The Problem-Solving Component in Family Therapy

1970 ◽  
Vol 51 (2) ◽  
pp. 67-75
Author(s):  
David Hallowitz
Keyword(s):  
Family Therapy ◽  
Problem Solving ◽  
Therapeutic Effects ◽  
Relationship Conflicts

Helping a family deal successfully with reality problems has direct and indirect therapeutic effects on deeper relationship conflicts and pathological force

Systematic review and exploratory meta-analysis of the efficacy, safety, and biological effects of psychostimulants and atomoxetine in patients with schizophrenia or schizoaffective disorder

CNS Spectrums ◽  
2018 ◽  
Vol 24 (5) ◽  
pp. 479-495 ◽  
Author(s):  
Marco Solmi ◽  
Michele Fornaro ◽  
Kuniyoshi Toyoshima ◽  
Andrè F. Carvalho ◽  
Cristiano A. Köhler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Problem Solving ◽  
Executive Functions ◽  
Negative Symptoms ◽  
Biological Effects ◽  
Meta Analysis ◽  
Cortical Activation ◽  
Therapeutic Effects ◽  
Double Blind ◽  
Relapse Prediction

ObjectiveOur aim was to summarize the efficacy and safety of atomoxetine, amphetamines, and methylphenidate in schizophrenia.MethodsWe undertook a systematic review, searching PubMed/Scopus/Clinicaltrials.gov for double-blind, randomized, placebo-controlled studies of psychostimulants or atomoxetine in schizophrenia published up to 1 January 2017. A meta-analysis of outcomes reported in two or more studies is presented.ResultsWe included 22 studies investigating therapeutic effects of stimulants (k=14) or measuring symptomatic worsening/relapse prediction after stimulant challenge (k=6). Six studies of these two groups plus one additional study investigated biological effects of psychostimulants or atomoxetine. No effect resulted from interventional studies on weight loss (k=1), smoking cessation (k=1), and positive symptoms (k=12), and no improvement was reported with atomoxetine (k=3) for negative symptoms, with equivocal findings for negative (k=6) and mood symptoms (k=2) with amphetamines. Attention, processing speed, working memory, problem solving, and executive functions, among others, showed from no to some improvement with atomoxetine (k=3) or amphetamines (k=6). Meta-analysis did not confirm any effect of stimulants in any symptom domain, including negative symptoms, apart from atomoxetine improving problem solving (k=2, standardized mean difference (SMD)=0.73, 95% CI=0.10–1.36,p=0.02, I2=0%), and trending toward significant improvement in executive functions with amphetamines (k=2, SMD=0.80, 95% CI=−1.68 to +0.08,p=0.08, I2=66%). In challenge studies, amphetamines (k=1) did not worsen symptoms, and methylphenidate (k=5) consistently worsened or predicted relapse. Biological effects of atomoxetine (k=1) and amphetamines (k=1) were cortical activation, without change in β-endorphin (k=1), improved response to antipsychotics after amphetamine challenge (k=2), and an increase of growth hormone–mediated psychosis with methylphenidate (k=2). No major side effects were reported (k=6).ConclusionsNo efficacy for stimulants or atomoxetine on negative symptoms is proven. Atomoxetine or amphetamines may improve cognitive symptoms, while methylphenidate should be avoided in patients with schizophrenia. Insufficient evidence is available to draw firm conclusions.

Multiple family therapy for schizophrenia: A behavioral, problem-solving approach.

1984 ◽  
Vol 7 (4) ◽  
pp. 60-77 ◽  
Author(s):  
Robert Paul Liberman ◽  
Ian R. H. Falloon ◽  
Robert A. Aitchison
Keyword(s):  
Family Therapy ◽  
Problem Solving ◽  
Behavioral Problem ◽  
Multiple Family Therapy

Problem-Solving Family Therapy

2019 ◽  
pp. 2336-2341
Author(s):  
David Hale ◽  
Dale E. Bertram
Keyword(s):  
Family Therapy ◽  
Problem Solving

The Impact of Individual and Family Treatment on the Affective Climate of Families of Schizophrenics

1986 ◽  
Vol 148 (3) ◽  
pp. 279-287 ◽  
Author(s):  
Jeri A. Doane ◽  
Michael J. Goldstein ◽  
David J. Miklowitz ◽  
Ian R. H. Falloon
Keyword(s):  
Family Therapy ◽  
Problem Solving ◽  
Emotional Problem ◽  
Individual Therapy ◽  
Individual Treatment ◽  
Family Approach ◽  
Increased Risk ◽  
Family Based ◽  
Discharge From Hospital ◽  
The Impact

Measures of parental affective style were compared for families of schizophrenics participating in a controlled treatment study which contrasted individual and family-based therapeutic programmes. The total number of critical statements and non-critical, intrusive remarks was significantly lower after three months for parents of schizophrenics participating in family therapy, compared to those whose offspring received only individual therapy. An increased risk for relapse was associated with an increase in the number of critical and/or intrusive remarks for patients in individual treatment. A significant increase in non-emotional, problem-solving statements was observed in parents who received family therapy, compared with those who did not. The results suggest that a behaviourally-oriented, problem-solving family approach may have reduced the risk of relapse in the first nine months after discharge from hospital by teaching families concrete ways of solving problems and concomitantly reducing the amount of negative emotional relating between family members.

Sign in / Sign up

Export Citation Format

Share Document