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Article   |    
Individual Psychotherapy With Schizophrenic Outpatients in the Public Mental Health System
James H. Zahniser; Robert D. Coursey; Kent Hershberger
Psychiatric Services 1991; doi:
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The authors acknowledge the collaboration of Eileen Zeller and the support provided by the Computer Science Center at the University of Maryland.

University of Maryland in College Park

University of Cincinnati

1991 by the American Psychiatric Association

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Abstract

Forty-two therapists conducting individual psychotherapy with schizophrenic outpatients in a public mental health system responded to a questionnaire that focused on the types of interventions used and the issues and problems encountered in therapy. The therapists spent 59 percent of their time in supportive, problem-solving work and only 32 percent in traditional psychotherapeutic interventions, such as providing insight. The most common issues in therapy were relationship problems, family concerns, depression, losses, and the role of medications in the client's life. The most significant impediments to therapeutic work were the lack of community resources, the client's noncompliance with medications and lack of motivation, and dual diagnoses. Suggestions are offered for improving psychotherapy with schizophrenic outpatients in the public mental health system.

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