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Changes in Object Relations following Time-Focused Group Psychotherapy with Women who Experienced Childhood Abuse

This study examines the effects of group psychotherapy on object relations in women with a history of childhood abuse. The study measures intrapsychic, interpersonal, and symptomatic changes using various assessments, comparing the treatment group to a control group.

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Changes in Object Relations following Time-Focused Group Psychotherapy with Women who Experienced Childhood Abuse

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  1. Changes in Object Relations following Time Focused Group Psychotherapy with Women who Experienced Childhood Abuse Gerardine Curtin PhD HSE W/Queens University, Belfast Dr KarenTrew, QueensUniversity, Belfast Dr Raman Kapur, Threshold,Belfast

  2. Psychological Sequelae • Greater psychiatric distress and poorer interpersonal functioning (Callahan, Price & Hilsenroth, 2003; DiLillo, 2001). • Impairment in object relatedness- Increased interpersonal hypersensitivity Maladaptive relational patterns (Elliott, 1994).

  3. MEASURING TREATMENT EFFECTIVENESS • Typically: • Behaviour • Perceived mental health *Symptom / QOL checklists *Ratings of mental health (Eklund & Nilsson, 1999)

  4. PSYCHODYNAMIC PSYCHOTHERAPY • Change extending beyond: • Manifest symptoms • Behaviours • Alterations in the ‘structure of the personality’ (Zilberg et al, 1991)

  5. Measuring Intrapsychic Change Percept Genetic Object Relation Test (Nilsson & Svensson,1999) • Percept –Genesis • Perception and personality closely related • Bypass the defences that could bias self-report. • subliminal presentation accesses attachment systems at unconscious level • Questionnaires • Conscious appreciation of attachment figures and relationships (Titelman & Nilsson, 2002)

  6. PORTPercept Genetic Object Relation Test(Nilsson & Svensson,1999) • Human interactions 1st OR phases of development • Administered tachistoscopically • Attachment Theme (Bowlby, 1969) • Separation Theme (Mahler, 1965) and • Oedipal Theme

  7. MEASURES • Percept –genetic Object Relation Test PORT (Nilsson & Svensson,1999) • The Symptom Checklist –90– Revised (Derogatis,1994) • The Inventory of Interpersonal Problems (Horowitz et al.,2000) • Adherence Scale for Group Psychotherapy (Ogrodniczuk & Piper,1999) • Two clinical interviews • Demographic questionnaire • Client Satisfaction Questionnaire(Larsen ,et al 1979)

  8. AIMS • To measure intrapsychic,interpersonal & symtomatic changes using the PORT ,SCL-90-Rand IIP-64 • To compare and contrast treatment with matched controls on the measures used • To compare and contrast intrapsychic with interpersonal & symptomatological changes • To evaluate the effectiveness of the intervention

  9. Design And Procedure Quasi-experimental Women with a -history of childhood abuse who -had completed individual therapy were screened by clinical interview for suitability -Treatment programme • Participation in research

  10. All screened participants in • Treatment Group, n=17 • Control Group (no intervention) n=10 Were assessed at: • Time 1 (Before treatment) • Time 2 (One year later) Baseline similarityof Both GroupsEstablished • Demographically • Dependant Variables - Clinically • Representative of Service Users

  11. Data Analysis Quantitative Qualitative Clinical

  12. Mann Whitney U Test Results

  13. ODDS RATIO ESTIMATE

  14. Salkovskis (1995) ‘Hour-Glass’ Model

  15. Differences in the Groups T1-T2 Wilcoxon Signed Ranks Tests • Changes T1-T2 Treatment Group • Changes T1-T2 Control Group • Five Measures *Three PORT Themes *Two Global Scores GSI (SCL-90-R) & Total (IIP-64)

  16. Differences Between the Groups T1-T2 • Mann-Whitney U tests to compare the groups at the beginning and again one year later • Effect size – Cohen’s d and Odds Ratio

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