Abstract
IntroductionA physicians work is closely related to patients and the understanding of their problems. The use of psychotherapeutic methods is a factor for successful care (Swanson, 1994). At the same time burnout is a syndrome that can affect the health of doctors themselves thus reflecting on the quality of care they can provide (Lloyd et al, 2002).ObjectivesTo investigate the use of psychotherapeutic methods in family physicians work in Latvia and the association between burnout rates and the use of these methods in practice as well as different demographic and work-related factors.MethodsA cross sectional study was carried out. An anonymous online form that contained questions about the demographic data, psychotherapeutic methods/techniques mastering and usage and questions from the Maslach Burnout Inventory was sent out to the publicly available email addresses of family physicians in Latvia. The collected data was analyzed using Microsoft Excel and IBM SPSS software.ResultsTogether 54 responses were received from all regions of Latvia. The analysis found association between work hours per week, patients seen per week, usage of psychotherapeutic methods and burnout. More hours per week was associated with higher rates of depersonalization (p=0,014) and burnout (p=0,010). More patients per week was associated with higher rates of burnout (p=0,024). Being unsure if they were using any psychotherapeutic methods was associated with higher rates of depersonalization (p=0,028).ConclusionsThe data obtained allows a better insight in to the usage of psychotherapeutic methods, everyday work and the association with burnout rates in family physicians.
Highlights
Electroconvulsive therapy (ECT) is a current, relevant treatment for severe mental illness
No side effects were recorded during therapy Conclusions: Our findings suggest that the use of repetitive transcranial magnetic stimulation (rTMS) therapy in individuals with ADHD, is an efficacious and safe therapeutic treatment option
Mindfulness has been associated with psychological well-being, and certain symptoms that occur in major depressive disorder (MDD), e.g. worries, ruminations, ideas of incapacity or selfdevaluation, are considered potential targets for Mindfulness-based cognitive therapy (MBCT)
Summary
Psychotherapy of patients suffering from schizophrenic disorders remains controversial. Objectives: We here propose a model of integrative psychotherapy that is based on the therapeutic alliance and the general principles of understanding and communication It comprises interpersonal, behavioral, psychodynamic, and existential elements. Results: After remission of the acute symptoms, integrative psychotherapy played the major role in the recovery of a young musician It is shown how the therapeutic alliance and communication in a general sense interacted with behavioral, cognitive, psychodynamic, and existential techniques. It is demonstrated narratively how recovery was facilitated, adjunct to pharmacological treatment, by method-integrative psychotherapy. We propose an ABCDE-Model that comprises the following principles: Therapeutic alliance (A); behavior change (B); cognitive reflection on dysfunctional meanings and beliefs (C); psychodynamic remembering, repeating, and working through (D); and existential understanding and communication (E).
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