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  Česky / Czech version Čes. a slov. Psychiat., 99, 2003, No. 6, pp. 306 - 310.
 
Immediate and Follow-up Effects of Family Therapy in the Therapeutic Community for Neuroses at Kromeriz 
Sládková M., Kratochvíl S. 

Psychiatrická léčebna v Kroměříži, ředitel prim. MUDr. V. Klíma
 


Summary:

       System of the therapeutic community for neurotic disorders with six weeks lasting group treatment was enriched by invitation of a relevant family member for participation in one week lasting special family therapy program, included approximately in the middle of the stay. The influence of this additional program on immediate and follow-up effects of therapy was investigated. A group of 130 patients with participating partners was compared to a similar group without them. Positive changes at the end of therapy on a scale of individual symptoms and on a questionnaire, evaluating general effects of therapy and its special influence on symptoms, insight, attitudes and behavior, were more pronounced in patients, whose family member participated. Differences were statistically significant. Also, most differences in the same questionnaire, returned after 1 to 3 years from 95 patients with and 84 patients without a participating family member, pointed into the same direction. Inclusion of family therapy, which makes possible direct therapeutic confrontation of patients with their relevant family members and at the same time training of more effective communication between them, adds significantly to both immediate and remote positive effects of group psychotherapy.

        Key words: neurotic disorders, group therapy, therapeutic community, family therapy, immediate results and follow-up.
       

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