PSYCHOTERAPIA       ISSN 0239-4170

4 (123)

Psychoterapia 4/2002

Witold Simon, Daniel Marchewka, Paweł Sala
Motywacja a psychoterapia  5
Motivation and psychotherapy  5
The article describes different motivation theories and research approaches. Numerous motivations, with the emphasis on motivation for psychotherapy, as well as motivational factors influencing the psychotherapy are characterised. Stages of behaviour and psychotherapy in the motivational context are compared. Motivational factors recognised as inclusion criteria for psychotherapy and therapeutic techniques increasing motivation were outlined.

Bogdan de Barbaro
Kontrakt w terapii rodzin - wybrane zagadnienia  23
Contract in family therapy - some selected problems  23
The author presents - on the basis of his own experience, the importance of therapeutic contract in family therapy and difficulties and challenges therapists and families are facing. The author stresses that the contract is a process and describes circumstances causing the first meetings with therapists to be extremely difficult experiences. The therapist may overlook the family's difficulty. The contract has to do not only with the goals of therapy but the ways of the therapeutic work as well. In the paper, the author is describing the traps the therapist is exposed to during the contracting a therapy and contexts in which the contract failed. Paradoxes and factors specific for contract in family therapy (in opposite to the other forms of psychotherapy) are presented.

Iwona Kozłowska-Piwowarczyk
Użyteczność teorii Gregory Batesona dla superwizji w systemowej terapii rodzin  31
The usefulness of Gregory Bateson's theory in supervision in systemic family therapy  31
The article is a reflection on the usefulness of Gregory Bateson's conception of supervision in systemic family therapy. It emphasises how important it is for a psychotherapist not to stop the process of his/her own learning during psychotherapy and shows benefits resulting from the exchange of information which takes place both in the process of supervision and in the course of psychotherapy. The fact that whatever occurs in one of those processes is paralleled by what happens in the other is also important, as it implies the responsibility of the supervisor for the quality of the supervision. The article contains also a short review of supervising forms applied in systemic family therapy.

Wiesław Sikorski
Kontakt dotykowy w relacji terapeutycznej  37
The touch contact in the therapeutic relationship  37
The author discusses a most important problem in the therapeutic relation (and also in the diagnostic procedure), that is one of the touch contact. The problem is treated in a dychotomic way: as an independent therapeutic procedure - one of the techniques of "body-centred therapy", and as a means of performing a function of non-verbal communication between the therapist and the patient. The article aims, through the display of cognitive, communicative and therapeutic values of touching, to encourage practitioners working in clinics to make use of the body in an active manner, one which makes it possible to dispose of the tendency to restrict the therapeutic dialogue to mere observing of the patient and activating him/her to verbalise their experiences. In the author's opinion, the therapist who limits himself/herself to verbal expression, slows down the process of obtaining an "insight" by the patient. Moreover, by weakening his/her own suggestive power, they make the patient less prone to the message being addressed to the latter. The author maintains that making use of touch in the therapeutic relation can lead to its taking the form of "psycho-bodily" therapy or "psychotherapy by means of the body and emotion". It is most vital, at the same time, for the touch contact to be based on mutual trust and to develop under a close ethical control, which prevents violation of integrity and independence of the patient's body, that is activating erotic or sexual associations.

Michael Whan
Rana Chirona: uwagi o zranionym uzdrowicielu  53
Chiron's wound: some reflections on the wounded-healer  53
In Chiron we find an archetype which encompasses both healing and wound. The wounded-healer is present whenever there are equivocal possibilities for both healing and sickness, hope and despair, nature and nurture. Chiron's "open wound" signifies the painful opening into ourselves, which require nursing attention: a palpable experience of archetypal value. Acknowledging one's wound represents the beginning of a felt responsiveness towards it. In life Chiron is unable to forsake the world of chronic suffering because that world is part of his own. The pathos of his injury is the existential price of his kinship with human beings and animals. Yet our to this sense of finitude, of self-limitation, the wounded-healer finds the condition of his self-understanding, his compassion and empathy, whether for gods, mankind, or animals. He is the experience of life, suffering and death, and for this reason he is close to the human condition.

Ewa Jackowska
Niezapomniana krzywda - postawy Sybiraków wobec sprawców deportacji  63
An unforgettable harm - attitudes of Sybiracs towards perpetrators of deportation  63
The aim of this article is a presentation of traumatic stressors present during a 6 year-long deportation into the USRR, the attitudes of Sybiracs towards perpetrators of deportation and the dependence between a forgiving attitude and a severity of current PTSD symptoms. The subjects were 100 people who had been deported to Kazachstan or Northern Siberia in 1940/1941. The structured interview and Inventory for PTSD were used. The results pointed out that deportation was a traumatic experience for the deportees. 39% of the subjects asserted their hatred towards the perpetrators of deportation, 15 % declared impossibility of forgiveness. The lack of forgiveness correlated with the intensity of PTSD symptoms.

Anna Trzcieniecka-Green
Program rehabilitacji psychologicznej i wtórnej prewencji po przebytych zawałach i operacjach wstawienia pomostów aortalno-wieńcowych  77
Psychological rehabilitation and secondary prevention programme following myocardial infarctions and coronary artery bypass grafts  77
Diagnosis of the heart disease has a special meaning for patients. Most of them react with symptoms of stress, which are detrimental to the healing process. Fundamental changes in the pattern of life following acute coronary events may effect social status, position within the family, work and expectations for the future. Research shows that 20-30% of patients reported symptoms of emotional distress (anxiety and depression) even eight to ten years after their stay in hospital. Therefore a psychological intervention is needed to restore their functioning on the psychological, functional and social level. The author describes a psychosocial intervention, used with cardiac out-patients in England and Poland. This multilevel cognitive-behavioural intervention constitutes of home-based relaxation practice and ten group meetings to provide useful stress-management techniques and to discuss the progress of participants.

ISSN 0239-4170 (Print)

ISSN 2391-5862 (Online)

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