Can everybody be a good

psychiatrist, psychologist or
psychotherapeutic?

Why some fortune-tellers, mitt-readers and

popular-healers are very good
psychotherapeutics?
example mother & her death child;
- patient with stomach-ach
 What kind of features must the
psychology/psychiatrist or the general
practitioner & physician have?
3 porcelain dolls (dallies) with 3 holes
psychologist who had specialization in
Ireland in a hospital with children with
heavy carcinoma disorders ( leucoma) ;
patient who went to sanatorium in Hisar
mineral baths.

 YATROGENIA & PSYCHOTHERAPY

This disturbances could be caused by;
medical and not-medical persons,
looking after ill patient with a heavy disorders
(Infarct, insult, terminal patients);
looking films or reading books with description
of s. o. complains;
reading medical literature;
persons words can make healty persons to
become ill or the ill person to improve. as s. o.
can make you to feel happy or unhappy.
 Nicola SHIPKOVENSKI
Yatrogenic damages could be suggested by:
TV-program newspapers,
Internet; medical lectures;
Medical literature, radio; talk lecture;
Waiting room -
Therapy of silence silence therapy
Conscious damage
- to care of ill persons, later we copy their symptoms;
- medical damage, that could be received by the medical
personal.
 BLEULER Placebo effect

Placebo when to the patient is given a tablet

with an indifferent substance.
Strazesko his patients improved with 10 times
lower doses of Bromine and Strychnine than the
doses of his assistants.
Ballint - 1950, therapeutic talk of General
Practitioners
 E X AM PLE S
1. Patient who looked after patient who died
from angina pectoral (among population it
is known as pectoral frog).
2. A patient with psychogenic stupor
3. 56 old woman, she is a neighbor of
patient 2
4. Gypsy females prefer injections instead
tablets.
5. Child with phobia from a cock.
 Ivan Petrovich Pavlov
When some persons speak too much
about the symptoms of a given disease in
their brain is formed so called
dominant fireplace in the cortex of the
big hemisphere. They spread
pathological impulses to different parts
of the Central Nervous System.
 PS YC H O T H E R APY
Psychotherapeutic Client
- to understand the problem
- to drop the tension
- to decrease the emotional tension
- to give the ability of the client to express his problems;
- to show the right way to the saving island
- to change their thinking in order to overcome the
problem and to continue to live in another way;
- we must not force our opinion. We offer to them
different decisions, but he must decide what to do.
 PSYCHOTHERAPY
Psychotherapy is a method for the
treatment of patients/clients by the use of
different psychological methods and mainly
by the use of speech:
hypnotic therapy,
behavior therapy,
psychoanalyses,
cognitive therapy;
Positive psychoterapy
BEHAVIOR PSYCHOTHERAPY

As Pavlovs dogs were conditioned to

salivate at the sound of a bell once the
bell had become associated with meat
a person can be conditioned to feel fea
in neutral situations that have come
to be associated with anxiety.

Example
26 woman with zoophobia, butterfly-phobia.
 INDIVIDUAL PSYCHOTHERAPY
GROUP PSYCHOTHERAPY
PHAMILY PSYCHOTHERAPY

Psychotherapy is used individually on one

person;
Group Psychotherapy after the war
Family psychotherapy with the members
of the family.

 POSITIVE PSYCHOTHERAPY
PARAADPTIVE REACTIONS OF PERSONALITY
.
CUP OF WATER COLD HOT WARM GLASS

FLOOD SEA BLACK SEA UMBRELLA

DROWNED MAN SON

HOT DAY
RIVER WATER RAIN

SWIMMING FLOOD FISH

LAKE BOAT

SHIP STEAMSHIP
MUSIC

LOVELY PLACE FEAR

FESTIVAL ON THE SEASIDE

 A GIRL (16 years) IS HOSPITALIZES FOR THE 1-ST TIME IN A

PSYCHIATRIC HOSPITAL. HER MOTHER PUTS SOME QUESTIONS TO
THE DOCTOR/PSYCHOLOGIST

(Psychotherapy is necessary for the mother )

