Residential Psychotherapeutic Treatment: An Intensive Psychodynamic Approach for Patients With Treatment-Resistant Disorders

 

Shapiro, ER. and Plakun, EM. Residential Psychotherapeutic Treatment: An Intensive Psychodynamic Approach for Patients With Treatment-Resistant Disorders. In S. Sharfstein (Ed.), Textbook of Hospital Psychiatry (pp. 285-297). Arlington, VA: American Psychiatric Publishing, Inc.

There is a subset of patients with treatment-resistant illnesses, often with comorbid mood and personality disorders and other comorbid disorders, for whom “resistance” to treatment is organized around unconsciously determined difficulty engaging in a treatment alliance in which they can find their own voice and authority. Recognizing that the alliance is the foundation that supports the treatment, the Austen Riggs Center has constructed a focused residential approach to these patients.

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