THE OUTPATIENT CENTRE OF THERAPY
AND REHABILITATION OF PSYCHOSES
performs a key function in our system as it assures the continuity and stability of the relation with one therapist. It provides a longstanding individual programme that is adapted to the patient’s needs and the stage of his/her therapy.
|ART THERAPY GROUP|
|PSYCHOTHERAPEUTIC WOMEN'S GROUP|
|RELIGION & PRAYER GROUP|
|STUDY OF FOREIN LANGUAGES|
Individual psychotherapy forms the basis of the treatment of mentally disordered patients. In our system the relation between the patient and therapist is the vital element of the treatment. If this relation is formed and if it is perceived by both parties as beneficial, it influences the whole course of the treatment and its results. Therefore each patient has the same therapist from the moment of his/her admission to the inpatient ward. When the patient leaves the ward, individual psychotherapy is continued by the same therapist in the outpatient ward, often for many years. So for the patient, the therapist is the person who integrates all the treatment: pharmacotherapy, individual psychotherapy and possibly family therapy, the rehabilitation programme, etc. In our health care system the function of the therapist may be performed by a doctor, psychologist or nurse. When individual psychotherapy is provided by, for instance, a psychologist, then the patient is referred to a doctor for his/her pharmacotherapy. Most frequently individual psychotherapy is of the supportive kind, less frequently of the explorative kind. The choice depends on the stage of the illness and the overall treatment as well as on the needs and capabilities of the patient. At the moment the outpatient care embraces 700 patients from Kraków and its neighbourhood.
group holds its meetings every Wednesday at 4 p.m. It is a semi-open group,
supervised by two therapists. It has functioned for fifteen years. The
number of participants is between 8 and 10. Their common experience is
that of mental illness. The similarity of experience allows to reduce the
fear of intolerance and rejection and to reduce the sense of isolation
from the world, caused by the difference of one’s experience. It also enables
the patients to share practical, tried solutions of the problems that arise
as a result of the illness, hospitalisation and treatment.
The discussion topics are suggested by the participants. Often they are related to their current individual problems, conflicts and plans. They may signify a return to the experiences of the illness, an attempt to order and understand them and to find out how to cope with recurring or never completely disappearing symptoms.
The participation in the discussion group is an opportunity to get to know oneself better, to manage the illness in a better way, to develop essential skills such as the ability to listen, to speak about oneself and to observe the emotional states of others.
ART THERAPY GROUP
The art therapy group works in an arts studio.
The Miodowa studio (Pracownia Miodowa), which co-operates with the Adult
Psychiatry Clinic, was established in the summer of 1996 by the patients
participating in art therapy, who have been working together for eight
years. The group includes fifteen people for whom art is of utmost importance:
it gives them strength and a sense of significance, it opens up new spaces.
They work together once a week in a specially furnished studio. They use
various art techniques and talk about their sensitivity in the language
The workshops are led by the painter Małgorzata Bundzewicz, a graduate of the Academy of Fine Arts in Kraków. The participants learn new techniques in painting and graphic arts. They work in an academic-style studio, use high-quality materials, brushes and paper. They paint landscapes, portraits, still lifes, and make sketches, that is, they do whatever shapes their imagination. The works are on display in the patients’ art gallery "Miodowa Gallery"(Galeria Miodowa), which exhibits also the works of professional artists both from Poland and abroad. The patients show their works also in other galleries in Kraków, such as the Goethe Institute gallery, the Nuremberg House (Dom Norymberski) gallery, the Inkwizytor gallery.
Thanks to a small publishing house (Mini Oficyna Miodowa) that functions at the studio we intend to publish a professional catalogue of the patients’ works of art.
The group is supervised by a woman therapist certified by the Polish Psychiatric Association and the European Institute of Moreno Psychodrama.
RELIGION AND PRAYER GROUP
It is one of the outpatient groups at the Adult Psychiatry Clinic,
Collegium Medicum, Jagiellonian University, the outpatient ward at plac
Sikorskiego 2/8. The meetings are held every Tuesday at 5 p.m. and last
for 1-1.5 hours. It is an open group which admits both believers and non-believers.
The meetings are conducted by a therapist and a priest. The number of participants
oscillates between 6 and 12. Their common experience is that of mental
illness. The illness often involves religion-based delusions. The participation
in the group is considered an element of the treatment, therefore it is
decided upon chiefly by the patient’s individual therapist. The topic of
the meeting is the text of the Gospel that was read in church on the preceding
Sunday. The meeting starts with prayer, then the biblical text is read
and discussed. The participants share their reflections, experiences and
doubts, and they also try to find out how the excerpt is relevant for their
own situation and illness. Each of the participants is encouraged to contribute
to the meeting, to speak up and to view his/her mental illness in the biblical
context. The patients (a group of frequent participants) are glad come
to the meetings. For some of them they provide psychotherapy, for others
it is a support group, a social gathering, etc. The meetings close with
prayer again, during which particular participants express their wishes
and give their thanks, while the priest gives them his benediction.
Outpatient dancing group Amerta Movement
is based on movement, analysis of sensations connected with the body and
reception of sensations from the outside world. The objective of this kind
of therapy is to integrate the internal with the external, to achieve harmony
within oneself. The examples of specific exercises present the character
of movement therapy.
That special kind of choreotherapy is offered to an outpatient group of schizophrenics within the Kraków programme of comprehensive treatment and rehabilitation of schizophrenia. The group has functioned since 1996 and consists, on the average, of 12 people, both men and women. It is a semi-open group.
Dynamics of the meetings.
Each meeting begins with a warm-up and is based on repeated bioenergetic
exercises. Through deep breathing and stretching particular parts of the
body one can become relaxed and more aware of the body. The achieved state
of deep relaxation allows to find time and space in the way we move.
Then the technique of working with the body is selected, which is connected with what happens in the group. After several meetings, the instructor can structure sessions more precisely, suggests exercises and leads the discussion of meetings.
The discussion is always conducted by the leader and takes place after each technique exercise during the meeting. The concentration on the movement and on the ways in which it is experienced is allowed by the movement itself and by reflection.
STUDY OF FOREIN LANGUAGES