주치의 중심의 통합적인 입원환자 집단정신치료 모델

An Integrated Inpatient Group Psychotherapy Model Led by a Psychiatrist

Objects：The purpose of this study was to present a model of inpatient group psychotherapy led by a doctor in charge, to evaluate this model in practice, and to give a effective inpatient treatment by application of this model. Methods：The subject composed of 25 psychiatric inpatient. The authors performed this model of group psychotherapy for 6 months and evaluate this model by objective data. Also we analyzed this model globally to get comprehensive understandings. Results：The results of the objective data were as follows： 1) This model was effective to subside patients’ symptoms. And the patients estimated this model to be important and helpful to them. 2) Identification with therapist among therapeutic factors was high rank. This meant that therapist him- or her-self is a important tool for therapy. 3) Therapeutic factors in upper level group was much different from those in lower level group. And various therapeutic factors was used complementarily between two groups. 4) To check ‘13 therapeutic factors’ repeatedly made the patients acquire therapeutic factors spontaneously. And to check ‘the most important event’ repeatedly gave the opportunity of selfreflection. The results of global analysis to this model were as follows： 1) This group psychotherapy gave a field in which a therapist met patients as human being. 2) This model was easy to perform, and helpful to a comprehensive therapeutic approach. 3) This model was able to make the basis of continuous outpatient and day hospital treatment, and the basis of outpatient group psychotherapy or individual psychotherapy. 4) In this model, social workers, nurses, or students in practice played a role of the healthy ego. Therefore they were able to activate group psychotherapy. 5) This model was a practical and useful tool of the education for psychiatric residents, medical students, social works, and other students. Conclusion：This model of group psychotherapy was useful for inpatient treatment and easy to perform in general.