The phenomenon of treatment cessation in

Sztuka leczenia 3-4/2009
University
Medicine Berlin,
Pawel Sala,
Director of the Department of Behavioral and Psychosomatic Medicine and
THEofPHENOMENON
OFCentre
TREATMENT
Head
the Rehabilitation
Seehof, CESSATION
Teltow/Berlin.IN PATIENTS WITH
DIAGNOSED
ANOREXIA
AND
BULIMIA
NERVOSA
Lichterfelder Allee 55, D 14513 Teltow/Berlin,
GermanyDURING PSYCHOTHERAPY
CONDUCTEDFax:
IN THE
CLINIC FOR NEUROSES, PSYCHIATRY AND
Tel.:
+3328/345678,
+3328/345555
NEUROLOGY INSTITUTE
Professional
Abstract Certifications:
State Licence as Specialist in Neurology, Psychiatry, Psychosomatic Medicine
and
Psychotherapy
Objective:
Psychologist
andofState
Psychotherapist
The objective
the Licensed
study wasPsychological
to characterize
self image of patients with
Professor
Psychiatry
at had
the Charité
University
Medicine
of Berlin
nutrition of
disorders
who
stopped
treatment
prematurely.
Method:
Research
88 persons were included in the study and divided into two even groups.
Adjustment
andcontained
reactive disorders,
cognitive
therapy,who
rehabilitation
Each group
a subgroup
of 35 behaviour
female patients
completed
for
psychological
disorders,
full
psychotherapy
programme in Klinika Nerwic IPiN (Clinic for Neuroses,
more
than 300
publications
12 books
Psychiatry
and
Neurologyand
Institute)
(AN-P = 35 and BN-P = 35) and a subgroup, consisting of 9 patients, who stopped treatment before its scheduled
termination time (AN-DR = 9 and BN-DR = 9). In other words, the former
might be called ‘completers’ and the latter ‘dropouts’. We used the following
measuring tools: Hopkins Symptoms Checklist (HSCL-72), T. WysokinskaGasior and A. Matuszewski Motivational Inventory, and Adjective Check
List (ACL) according to Gough and Heilbrun. The subjects were examined
in two steps, namely during an initial test prior to the admission to our clinic
and at admission to our clinic.
Results:
Both subgroups of the patients suffering from nutrition disorders who prematurely stopped treatment (AN-DR and BN-DR) revealed significant differences in the level of motivation factors and in the similar number of
Adjective Check List scales.
Conclusions:
Treatment cessation in the group of patients with diagnosed anorexia nervosa was associated first and foremost with a low level of motivation for
treatment and with the avoidance of critical realization their own and interpersonal difficulties. In patients affected by bulimia nervosa psychotherapy
cessation was connected with difficulties in the sustainment of stable therapeutic relation and with signs of impulsiveness.
Pawel Sala,
Klinika Nerwic, Instytut
J.Sobieskiego 9,
[email protected]
Psychiatrii i Neurologii, 02-957
Warszawa, al.
cv has not been delivered
47
International Conference of Polish Medical Association
Functional Disorders Comprehensive Treatment and Prevention
48