Part Two: What Therapists Need to Know

Autor/in	Purinton, Matthew C. P.
Titel	Part Two: What Therapists Need to Know
Quelle	In: Exceptional Parent, 41 (2011) 11, S.19-21 (3 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0046-9157
Schlagwörter	Stress Variables; Physicians; Therapy; Allied Health Personnel; Outcomes of Treatment; Anxiety; Symptoms (Individual Disorders); Patients; Disabilities; Coping; Diseases; Models; Family Relationship; Individual Development + Suchen Sie Ihr Suchwort? Physician; Doctor; Arzt; Therapie; Angst; Psychiatrische Symptomatik; Patient; Handicap; Behinderung; Bewältigung; Disease; Krankheit; Analogiemodell; Individuelle Entwicklung
Abstract	When dealing with families that have been somatically fixated, it is important to initially focus on the symptoms, while not getting dragged into the way that the symptoms have become a centrally organizing event for the family. This allows the clinician to connect with the family around the physical symptoms, which they have become hypervigilant about, so that the clinician can introduce the possibility that psychosocial issues have a part to play in the suffering that the patient and their family are dealing with. This may be a difficult process, and requires a high level of trust between the client and the clinician. This is why it is often beneficial for the clinician to have a good relationship with the physician, so that when the patient and the family goes to the physician and says that the psychotherapist is focusing too much on the psychosocial, the doctor can reinforce and help keep the family engaged in treatment. The doctor does this by reducing their anxiety that the physical symptoms are being dealt with. Challenging the reality of the physical symptoms is a good way to destroy rapport. Getting the patient to buy into the possibility that the problem is not all medical is a delicate enterprise. Disability affects the family. The people who love the person with a disability must also deal with the loss, frustration, hopelessness, and helplessness that are often a part of coping with a disability. Rolland (1994) developed a model of psychosocial stressors within the family context. This model combines individual, family, and disease development to develop a holistic conceptualization of the issues facing the family. Families get into trouble when the functional makeup of the family does not match the psychosocial demands of the illness. Each one of these aspects is linear, and unidirectional. However, the three elements interact with each other in a bi-directional transactional relationship. The benefit of this model is it allows the clinician to get a handle on the many complexities of disability. Forming a three dimensional matrix. It also allows families and clinicians alike to prepare for the developmental challenges ahead, so that the family is able to martial resources in a proactive manner. This article discusses the first component: psychosocial types of illness. [For Part One, see EJ945933.] (ERIC).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10