title: Reflections on a year's psychotherapy with a psychotic man.
abstract: A year's psychotherapy with a psychotic man during the author's residency training is described in detail. Fundamental questions regarding the patient's potential for therapeutic change are raised. These questions concerning this specific patient are then generalized to broader research questions regarding the efficacy of treatment for the severely and persistently mentally ill.
authors.forename: J A
authors.initials: JA
authors.lastname: Nields
mesh_terms: D000328:Adult; D003702:Delusions / Q000523:psychology / Q000628:therapy; D006801:Humans; D007396:Internship and Residency; D008297:Male; D011369:Professional-Patient Relations; D011570:Psychiatry / Q000193:education; D011575:Psychoanalytic Therapy / Q000193:education; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*