0
Article   |    
TRAINING IN PSYCHOTHERAPY: THE USE OF MARRIAGE COUNSELING IN A UNIVERSITY TEACHING CLINIC
KENNETH E. APPEL; HILDA M. GOODWIN; HOWARD P. WOOD; EDWARD L. ASKREN
Am J Psychiatry 1961;117:709-712.
View Article Information
Professor of Psychiatry and Chairman of Department, Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Associate in Family Study in Psychiatry, Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Instructor in Psychiatry, Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pa.
Resident Psychiatrist, Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pa.
text A A A
PDF of the full text article.
Abstract
From the example it is seen that favorable therapeutic results took place without going into multiple details concerning orality and intensive personality analysis.To illustrate these techniques as they were used in a marriage counseling case, the significant details of a serious interpersonal conflict precipitated when the husband rejected his obese wife, have been presented. Both partners were seen individually and jointly by one therapist. The therapist focused on the day-to-day experience, eliciting the patient's feelings about reality situations which involved relationships to each other, parents and in-laws. Interpretations were kept to a minimum and were expressed simply, without technical terms. Ego strengths were supported. Ventilation of hostility was kept within tolerable limits. Solutions to difficulties evolved without going into genetics, details of personality structure, or the analysis of oral eroticism involved in obesity. The frame of reference was generally confined to present reality only occasionally moving into the past. The level of communication was interpersonal with occasional intrapersonal accents. The downward causal "spirals" of hostility, alienation, guilt and inadequacy were replaced with upward "spirals" of acceptance, increasing confidence, self-assertion and self-esteem through the corrective emotional experience with the therapist.This presentation does not imply that detailed microscopic analysis and intensive psychotherapy should not be employed in some cases and the psychiatric residents familiarized with them. Psychotherapy is an inadequately conceptualized subject. It is difficult to teach. Learning should involve a variety of techniques. Residents need experience in experimental enrichment as well as in conventional patterns of psychotherapy. To answer partially this need, training for residents has been provided in the Marriage Counseling Clinic of the Division of Family Study of the University of Pennsylvania.Abstract Teaser
Figures in this Article

    Your Session has timed out. Please sign back in to continue.
    Sign In Your Session has timed out. Please sign back in to continue.
    Sign In to Access Full Content
     
    Username
    Password
    Sign in via Athens (What is this?)
    Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
    Not a subscriber?

    Subscribe Now/Learn More

    PsychiatryOnline subscription options offer access to the DSM-IV-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

    Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

    +
    +
    +

    CME Activity

    There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
    Submit a Comments
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discertion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe



    Related Content
    Books
    Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 24.  >
    Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 26.  >
    Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 49.  >
    Textbook of Psychotherapeutic Treatments > Chapter 19.  >
    Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 36.  >
    Topic Collections
    Psychiatric News
    APA Guidelines
    PubMed Articles
    Attachment styles and violence within couples.
    The Journal of nervous and mental disease 2004 Dec