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Changes in clients MMPI profiles and coping styles during TC treatment

Changes in clients MMPI profiles and coping styles during TC treatment. Nevšímal, P.; Fialová, H. 18. 9. 2013 EFTC 2013. Summary of the prezentation. Research goals Methodology Comparison with previous researches Interim qualitative results. Research goals.

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Changes in clients MMPI profiles and coping styles during TC treatment

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  1. Changes in clients MMPI profilesandcopingstylesduringTC treatment Nevšímal, P.; Fialová, H. 18. 9. 2013 EFTC 2013

  2. Summaryoftheprezentation • Researchgoals • Methodology • Comparisonwithpreviousresearches • Interim qualitativeresults

  3. Researchgoals • Validation of clinical observations • Demonstration the efficacy of therapy in TC • Effect of therapy to alleviate the psychopathological personality traits • The possibility of finding drop outpredictors • Lack of Czech research work on thistheme • Support the therapeutic process

  4. Methodology • Clientsof two TC`s - Magdalena, Advaita (with a target number of 50 persons) • Hypotheses: • Treatment in TC leads to a reduction of psychopathological personality traits of clients • Treatment leads to improvement of stress management coping strategies • The self-assessment questionnaire form (independence on the researcher, focus on results, comparability of data) • MMPI-2 (Minnesota Multiphasic Personality Inventory-2) • SVF78 (Streßverarbeitungsfragebogen) • Test 1 - 0 fáze (entry – 1 month), clients + team are informed about results • Retest - 6 month from 1. test ( + - 2 weeks)

  5. Sample MMPI profile

  6. Previous research - MMPI • David KennardandStephan Wilson (1979): • Themodificationof personality disturbance in a therapeuticcommunityfordrugabusers • Ley Community, Oxford, 90 klientů, retestby MMPI after 6 and 12 month (90, 27, 16) • Martin Zuckerman, StevenSola (1975): • MMPI Patterns in Drug Abuse BeforeandAfterTreatment in TC • 3 TC in USA, 145 clients, differences among quitters and stayers + retestin clients, who stayed in the treatment • Joel G. Sacks, Norman M. Levy (1979): • Objective Personality Changes in Residentsof a TherapeuticCommunity • TheRenaissance Project (Phoenix House), New York, (114, 50 – retestafter 6 month) • De Leon 1989, De Leon andJainchill (1991) • Psychopatology and substance abuse • Polimeni, Moore, Gruenert (2010) • MMPI profilesofclientswith substance dependenciesaccessing a TC treatment – Australia, 921 clients, description of psychological profile

  7. SVF78 • Stress Management Strategies • Multidimensionalself-assessmentquestionnaire • Positiv strategies • Minimization, Denial of guilt, Distraction, Substitute gratification, Control of the reaction and response, Positiv self-instruction • Negativ strategies • Escape tendences, Rumination, Resignation, Selfblaming • + 2 not classified • Need for social support, Avoidance

  8. Previous research – copingstrategies • Walter andal. (2006) 147 clientsaddicted to alcohol • Copingstrategies are part of permanent personality traitsand has no effect on maintenanceof abstinence • Litt, Kaden, Tennen (2012) 751 clientsaddicted to THC • Noneofthescalesofcopingstrategiescorrelatewithtreatmentoutcomes

  9. PreliminaryresultsAverage scores of MMPI profile n-69

  10. Clientn.1 – Clinical scales

  11. Clientn.1 – Content scales

  12. Clientn.1 – T-scores SVF 78

  13. Clientn.2 – Clinical scales

  14. Clientn.2 – Content scales

  15. Clientn.2 – T-score SVF 78

  16. 252 10 Mníšek pod BrdyP.O.Box 3Czechrepublicwww.magdalena-ops.cz Magdaléna o.p.s. Thanks for your attention!

  17. TC MagdalénaDrug free treatment programme

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