THE MOTHER MAKES ASSOCIATIONS: PSYCHIATRIST/PSYCHOLOGIST MUST
DIRECT HER TO ANOTHER ASSOCIATIONS

MADHOUSE NO, IT IS A HOSPITAL FOR MENTALLYILL PERSONS

AGITATED/EXCITED PATIENTS IT HAS BEEN IN THE PAST;
SHE IS OUT OF SENCE ITS IS LIKE THE OTHER DISORDERS
SHE IS LIKE OUR NEIGHBOUR CRAZY JANE NOW WE HAVENT SUCH PATIENTS
YOU WILL TIE HER HANDS/FEET NOW WE DONT USE ANY BELTS
CHILDREN WILL MAKE FUN OF HER IT COULD HAPPEN TO EVERYBODY

WELL HAVENT PEACE OF MIND ANY MORE THE PSYCHOSES ARE NOT FOR EVER
DISPENSARY STABILIZATION
LONG THERAPY PATIENTS WITH DIABETES ARE ON INJECTIONS TOO
NO CAREER FOR HER IN FUTURE MANY FAMOUS PERSONS SUFFER FROM SCH
SHE WILL NEVER BE A STUDENT; NASH IN THE FILM BEUTIFULL MIND NOBEL PRICE
NOBODY WILL MAKE AN OFFER OF MARRIAGE WHEN SHE RECOVERED SHE CAN MARRY

SHE WII NEVER BECOME A MOTHER MANY FAMILIES FAMILLIES

I WILL NEVER BECOME A GRANDMOTHER SHE COULD BORN OR ADOPT SON/DAUGHTER
FROM ILL PARENTS WILL BE BORN ILL CHILD GOD ONLY KNOWS IN PRACTICE HAPENCE AND
 A GIRL (16 years) IS HOSPITALIZES FOR THE 1-ST TIME IN A
PSYCHIATRIC HOSPITAL. When she is discharge from hospital she PUTS
SOME QUESTIONS TO THE DOCTOR/PSYCHOLOGIST
(Psychotherapy is necessary for the patient )

Patients questions Psychiatrists answers

What must be my behavior? You must be as a healthy person.

If s. o. mentions me about the You know that it could happen to
psychiatric clinic, what to do? every one.
What to do if my classmates You must not pay attention of
make fun of me? their remarks.
How long I must use the drugs? It depends on your psychic state.
Can I continue my education? It is the best for you.
Must I leave my native town? You must be strong and go on.
Can I marry? Yes, but always to advice with
the doctor, and planed the pregnancy
 H YPN O T H E R APY

J. Charcot speaks for 3 stages of

hypnoses
- catalepsy
- lethargy
- somnambulism
 According to A. Forel
- Light degree -somnolence;
sleepiness; dreaming;
- Middle degree - hypotaxie
- Deep degree somnambulism
(amnesia)
They depend of the degree of
brightness, sleepy, consciousness,
muscle tonus, activity, the resistance
movement
 Gestalt-psychology
Frits Perls (8.07.1893-1970)
 The Character of the therapy
When the psychic development of a person is
natural and they are able to understand their real
feelings and realize with their behavior, but not with
expectations of the feelings of the people of
surrounding.
Their motto/device:
I have interest about myself and my own things
and You must occupy only with your own things.
I come into the world without your permission
You come to this world and are not obliged to live
according to my expectations
I this is I am; You this is You are. So everybody
has his own way in the world- dont stay in my own
way, look your way.
 Techniques of Gestalt-therapy
1. To wake up to a conscious to direct his attention
towards the present events (to retell about his thoughts,
feelings, needs and s. o.
2. The ability to hold the attention of some thoughts,
feelings, s. o.
3. The ability to fantasy oral, written, and dramatic
forms and to play/act this.
4. The game of a role to play fragments of their own
dreams,
EMPTY CHAIR he imagines that he is seating at the
chair and is in front of the group.
HOT CHAIR - when the person is seating at the chair
in front of the group: