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Transcript analysis of Multi-Family Psychoanalysis Group and action research in a public Therapeutic Community

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Abstract

This article presents the perspective of a group of authors regarding their action research into the use of group therapy as a means to treat severe psychotic states in a public psychiatric therapeutic community. After recording various Multi-family Psychoanalysis Group sessions and analyzing the transcripts of these recordings, the authors were able to implement their findings as a guideline Read more

CarnevaleQuaresima

Building a course of therapeutic treatment

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Abstract

The author offers a reflection on the internal/external dialectic dynamic as a central element in the organisation of the therapeutic community’s task. This dialectic regards the psychic and relational life of patients who, upon admittance to the community, distance themselves from the healthy or pathological objects of investment that have accompanied them to that point and enter a new context of treatment and relations. In this passage they also carry within themselves their own psychic and relational styles, proceed by trial and error in the attempt to either keep these alive or else try out new ways of being in the world. Communities also experience the tension between the social exterior, with its rules and contradictions–at times so pivotal to the development of a psychopathology, Read more

CarnevaleQuaresima

Underpinnings of the therapeutic community: individual/group dialectic, between clinical organisation and daily life

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Abstract

This contribution offers a general overview that departs, above all, from a relationship with the Mito&Realtà network, and describes the underpinning of the community architecture, highlighting the basic arrangement and internal articulations that work together to achieve the clinical, rehabilitative and social aims that form its mission. The TC is presented as a complex organism and course of treatment defined in space and time, and that develops from an initial moment of reception (trial period, assessment process and rehabilitative therapeutic contract), into individual, group interventions (assemblies, meetings, various group typologies) and interventions with families, a phase of insertion, attachment and start of detachment from the social network. Great importance is Read more

CarnevaleQuaresima

Therapeutic community: a complex treatment model. The identity of institutions and the subjects of therapy

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Abstract

The paper means to repropose Therapeutic Community importance and adequacy as treatment process and therapeutic Method. An intensive treatment process to those people who have clinical and existential situations of a certain seriousness and complexity, wich can not find a result so articulated in other treatment contexts and methods. We describe the characteristic of treatment model and therapeutic community professional operative organisation so that this very specialistic offer does not lose its own Identity, risking to devaluate both clinic and treatment Subjects. Assessment, clinical decision, treatment guidelines and clinical Research, when they are based on the experience of a therapeutic Model highly professional actually tested during the time as for Therapeutic Community one, Read more

CarnevaleQuaresima

Community therapy. Focusing on the foreign body. Effects on patients and caregivers

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Abstract

Therapeutic communities are now and have for several decades been used for a wide array of disorders that range from substance abuse to personality disorders, and from subacute to chronic psychosis. These disorders are often intertwined and causes an overly dense diagnostic framework.

It is possible to observe two different perspectives which converge into the therapeutic  community system and allow us to pinpoint two pivotal factors of treatment. The first one, which we could define as individual, privileges the protective and facilitating function of the setting, which tends to be seen as a third element, between patient and caregiver, and therefore such that it can permit a one-to-one relationship that would otherwise be made difficult by the intensity of the transference From another standpoint (1), however, collective and group factors must be stressed, insisting on the Read more

CarnevaleQuaresima

The “Visting in italy” project: origins, organisation and prospects

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Abstract

Visiting has its theoretical roots in the research of Lewin, and began in England in the early 2000s when the Community of Communities network, led by Rex Haigh, introduced this project structured on both peer- and self-review for monitoring the quality of treatment settings (for adults, minors, prisoners, etc.) and earning accreditation and financing from the National Health Service.

The Italian Visiting project, which Mito&Realtà designed, proposed and formally introduced in 2010, has the aim of encouraging communities to get to know each other through a process of assessing therapeutic and structural factors for the purpose of better identifying TCs’ weaknesses and strengths and encouraging immediate action with regard to problems by defining annual improvement goals and collaborating with the other participating TCs. This shared involvement is aimed at the creation of a TC network to counter isolation and establish a set common quality standards (benchmarks). The ultimate goal is to generate a circular exchange of good practices, procedures and materials, making more evolved experiences accessible to communities that have been unable to Read more