The present study examined consumer satisfaction with services provided in a Psychiatric Walk-In Clinic in order to determine not only general levels of satisfaction but also whether or not differences in satisfaction exist between different user groups. Although levels of reported satisfaction were generally high, group psychotherapy patients reported being significantly less satisfied than patients who had been assessed at the clinic or who were in individual psychotherapy. None of the demographic variables including previous psychiatric experience, diagnosis and patient visits were related to satisfaction. These data were discussed in terms of program development.
Mental health problems of children are commonly treated by psychotherapy and other psychosocial treatments. Studies comparing different treatments in naturalistic clinical settings are few, however.
We assessed the differences: 1) in symptoms and diagnoses; 2) in treatment outcome between psychotherapy and other psychosocial treatments; and 3) evaluated the effect of family background and life circumstances on the outcome.
The data were collected from the psychiatric hospital records of Oulu University Hospital, Finland. All 118 children (aged
Therapeutic and corrective work with stammering preschool children conducted at a day-time semi-hospital institution presents a complex of measures aimed at improving the speech and the entire psychic activity of the child. A semi-hospital form of the organization makes it possible, along with therapeutic and corrective measures, to constantly train the speech in the most diverse situations of the microsocial environment outside the hospital and thus contributes to the development of social and adaptive behaviour which the child needs for further studying in the general education school.
This article presents a model for understanding development within children's psychotherapy groups. It is proposed that two complementary cultures exist within children's groups, one, indigenous peer culture, strictly of the children's making and the other, therapeutic group culture, created by the therapist in collaboration with group members. The therapist is wise to approach indigenous peer culture as an ethnographer might a native culture, with an emphasis on observation and seeking understanding rather than on intervention. The therapist can use the indigenous peer culture to speak to the children in their own language and eventually to engage them in collaboratively building a meaning system that is uniquely designed to address their psychotherapeutic needs. The article defines these concepts, develops them theoretically, and illustrates them clinically.
In 1979, a psychotherapeutic surdoneurological center consisting of an outpatient department and a 60-bed hospital was opened in the city of Dnepropetrovsk. The responsibility of the center is to render social and rehabilitation aid to patients with hearing loss of sensorineural origin. Rehabilitation procedures include non-drug therapy, psychotherapy, physical therapy, acupuncture and reflexotherapy, surdopedagogical lessons in the alert and hypnotic state, special talks to exclude discomfortable sensations, both of psychological and hearing type, related to the use of hearing aids. These rehabilitation procedures yielded the best results in pedagogically trained children who, at the age of 9 years, went to normal schools or schools for children with hearing loss of I-IV degree.