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When Long-Term Treatment is Not Long Enough

When Long-Term Treatment is Not Long Enough The author describes the evolution of his practice of psychiatry over 35 years, disputing the traditional valuation placed on the concept of termination and endorsing the value of ongoing therapy. Seven dimensions of ongoing therapy are described: narrative, privacy, counsel, personality, enrichment, reality, and anchoring. Two principles provide some insurance against unrecognized countertransference factors that might lead the therapist to prolong therapy: avoiding interpretation of resistance when patients suggest they wish to discontinue and explicitly informing patients when an acute disorder has abated sufficiently for therapy to cease. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Academy of Psychoanalysis & Dynamic Psychiatry Guilford Press

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References (1)

Publisher
Guilford Press
Copyright
© 2011 The American Academy of Psychoanalysis and Dynamic Psychiatry
ISSN
1546-0371
DOI
10.1521/jaap.2011.39.1.181
pmid
21434752
Publisher site
See Article on Publisher Site

Abstract

The author describes the evolution of his practice of psychiatry over 35 years, disputing the traditional valuation placed on the concept of termination and endorsing the value of ongoing therapy. Seven dimensions of ongoing therapy are described: narrative, privacy, counsel, personality, enrichment, reality, and anchoring. Two principles provide some insurance against unrecognized countertransference factors that might lead the therapist to prolong therapy: avoiding interpretation of resistance when patients suggest they wish to discontinue and explicitly informing patients when an acute disorder has abated sufficiently for therapy to cease.

Journal

Journal of the American Academy of Psychoanalysis & Dynamic PsychiatryGuilford Press

Published: Mar 1, 2011

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