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C HANGES IN CLIENTS MMPI PROFILES AND COPING STYLES DURING TC TREATMENT Nevšímal, P.; Fialová, H. 18. 9. 2013 EFTC 2013.

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Presentation on theme: "C HANGES IN CLIENTS MMPI PROFILES AND COPING STYLES DURING TC TREATMENT Nevšímal, P.; Fialová, H. 18. 9. 2013 EFTC 2013."— Presentation transcript:

1 C HANGES IN CLIENTS MMPI PROFILES AND COPING STYLES DURING TC TREATMENT Nevšímal, P.; Fialová, H EFTC 2013

2 Summary of the prezentation Research goals Methodology Comparison with previous researches Interim qualitative results

3 Research goals Validation of clinical observations Demonstration the efficacy of therapy in TC Effect of therapy to alleviate the psychopathological personality traits The possibility of finding drop out predictors Lack of Czech research work on this theme Support the therapeutic process

4 Methodology Clients of two TC`s - Magdalena, Advaita (with a target number of 50 persons) Hypotheses: – Treatment in TC leads to a reduction of psychopathological personality traits of clients – Treatment leads to improvement of stress management coping strategies The self-assessment questionnaire form (independence on the researcher, focus on results, comparability of data) – MMPI-2 (Minnesota Multiphasic Personality Inventory-2) – SVF78 (Streßverarbeitungsfragebogen) – Test fáze (entry – 1 month), clients + team are informed about results – Retest - 6 month from 1. test ( weeks)

5 Sample MMPI profile

6 Previous research - MMPI David Kennard and Stephan Wilson (1979): The modification of personality disturbance in a therapeutic community for drug abusers – Ley Community, Oxford, 90 klientů, retest by MMPI after 6 and 12 month (90, 27, 16) Martin Zuckerman, Steven Sola (1975): MMPI Patterns in Drug Abuse Before and After Treatment in TC – 3 TC in USA, 145 clients, differences among quitters and stayers + retest in clients, who stayed in the treatment Joel G. Sacks, Norman M. Levy (1979): Objective Personality Changes in Residents of a Therapeutic Community – The Renaissance Project (Phoenix House), New York, (114, 50 – retest after 6 month) De Leon 1989, De Leon and Jainchill (1991) Psychopatology and substance abuse Polimeni, Moore, Gruenert (2010) MMPI profiles of clients with substance dependencies accessing a TC treatment – Australia, 921 clients, description of psychological profile

7 SVF78 Stress Management Strategies Multidimensional self-assessment questionnaire Positiv strategies – Minimization, Denial of guilt, Distraction, Substitute gratification, Control of the reaction and response, Positiv self-instruction Negativ strategies – Escape tendences, Rumination, Resignation, Selfblaming + 2 not classified – Need for social support, Avoidance

8 Previous research – coping strategies Walter and al. (2006) 147 clients addicted to alcohol – Coping strategies are part of permanent personality traits and has no effect on maintenance of abstinence Litt, Kaden, Tennen (2012) 751 clients addicted to THC – None of the scales of coping strategies correlate with treatment outcomes

9 Preliminary results Average scores of MMPI profile n-69

10 Client n.1 – Clinical scales

11 Client n.1 – Content scales

12 Client n.1 – T-scores SVF 78

13 Client n.2 – Clinical scales

14 Client n.2 – Content scales

15 Client n.2 – T-score SVF 78

16 Mníšek pod Brdy P.O.Box 3 Czech republic Magdaléna o.p.s. Thanks for your attention!

17 TC Magdaléna Drug free treatment programme


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