Lege Artis Medicinae

[The role of spirituality in the twelve-step treatment model of addicts]

TREMKÓ Mariann, TÓTH András, MOLNÁR Rudolf, PETKE Zsolt

DECEMBER 18, 2016

Lege Artis Medicinae - 2016;26(11-12)

[First of all we shortly present the Minnesota model based on twelve-step programmes that could be implemented effectively in the recovery of addicts. The uniqueness of the model are the involvement of recovering helpers in the therapeutic work and the focus on spirituality. Our essay-like study aims to present the approach of Alcoholics Anonymous which forms the basis of the model, effectivity studies and the potential effect mechanisms through research data. We aim to define the phenomenon of spirituality from different aspects having regard to the preliminary psychological and psychotherapeutical contributions and provide some of our therapeutic tools. In the current study we picture the roles of the professional therapists and the voluntary recovering helpers in our programme. ]

COMMENTS

0 comments

Further articles in this publication

Lege Artis Medicinae

[The Old King in His Exile – Arno Geiger’s Novel on Alzheimer’s ]

CZIGLÉNYI Boglárka

Lege Artis Medicinae

[Outrageous Nudity, or the Burden of Being Recognisable ]

GEREVICH József

Lege Artis Medicinae

[End-of-Life Decision Situations – Physician-Assisted Suicide in the Context of Hospice: Oregon and Washington (USA) ]

KŐMÜVES Sándor

Lege Artis Medicinae

[Handicap in Movie ]

LENGYEL Dávid

Lege Artis Medicinae

[The role of the family physician in the preparation for liver transplantation in Wilson’s disease]

FARKAS Anett, KALABAY László, MÁTHÉ Zoltán, MÁRKUS Bernadett, SZALAY Ferenc, VÖRÖS Krisztián, TORZSA Péter

[Wilson’s disease is an autosomal recessive disease with toxic copper accumulation caused by the mutation of the ATP7B gene in chromosome 13. The estimated prevalence of the disease is 2-3 / 100000. Early diagnosis is important because the treatment may stop the progression and could result regression or it can prevent the clinical manifestation of the disease. In our case study we describe how difficult could be to diagnose the disease, the role of the family physician in the preparation for liver transplantation and in the follow-up care. This case is an example demonstrating that Wilson's disease is often diagnosed only years after the appearance of the first symptom. We review the most important literature data on Wilson’s disease. ]

All articles in the issue

Related contents

Lege Artis Medicinae

[The relationship of traumatic experiences and eating disorders – therapeutical options]

KOVÁCS-TÓTH Beáta, TÚRY Ferenc

[In the etiology of eating disorders (espe­cially bulimia nervosa and binge eating) traumatic experiences (sexual, physical, emo­tional abuse, neglect) play an important role. Traumatization can have a serious impact, which is influenced by the parameters of the traumatization, risk and protective factors, and the resiliency of the traumatized patient. The consequences may lead to the development of specific psychiatric and somatic disorders, and may cause lifetime revictimization. The exploration of data related to the traumatization is essential in eating disorders as well. If traumatic expericences can be detected in the back­ground of eating disorders, the targeted therapy of eating disorders while applying its specific elements should also follow the guide­lines of the general trauma-therapy. Providing safety in therapeutical relation­ship is fundamental. The therapeutic options are extensive. Along with psychodynamically oriented therapies, the newer methods based on cognitive-behavioral therapy (e.g., dialectic behavior therapy, integrative cognitive analytic therapy) are also proposed. Hyp­no­therapy can also be useful. ]

Lege Artis Medicinae

[History of Daytime Hospital of the Department of Psychiatry in the University of Debrecen ]

