A contemporary perspective on psychoanalytically informed hospital treatment.
Despite impressive biological advances in the treatment of hospitalized patients, many inpatients do not respond to conventional somatic therapies. For these treatment-resistant patients with axis I disorders, as well as for characterologically disturbed axis II patients, a sophisticated milieu approach employing psychoanalytic principles may be useful, if not essential, in planning effective treatment. The author presents a model based on object relations theory to assist hospital staff in conceptualizing such treatment approaches. The cornerstone is a systematic understanding of transference and counter-transference as they reflect the patient's internal object relations.
Gabbard
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C. F. Menninger Memorial Hospital, Topeka, Kansas 66601.
D000328:Adult; D003866:Depressive Disorder / Q000628:therapy; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008884:Milieu Therapy / Q000379:methods; D009769:Object Attachment; D011575:Psychoanalytic Therapy / Q000379:methods*; D014167:Transference, Psychology