The therapeutic relationship in neighborhood psychiatry: impact of clinical setting on clinical practice.
The relationship between psychotherapist and patient in neighborhood mental health practice differs in important ways from the therapeutic relationship established in other clinical settings. Obviously, no matter where therapist and patient meet, their personality characteristics and the clinical methodology will shape the relationship between them. Most clinical approaches emphasize personality and technique--therapists of all schools are trained to scrutinize these aspects of psychotherapy. But therapists are generally less well prepared to comprehend the clinical impact of the organizational setting itself (Newton and Levinson, 1973). Consequently, the practitioner may not recognize how much the system in which he works influences the way he and his patient relate to each other.
D003156:Community Mental Health Services; D003695:Delivery of Health Care; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007878:Legislation as Topic; D008297:Male; D011369:Professional-Patient Relations; D011613:Psychotherapy; D012380:Role; D014481:United States