ÉGERHÁZI Anikó, CSERÉP Edina, MAGYAR Erzsébet

[In Hungary, there was a ward related psychotherapy already since the 1960s, yet without any national network to the 1980s. In Debrecen the spreading of the psychotherapeutic approach started in the psychiatric facilities since the 1990s. Daytime Hospital was founded first in the County Hospital and later on in the Department of Psychiatry of the University. The latter option was provided by separating the psychiatry from neurology. This study presents the development of the day care at the Psychiatric Department along the opportunities and shows the structure of the actually functioning system finally reports on our future plans respectively. Initially started the occupational therapy, gymnastics, community cooking and walking, which did not require any separate rooms. The 22-bed psychotherapeutic unit was established 2014 with its joined capacity for 11 persons in the Daytime Hospital. The County Hospital is engaged primarily in socio-therapy of psychotic psychiatry pa­tients, however the Psychiatric Department is rehabilitating mainly patients with affective spectrum disorders. Patients are treated in socio-therapy and psychotherapy small groups for a half or one year. Afterward they enter the outpatient program, may join the Patient Club or decide for therapeutic occupation aiming the best way of recovery. According to the feedback, there is a long-term change in the mental state of the patients leading to improvement in their quality of life, which we plan to prove by an efficacy research program. ]

Lege Artis Medicinae

[Therapy and examination of generalized anxiety disorder in general practitioner practice]

BECZE Ádám, HARGITTAY Csenge, KALABAY László, TORZSA Péter

[Anxiety disorders are the most common psychiatric conditions in primary care, but still the ratio of treated patients is low. Clinically significant anxiousness decreases work efficacy and quality of life, it can cause and often goes with somatic and other psychiatric comorbidities. Patients with anxiety disorders usually undergo many diagnostic tests and interventions turning out negative on all levels of the health system. The general practitioner has a significant role in diagnosing and assessing anxiety disorders, based on a focused history, tests for differential diagnosis and questionnaire screening tools. The generalised anxiety disorder (GAD) is highly prevalent in primary care, appr. 8- 10%, 2-4 times frequent in women. Treat - ment is complex, evidence-based methods are available as certain lifestyle modifications, psychotherapy and pharmacotherapy. A regular consultation with a psychiatrist colleague can improve the chronic care of patients with anxiety disorders.]

Lege Artis Medicinae

[Psychoterapy as medical activity ]

SZŐNYI Gábor

[In the clinical practice we can use the medical model, the algorithm of examination, indication, choice of therapy, therapeutic process, outcome, control also in case of psychotherapies. As the location and the cause of the disorder, the place and the tool of the therapy are the same, namely the human psyche and the human interpersonal relationships the psychotherapies demand differing attitude from the somatic medicine at several points. The basic position should be summarized under the psychotherapeutic attitude. Main common parts of the psychotherapy methods are the therapeutic contract and the therapeutic relation. The different components influence the process through the person, the inner world of the patient and the therapist. Therapeutic interventions cannot be judged picked out of these interrelationships. ]

Lege Artis Medicinae

[Psychoterapy as medical activity]

SZŐNYI Gábor

[In the clinical practice we can use the medical model, the algorithm of examination, indication, choice of therapy, therapeutic process, outcome, control also in case of psychotherapies. Because the location and the cause of the disorder, the place and the tool of the therapy are the same, namely the human psyche and the human interpersonal relati onships the psychotherapies demand differing attitude from the somatic medicine at several points. The basic position should be summarized under the psychotherapeutic attitude. Main common parts of the psychotherapy methods are the therapeutic contract and the therapeutic relation. The different components influence the process through the person, the inner world of the patient and the therapist. Therapeutic interventions cannot be judged if we pick them out from these interrelations hips. The psychotherapeutic methods can be evaluated on the basis of the therapeutic contract, of the goal and method of the therapy. To find our way among the psychotherapeutic methods we rely on the differentiation between autonomous theoretical schools, basic therapeutic settings, specific forms created of time-parameters and spheres of application. The basic unit of the psychotherapeutic delivery service is the therapy session. There are special methods of training. The most specific one, unknown in all other medical training is the so called personal therapy (,,self experience therapy"). ]