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Yıl:2018; Cilt: ; Sayı: 29>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2018;(29):109-133
Psikodinamik Grup Psikoterapisinin Hafif Bilişsel Bozukluk ve Erken Dönem Alzheimer Hastalarının Kişilikleri Üzerindeki Etkisinin Rorschach Testiyle Değerlendirilmesi
AÖ Şahin
Çalışmanın amacı; psikodinamik grup psikoterapisi öncesi ve sonrasında HBB ve AD hastalarının ego işlevlerindeki değişimlerine bağlı olarak kişiliklerinde gerçekleşecek değişimleri değerlendirmektir. Örneklem iki HBB ve bir AD hastasıdır. Psikodinamik Grup Psikoterapisi bir yıl, haftada iki gün, oturum başına 1.5 saat sürmüştür. Katılımcılar; 65, 71 ve 89 yaşlarındadır. Ön test ve son test olarak Rorschach kullanılmıştır. Sonuçlar; HBB ve AD hastalarının nesne ve kişilere daha fazla bağlandığını, kontrol çabalarının da arttığını göstermiştir. Tedavi sonrasında tedavi öncesindeki detaycı yaklaşımlarından farklı olarak daha bütüncül bakış açısıyla kontrolü sürdürdükleri görülmüştür. Hastaların bütüncül bakış açısı geliştirmeleri, ruhsal dağılmalarının önüne geçebilecek kıymetli bir gelişimdir. Amnestik HBB ve erken dönem AD hastaları, üstbenliklerine korkutucu bakmaktan uzaklaşmış, renk ve eylem yanıtlarında da artış görülmüştür. HBB hastası, psikodinamik grup psikoterapisinden en fazla fayda sağlayan kişi olmuş, vasküler hasta da bir miktar gelişim göstererek, dürtülerini biraz daha kabule geçmiştir. Erken dönem AD hastasında yıkımın önüne geçilemese de; bütüncül bakış açısı geliştiren hastanın benlik yıkımında gecikme ve/veya yavaşlama sağlanabileceği düşünülmüştür.
The Effect of Psychodynamic Group Psychotherapy on Personalities of Mild Cognitive and Early Alzheimer Disease Patients by Rorschach Test
The aim of this study is to evaluate the changes that might take place in the personalities due to the changes in the ego functions of MCI and AD patients before and after the psychodynamic group psychotherapy. The sample consists of two MCI and one AD patients. Psychodynamic group psychotherapy lasted for one year, twice a week. The participants were 65, 71 and 89 years old. Rorschach test is used as pre and post test. Results of the study show us that MCI and AD patients are much more attached to the objects and human beings and an increase in controlling is seen after the study. They nave improved by taking the control in global instead of their detailed view before the treatment. The holistic look is a valuable development in terms of being able to prevent the psychological disintegration of patients. Amnestic MCI and early AD patient improvements by having non-frightening superegos and increase in their answers in colors and actions. MCI patient is the one who has benefited mostly from the psychodynamic group psychotherapy, vascular patient has shown a small difference and started to accept his impulses. Early AD patient couldn't avoid the deterioration but her capacity to understand the things in holistic look was a point to think that the study could help her to delay and/or slow down the ego destruction.

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