PSYCHOTERAPIA 2/2004

Maria Siwiak-Kobayashi Profesor Stefan Leder - wspomnienie współpracownika      5
Myśli Profesora Stefana Ledera. Psychoterapia w medycynie      9
	Jerzy W. Aleksandrowicz "Psychoterapia" czy "psychoterapie"?      17 Summary Many studies show that there is no reason for accepting the existence of many types of psychotherapies, types which differ in their theoretical concepts. There is also no reason for considering musicotherapy, psychodrama, etc. as individual therapeutic procedures. The search for a definition of psychotherapy leads to a differentiation between those psychosocial activities which are in fact treatment - as psychotherapy and other activities called as psychosocial help. They differ in the type of relation formed in which the psychosocial influences are exerted, the type of those psychosocial influences and specificity of help given. The activation of the unspecific therapeutic factors, just like it is the case in crisis intervention, intervention into the family system, counselling, psychorehabilitation, etc. - all these are psychosocial help. Therefore, besides the fact that it in itself is not treatment, it has a wide applicability in medicine. Psychotherapy is the application of psychosocial influences with the aim of removing the health impairment. Because of the variety of these disorders and their causal factors, psychotherapy of neurotic disorders must in fact differ from e.g. psychotherapy of schizophrenia.
Maria Golczyńska Cierpienie psychicznie chorego      31 Summary Many authors, e.g. V. Frankl, A. Kępiński, M. Opoczyńska, have been deeply interested in the nature of psychic suffering and suffering of the mentally disordered in particular. This paper is an attempt to refer to some opinions of these authors. It describes a threat of feeling of emptiness, a label of insanity, reduction and isolation. Consequences of regression, dissociation and somatisation are also shown. A particular problem of the mentally disturbed is a violation of their spiritual base and religious domain. In addition, there is a problem of a role of the ill person and a patient's role. Three possibilities of solution for psychic suffering are discussed: 1. Acceptance of the suffering and finding sense in it or finding sense in being ill and cured; 2. Rejection of the suffering and an endeavor to recover (paradoxically a very difficult approach); 3. Rejection of the sense of suffering and any possibility of recovery, i.e. suicidal death.
	Marek Gajowy, Daniel Marchewka, Paweł Sala, Witold Simon Analiza przyczyn przerywania psychoterapii grupowej (drop-out) w aspekcie czynników dotyczących pacjenta      47 Summary In this paper review, the authors present various reasons of premature termination of group psychotherapy. They focus on patient variables and group them - demographic, psychological, interpersonal or external. Other variables such as therapist, patient-therapist relation, group's culture are described rather in a general manner. The paper shows many definitions of dropping-out from treatment.
Edgar Heim Integrative Ausbildung in der Psychotherapie      57
	Edgar Heim, Christoph Ringer Problemorientierte Therapie (POT) als Beispiel einer integrativen Ausbildung      65
Lilianna Engel Rola, zadania, pozycja w zespole i problemy psychologa w psychiatrycznej służbie zdrowia      75 Summary In recent years, the bio-psycho-social model of treatment is becoming very popular. The importance of psychological aspects of illnesses and of treatments is being appreciated. In literature there are many works concerning the role of psychologists working in general medical care. There are, however other few dealing with psychologists' work in psychiatric care. This paper deals with the role, goals, positions in the team and problems encountered by psychologists working in the centers of psychiatric treatment in Poland.