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Milieu Therapy with Children and Youth: Organization as Therapist

This lecture by Professor Emeritus Erik Larsen on milieu therapy explores how this form of psychotherapy can be implemented and the importance of defining the therapeutic task. It delves into available resources, the role of milieu therapists, and characteristics of children and youth in need of such therapy. Concepts like the milieu-therapeutic house, organizational culture, professional knowledge, roles in milieu-therapeutic work, and integrated, disintegrated, and poorly integrated youths are discussed.

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Milieu Therapy with Children and Youth: Organization as Therapist

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  1. ERIK LARSEN Professor emeritus Specialist in clinicalpsychology Tartu, March, 3rd 2017 Milieu-therapywithchildren and youth -The organization as therapist

  2. INTRODUCTION • This lecturewillfocusontheconceptofmilieu-therapi and howthis form ofpsychotherapycan be imlimented. • Different levelsofmilieu-therapeuticworkwill be discussed and theimportanceofdefiningthetherapeutictaskwill be emphesized. • The evailableresources in milieu-therapeuticworkwill be presented, and theroleofthemilieu-therapistwill be presented.

  3. Introduction continues • Finally the characteristics of children and youth who need milieu-therapi will be presented and commented.

  4. THE CONCEPTS SERVICE

  5. THE MILIEU –THERAPEUTIC HOUSE Basic models, theories and concepts Room for investigations and reflections Conference and meetings Supervision Dialogues amongst colleagues Everyday milieu-therapeutic life The milieu –therapeutic field of power

  6. Organizational culture - definition • Basic values and basic assumptions that are som important for the organization that new members are socialized to them. • Examples of basic values are curiousity and generousity. • Examples of basic assumption are the importance of supervision and a good dialogue among colleagues.

  7. THE MUTUAL RELATION BETWEEN THE TASK, THE WAY OF ORGANIZING AND PROFESSIONAL KNOWLEDGE THE PRIMARY MILIEU –THERAPEUTIC TASK THE MILIEU-THERAPEUTIC ORGANIZATION PROFESSIONAL KNOWLEDGE THAT MAKES IT POSSIBLE TO SOLVE THE TASK

  8. RESOURCES IN WORKING WITH THE PRIMARY MILIEU –THERAPEUTIC TASK

  9. THE MILIEUTHERAPEUTIC ORGANIZATION • The formal organization • The dynamic organization

  10. MILIEU-THERAPY IN A SYSTEMORIENTATED PERSPECTIVE Milieu –therapeutic leadership Milieu-therapists

  11. THE ROLES IN MILIEU –THERAPEUTIC WORK • The formal roles • The dynamic roles

  12. THE INTEGRATED MILIEU –THERAPIST ROLE

  13. INTEGRATED, DESINTEGRATED AND POORLYINTEGRATED YOUTHS INTEGRATED YOUTHS • They can understand the connections between feelings, thoughts and behavior DESINTEGRATED YOUTHS • They have temporarily lost their ability to see these connections POORLYINTEGRATED YOUTHS • These youngsters do not understand the connections between feelings, thoughts and behavior • There youngsters commute between their longings for attachment and contact and their anxiety for attachment and contact • They lack concepts for „ their inner life“ • They have an unclear picture of their self-esteem • They have an unclear boundary between fantasy and reality • They have fixed „pictures of reality“ and these fixed Pictures are not investigated • They basically strive with the theme of survival

  14. FIGHT • FLIGHT • FREEZE

  15. THANK YOU

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