|
Schultz, P. N., Remick-Barlow, G. A., & Robbins, L. (2007). Equine-assisted psychotherapy: a mental health promotion/intervention modality for children who have experienced intra-family violence. Health & Social Care in the Community, 15(3), 265–271.
Abstract: Equine-assisted psychotherapy (EAP) is a specialized form of psychotherapy using the horse as a therapeutic tool. This modality is designed to address self-esteem and personal confidence, communication and interpersonal effectiveness, trust, boundaries and limit-setting, and group cohesion. Substantial numbers of children witness family violence. There is evidence that violence between parents has adverse effects on the children in the family. These children are at greater risk of behavioural problems and mental health disorders, including anxiety, anger, depression and suicidal ideations, withdrawal, low self-esteem, and attention deficit hyperactivity disorder. The purpose of the present pilot study was to test the efficacy of EAP in a cross-sectional group of children referred to a psychotherapist for various childhood behavioural and mental health issues over an 18-month period (June 2003–January 2005). Sixty-three children received a mean number of 19 EAP sessions. Scores on the Children's Global Assessment of Functioning (GAF) Scale were determined pre- and post-treatment. The mean (± standard deviation, SD) pretreatment score was 54.1 (SD 3.2) and post treatment mean score was 61.7 ± 5.0 (t = 9.06, d.f. = 96, P < 0.001). All children showed improvement in GAF scores, and there was a statistically significant correlation between the percentage improvement in the GAF scores and the number of sessions given (r = 0.73, P = 0.001). Univariate analysis showed that the greatest improvement in the GAF scores occurred in the youngest of the subjects. Children in the group who had a history of physical abuse and neglect had a statistically significant greater percentage improvement in GAF scores after treatment than those who did not have a history of abuse and neglect. This study has demonstrated a quick response to EAP, especially in younger children, but it remains to be determined what kind of long-term effects this type of intervention may provide.
|
|
|
Sone, K. (1983). [Apropos of 5 cases of so-called “delusions of cutaneous and intestinal infestation”--psychopathologic and neuropsychological considerations]. Folia Psychiatr Neurol Jpn, 37(1), 37–55.
Abstract: Five cases with so-called “Dermato- und Enterozoenwahn” are reported, and the following themes are analysed from the “multidimensional” point of view: 1) process to build the shape of the intruder which is bothering the patients, 2) behavior against the intruding small animal and attitude towards the therapeutist; their characteristic manner to make complaints, 3) premorbid personality and 4) physical findings. In regard to one of the formation types of this disease, we have postulated through the neuropsychological analysis of case 5 (somatoparaphrenic patient) that patients of the typical cases 1, 2 and 3 suffer from a special kind of agnosia (perturbation of recognition; disturbance of aperception) in which they take their abnormal body sensations for causing by the small imaginary animals. Our cases showed the importance of a premorbid personality and present life-situations in combination with physical dissolution taking part in the pathoplastic process of this particular disease.
|
|