title: The treatment-resistant patient and the need to stay crazy.
abstract: This paper reviews treatment-resistant patients with emphasis on two case studies and the possible dynamic issues which may have contributed to a psychological need to remain psychotic. Possible treatment approaches are considered, as are issues of organicity, staff reactions, family dynamics, and the social question of where these patients will receive treatment.
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology