Abstract
Abstract
French
Is long term psychiatric care superfluous? Can it be provided by non medical therapists? This paper examines this question from the perspective of one patient who was in therapy for 20 years.
References
1.
Bassuk E.
,
Gerson S.
Chronic crises patients: a discrete clinical group. Am J Psychiatry 1980 ; 137 : 1513 –1517 .
2.
Taylor G.J.
Contemporary psychoanalysis and psychosomatic medicine. Madison CT : International Universities Press, 1987 .
3.
Masterson J.F.
The borderline adult: therapeutic alliance and transference. Am J Psychiatry 1978 ; 135 : 437 –441 .
4.
Smith R.J.
,
Steindler E.M.
The impact of difficult patients upon treaters. Consequences and remedies. Bull Menninger Clin 1983 ; 47 : 107 –116 .
5.
Michels R.
Treatment of the difficult patient in psychotherapy. Can Psychiatr Assoc J 1977 ; 22 (3 ): 117 –121 .
6.
Neill J.R.
The difficult patient: identification and response. J Clin Psychiatry 1979 ; 40 : 209 –212 .
7.
Friedman H.J.
Psychotherapy of borderline patients: the influence of theory on technique. Am J Psychiatry 1973 ; 132 : 1048 –1052 .
8.
Ellison J.M.
,
Adler D.A.
Psychopharmacologic approaches to borderline syndromes. Compr Psychiatry 1984 ; 25 : 255 –262 .
9.
Nadelson T.
Borderline rage and the therapist's response. Am J Psychiatry 1977 ; 134 : 748 –751 .
10.
Maltzberger J.T.
,
Buie D.H.
Countertransference hate in the treatment of suicidal patients. Arch Gen Psychiatry 1974 ; 30 : 625 –633 .
11.
Main T.F.
The ailment. Br J Med Psychol 1957 ; 30 : 129 –145 .
12.
Adler G.
Helplessness in the helpers. Br J Med Psychol 1972 ; 45 : 314 –326 .
13.
Silver D.
,
Cardish R.J.
,
Glassman E.J.
Intensive treatment of characterologically difficult patients. Psychiatr Clin North Am 1987 ; 10 : 219 –245 .
14.
Zetzel E.R.
A developmental approach to the borderline patient. Am J Psychiatry 1971 ; 127 : 867 –871 .
15.
Groves J.E.
Taking care of the hateful patient. N Engl J Med 1978 ; 298 : 883 –887 .
16.
Book H.E.
,
Sadavoy J.
,
Silver D.
Staff countertransference to borderline patients on an inpatient unit. Am J Psychother 1978 ; 32 : 521 –532 .
17.
Silver D.
Psychodynamic and psychotherapeutic management of the self-destructive character-disordered patient. Psychiatr Clin North Am 1981 ; 4 : 25 –37 .
18.
Chrzanowski G.
Problem patients or troublemakers? Dynamic and therapeutic considerations. Am J Psychother 1980 ; 34 : 26 –38 .
19.
Sadavoy J.
,
Silver D.
,
Book H.E.
Negative responses of the borderline to inpatient treatment. Am J Psychother 1979 ; 33 : 404 –417 .
20.
Whelan C.
,
Stewart D.E.
Pseudocyesis — a review and report of six cases. Int J Psychiatry Med 1990 ; 20 : 97 –108 .