Using Hildegard Peplau's theoretical model and focusing on the concept
of pattern integrations, clinical data from a pilot intervention prog
ram for depressed women were analyzed, The program consisted of a coll
aborative relationship between primary-care providers and two Psychiat
ric-Mental Health Clinical Nurse Specialists in which women experienci
ng symptoms of depression were identified and referred to the research
program, Data derived from clinical intervention done over a 4-month
period with 6 women (42 hours of clinical tapes) was used for analysis
. Clusters of behaviors constituting pattern integrations were analyze
d for the reciprocal interactions of the nurses and the clients. Four
pattern integrations common to the women in the sample were identified
, Clinical examples and a framework for intervention using the pattern
s integrations is presented. (C) 1996 by W.B. Saunders Company