title: Contributions of a relational psychoanalytic approach to dealing with the nonadherent psychiatric patient.
abstract: Nonadherence to medication is one of the great challenges facing any psychiatrist today. The main focus of this article is to illustrate the contributions of a relational psychoanalytic approach to dealing with the nonadherent psychiatric patient. Special emphasis is given to the importance of recognizing the therapist as an active subject and taking responsibility over the negative aspects of the therapist. A clinical vignette is presented, by which these points are illustrated and defined.
authors.affiliation: Shalvata Mental Health Center, Hod Hasharon, Israel. shauli.levran@gmail.com
authors.forename: Shaul
authors.initials: S
authors.lastname: Lev-Ran
authors.forename: Uri
authors.initials: U
authors.lastname: Nitzan
authors.forename: Shmuel
authors.initials: S
authors.lastname: Fennig
mesh_terms: D000437:Alcoholism / Q000523:psychology / Q000628:therapy*; D001291:Attitude of Health Personnel; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D009271:Naltrexone / Q000627:therapeutic use; D009292:Narcotic Antagonists / Q000627:therapeutic use; D033262:Narration; D009771:Obsessive-Compulsive Disorder / Q000523:psychology / Q000628:therapy*; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy / Q000379:methods*; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use
chemical_list: D009271:Naltrexone; D009292:Narcotic Antagonists; D017367:Selective Serotonin Reuptake Inhibitors