The idea of “Time-IN®" developed over a period of around 10 years in the context of working with children and adolescents who could not find their place in youth welfare or could not keep it or - viewed from outside - did not want to keep it and who "blew up" existing systems. That called for a new approach. "Time-IN®" offers a space for development that bundles the healing powers of nature in order to initiate change processes with the aim of recognizing "socially and system-compatible" perspectives and enabling the participating people to live an enriched and "happier" life.
by Lynn Van Hoof, Alexander Rose & Harpa Ýr Erlendsdóttir
During the 8th International Adventure Therapy Conference in Australia, the three authors of this article held a presentation about their two-year-long journey of a European partnership project. Together with the 40 other international Adventure Therapy (AT)-practitioners in the room, they dug deeper into some important questions regarding our networks. This article is a way of sharing the interesting findings that came out of this international group of practitioners.
Adventure therapy in the Fontane Clinic is not an independent therapy, but rather an adjunct treatment and thus a possible form of intervention within the framework of our range of treatments. It has been used in a variety of ways since 1995, especially in the treatment of addicted patients. A high level of emotional involvement, i.e. intensive "experience", comes with every therapy and is a condition for change. Through reflection the content of adventure therapy is closely linked to the psychotherapeutic process. This interlocking is the real novelty of experiential therapy in the inpatient therapeutic process. Thus, adventure therapy offers "a new framework for working on psychotherapeutic topics such as trust, dependence, self-esteem and identity" (Koth 1996).
Self-concept change has been proposed as a key driver of behavioral change through ad-venture therapy. Through exploratory moderator analysis we tried to identify process variables that influence the effect of adventure therapy on self-concept to contribute to a deeper understanding of why and when adventure therapy works. This meta-analysis in-cludes thirty studies that report effects of adventure therapy programs on three aspects of self-concept: locus of control, self-efficacy, and self-esteem. Short-term effect sizes of the impact of adventure therapy on self-concept were moderate. The revealed high het-erogeneity of effect sizes could not be explained by any of the examined moderating vari-ables. The follow-up effects confirmed a lasting self-concept change. Limitations and al-ternative explanations of the results are discussed. Future research needs to focus on psychological processes involved in adventure therapy and strive towards high methodo-logical quality.
We know that nature can have healing effects on people. But when and with whom is it advised to leave our therapy room and to go outside? When can being or moving outside also shift something therapeutically? Or when do we walk past all that is important when walking with clients? When can being outside actually help clients to turn inside?
These are questions I will carefully try to find answers to. The aim of the article is to create a better understanding of the complexity of walking and standing still and to dig deeper into what signals our clients provide us with, that tell us when physical activities or other experiments are actually helpful.
This paper aims to explore an innovative selective and indicated addiction prevention program, carried out since 2016 in the province of Valencia (Spain). The program is implemented by Terapia Aventura, and financed by the regional government. The program lasts 10 weekly sessions of 2 hours and up to 3 family sessions. It is designed for adolescents who have specific factors that put them at increased risk of drug use and/or are have already started using drugs, mostly alcohol and cannabis.
Research shows an increase in motivation, adherence to the program and rapport to the therapists; awareness of the risks of using drugs and empowerment of the participants in decision-making and personal goals. Quantitative data shows a slight decrease in the level of cannabis consumption.
The article describes the effects of systemic action-oriented group therapy in nature in the psychotherapeutic treatment of children and adolescents (n=66) with serious problems in their social behavior. These include violent behavior, mobbing experiences, threatened exclusion from school, social anxiety or difficulties in connecting with peers. Selected quantitative-empirical research results are presented. The central question of the study was, whether systemic-action-oriented group therapy a) changes the competence assessment as well as b) the psychic symptomatology and c) what are the connections between a changed competence assessment and a changed psychic symptomatology. An analogous competence assessment procedure was developed for this purpose. The psychic symptoms were measured with the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR) at three time-points.
Posttraumatic stress disorder (PTSD) in military personnel is a complex disease with far reaching individual, societal and economic consequences. Although first line treatments, such as eye movement desensitization and reprocessing therapy (EMDR), imagery rescripting and reprocessing therapy (IRRT), prolonged exposure (PE), and cognitive-behavioral therapy (CBT) consider the suggestions of recent PTSD theories (emotional processing theory, dual representation theory, cognitive model) some patients remain with significant residual symptomatology. The reason may be treatment barriers and challenges that are associated with military personnel PTSD. Therefore, additional treatment approaches are required to improve military personnel PTSD recovery. Systemic adventure and nature therapy (SANT) was investigated in this study as such a complementary treatment approach. Participants (N = 2) were military personnel with PTSD who received an online SANT intervention. Their PTSD symptoms before and after the intervention were compared. Moreover, this experimental group was compared to the treatment as usual (TAU) control group of Beetz, Schöfmann, Girgensohn, Braas and Ernst (2019), consisting of military personnel with PTSD (N =31). It was hypothesized that participants in the experimental group would have less PTSD symptoms after treatment compared to participants in the control condition (H1) and a PTSD symptom pre-test (H2). Results showed that participants' PTSD symptoms did not improve after the additional SANT intervention. However, the SANT experimental group had decreased PTSD symptoms compared to the TAU control group, indicating that SANT may be an effective addition to TAU. Results have to be interpreted under consideration of four limitations that occurred due to the COVID-19 pandemic.
Janosch first published the children's book “The Trip to Panama” over 50 years ago. Based on this book and the need for a group therapy offer, a new concept was developed for a residential group. Group therapy was developed for boys aged 8 to 12 who have conduct disorders (F91). Due to the flexibility of the concept, the different themes of the boys can thereby be taken into account. The program consists of eleven units and is integrated into everyday group life. It relies on group-related outdoor units, group-related units that come to the residential group by post and selfstudy units. The article describes both the concept, the program flow and the experiences after the first run.