[Topic-centered discussions in ambulatory coronary groups--a report of experiences]

Based on an introductory discussion of aspects involved in the nature of counselling in coronary patients and the problem of linkage between theoretical information and day-to-day living, a concept is set out for theme-centered counselling in the framework of out-patient coronary groups. Coping with the disease experience, reflecting the physical and psychosocial impact of the disease and its sequels, developing revised patterns of behaviour in dealing with stress and strain, as well as reassessing personal philosophies are suggested as essential objectives. Counselling techniques and contents of the approach implemented are outlined on the example of a group in existence for two years. The hitherto most important experience is that support within and by the group is the more effective, the more the group counselling process is pertinent to the social reality experienced by the various participants.