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Lavarenne et al (2013) - Coggle Diagram
Lavarenne et al (2013)
Aim:
This study attempts to investigate how out-patients use group sessions to provide firm boundaries which support them during their illness
Individuals may retreat into a fantasy world as they are unable to cope with reality
Aims to explore some of the group's core therapeutic actions against psychosis
Coding of the sessions:
Sessions are not tape-recorded or video-taped but are coded (since 1998) where the therapists' record:
Whether members express psychotic, manic, or depressed thoughts and behaviours
The emotions observed (eg joy, sadness, anger, anxiety and guilt)
Verbal expressions of loneliness, loss, dreams, current or past relationships, humour, illness, activity in their lives, helplessness, hopefulness, hopelessness, sexual preoccupation
If members make supportive or insightful comments
If members engaged or participated in the group
Procedure:
A single session of out-group therapy
6 individuals with schizophrenia or schizoaffective illness
Sessions usually had 10 members but only 6 attended the 45 minute session which was led by the 3 researchers
They were called the "Thursday Group" as this was the day of the week when they regularly met
Findings:
The 6 members of the group all had fragile ego boundaries, expressed in various different ways
Participants
Brett, Schizophrenic, Irish-Catholic, Caucasian
Gave out Christmas card and calendar
Wants the group to be linked together
Divides humanity into colours of skin and speaks of threes
To give structure and boundaries to his fragmented inner world during psychotic decompensation
Earl, Schizophrenic, African American
Born in Texas, lived in Africa with his adoptive American parents before moving to Canada
Rejected gifts from Brett
Treated in a Jewish hospital
Absorbed in a false identity
Deena
Reported to have nightmares
her focus awake and asleep are being blurred