to group treatment for this challenging population. It is flexible enough to structure group members' variable attendance, taking intervening factors and behavior into consideration...His delineation of treatment goals with this population--enhancing their verbal expression of needs, their assertiveness, and their management of everyday nuances of relationships--is clear and includes patient and therapist dynamics....case vignettes highlight specific points throughout. This is a useful and important book..." --Rosemary Ciullo, PsyD, "Readings" "The chronically mentally ill have a new champion. In a compelling and sensitive book, Walter Stone has created an exceptional didactic experience that provides new-
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