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The American Journal of Psychoanalysis, Vol. 50, No. 2, 1990 LOVE AND FELLOWSHIP IN THE DOCTOR-PATIENT RELATIONSHIP IN PSYCHIATRY Demetrio Barcia and Maria Eulalia Ruiz This paper examines the doctor-patient relationship from a phenomeno- logical viewpoint. It follows Lain Entralgo's four specific parameters, namely the cognitive, the operative, the affective, and the ethic. It adapts these to the very special situation of intensity and depth that develops in the psychiatric encounter. In his important work, "The Doctor-Patient Relationship," Lain Entralgo (1964) has established that the doctor-patient relationship is, generically con- sidered, an interpersonal helping bond. This interpersonal relationship is defined by the author as a quasi-dyad, different from other similar encounters such as the dyad, the objectifying relationship, and the duet. The dyad is the perfect form of interpersonal relationship, or "the we constituted by an [ and a Thou blended by caring." Opposite to the dyad is the purely objectifying relationship wherein the other becomes a simple object, "an external reality lacking in personal freedom and individual aim." Midway between these two polarities of binary relationship, Lain Entralgo (1961) describes two inter- mediate ones: the duet and the quasi-dyad. The duet is a functional relationship geared to attaining
The American Journal of Psychoanalysis – Springer Journals
Published: Jun 1, 1990
Keywords: Clinical Psychology; Psychotherapy; Psychoanalysis
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