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[Who benefits from systemic therapy with a reflecting team?]
1Abteilung für Kinder- und Jugendpsychiatrie, Georg-August-Universität Göttingen.
Zeitschrift Fur Kinder- Und Jugendpsychiatrie
|March 1, 1994
Summary
The reflecting team approach and eclectic child psychiatric treatment showed similar effectiveness in improving family functioning and symptoms. However, families preferred the reflecting team approach, though parental mental disorder and poor communication negatively impacted outcomes.
Area of Science:
- Child and Adolescent Psychiatry
- Family Therapy
- Psychological Treatment Evaluation
Background:
- Child psychiatric outpatient settings utilize various treatment modalities.
- The reflecting team approach is a specific method of family consultation.
- Eclectic treatment combines various therapeutic techniques.
Purpose of the Study:
- To compare the effectiveness of the reflecting team approach versus eclectic child psychiatric treatment.
- To identify indications for each treatment modality.
- To examine the relationship between diagnostic data and treatment outcomes.
Main Methods:
- An evaluation study comparing two groups of families (n=22 per group).
- Families were matched on sociodemographic and diagnostic variables.
- Treatment outcomes assessed included symptom improvement, family functioning, and patient satisfaction.
- Diagnostic data utilized the Multi-axial Classification Scheme.
Main Results:
- No significant differences were found in symptom improvement or family functioning between the two treatment groups.
- The reflecting team approach was associated with higher patient satisfaction compared to eclectic treatment.
- In the reflecting team group, parental mental disorder and inadequate intra-familial communication negatively affected treatment outcomes.
Conclusions:
- Both reflecting team and eclectic approaches are similarly effective in symptom and functioning improvement.
- The reflecting team approach may enhance patient satisfaction in child psychiatric care.
- Specific diagnostic factors, such as parental mental disorder and communication issues, can impede treatment success with the reflecting team approach.