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P0235 - Co-therapeutic team as the integrative constituent of group psychotherapy for patients with psychosis on acute psychiatric ward

Published online by Cambridge University Press:  16 April 2020

Z. Terenyi
Affiliation:
Department of Psychiatry, Kaposvar, Hungary
A. Varga
Affiliation:
Department of Psychiatry, Kaposvar, Hungary
Z. Jaki
Affiliation:
Department of Psychiatry, Kaposvar, Hungary
K. Szoke
Affiliation:
Department of Psychiatry, Kaposvar, Hungary
G. Pal
Affiliation:
Department of Psychiatry, Kaposvar, Hungary
S.K. Csoligne
Affiliation:
Department of Psychiatry, Kaposvar, Hungary

Abstract

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Background:

Basic features of group psychotherapy for patients with acute psychosis are:

focus on the sharing of psychotic experiences;

different ways of interactive connections and transpersonal relations between patients and staff members;

different realities represented, realized and interpretated by the participants;

high risk of self stigmatization;

paradoxical tension between the urgency readiness of psychiatric environment and the reflective attitude of group work.

Methods:

A modified group analytic technique with free-floating discussion (Foulkes) is used to understand psychotic experiences. Group processes and symbolic contents are analysed on structural and communicative perspective.

Results:

The maintainance of complex group work clAims:

clear and stable boundaries;

creative possibility of potential space (Winnicott);

relational capacity of the stuff;

and high level of integration between the group and the institutional system.

Conclusion:

Co-therapeutic team facilitates integration in both direction:

as a part of the group it helps the socialization of group members on the field of psychological work;

as a part of the whole stuff of the department it supports connections around the group.

The individual team member takes double role in the reality of the group: co-therapist and group member. The integration and conflicts between these roles should be interpretated in the context of the group.

Type
Poster Session I: Schizophrenia and Psychosis
Copyright
Copyright © European Psychiatric Association 2008
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