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NCJRS Abstract

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NCJ Number: 74102 Add to Shopping cart Find in a Library
Title: Exploring the Psycho-Social Therapies Through the Personalities of Effective Therapists - Drug-Free Psycho-Social Therapy With Schizophrenics, Depressives, Neurotics, and Juvenile Delinquents, and Therapy Plus Drugs with Schizophrenics
Author(s): J K Dent
Corporate Author: US Dept of Health, Education, and Welfare
National Institute of Mental Health
United States of America
Date Published: 1978
Page Count: 197
Sponsoring Agency: Superintendent of Documents, GPO
Washington, DC 20402
US Dept of Health, Education, and Welfare
Rockville, MD 20857
Publication Number: DHFW(ADM) 77-527
Sale Source: Superintendent of Documents, GPO
Washington, DC 20402
United States of America
Language: English
Country: United States of America
Annotation: Treatment approaches with schizophrenics, depressives, neurotics, and juvenile delinquents were evaluated by analyzing therapists' personalities in several studies presented in this report.
Abstract: Theories regarding the impact of therapeutic styles on patient outcomes are reviewed, followed by a description of the methodology used by John Whitehorn and Barbara Betz in their studies of psychotherapy effective with schizophrenia. Using records from the Phipps Clinic at Johns Hopkins University Medical School, Baltimore, Md., these researchers developed a scale of 23 items from the Strong Vocational Interest Bank (SVIB) that differentiated 'A' doctors who had high rates of success with schizophrenics from 'B' doctors who had low rates. A preliminary study which measured the personalities of 60 male college students who had rated pictures drawn by mental patients in another experiment included items from the A-B scale and demonstrated that the A-B predictor was limited in nonhospital settings and might even reverse its meaning. The A-B methodology was then extended to a larger sample of 142 mental health workers. Participants completed a Personal Tendencies Questionnaire (PTQ) and the SVIB. The resulting data was correlated with respondents' percent improvement in treating patients who were schizophrenics, depressives, and neurotics. A separate analysis was conducted for doctors who prescribed drugs for their schizophrenic patients. A third study focused on 51 helpers -- counselors and house parents -- at the Loysville Youth Development Center, a diagnostic facility part of Pennsylvania's juvenile justice system, in an effort to examine the characteristics of therapists who were effective with personality disorders in a milieu setting. Helpers completed the PTQ, SVIB, and the Quay Correctional Preference Test, and their responses were correlated with improvement scores for neurotics and five other diagnostic groups. Findings from all of these studies suggest that neurotics are not well served by therapists who like to solve problems, while schizophrenics are best helped by a therapist who is active and personally involved with the patient. This research supports the theory that different disorders require different treatments. Tables, over 125 references, and indexes by name and subject are provided. The appendixes contain detailed descriptions of statistical methods and the A-B scale, the PTQ, supplemental analyses of data used in the studies, Pennsylvania's diagnostic classification system, and additional information on drugs and the therapeutic relationship.
Index Term(s): Evaluation; Juvenile counseling; Juvenile treatment methods; Mental disorders; Personality assessment; Psychiatric services; Psychopaths; Psychotherapy
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