Psychiatric and Sociotherapeutic Perspectives on the Difficult-to-Treat Patient

Psychiatry

Volumn 66, Issue 4, 2003, Pages 346-357

  Munich, Richard L ^a,b,c   Allen, Jon G ^a  

^a BAYLOR COLLEGE OF MEDICINE   (United States)

^b WJ Friedman Department of Psychiatry   (United States)

^c MENNINGER CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HUMAN; MENTAL DISEASE; MENTAL HEALTH; MENTAL PATIENT; PSYCHIATRIC TREATMENT; REVIEW; SOCIOTHERAPY;

HUMANS; LEADERSHIP; MENTAL DISORDERS; PATIENT CARE PLANNING; PATIENT CARE TEAM; PATIENT READMISSION; PERSONALITY DISORDERS; PERSONNEL ADMINISTRATION, HOSPITAL; PROFESSIONAL-PATIENT RELATIONS; PSYCHOTHERAPY; SOCIOENVIRONMENTAL THERAPY; TEXAS; TREATMENT FAILURE;

EID: 1642540332     PISSN: 00332747     EISSN: 1943281X     Source Type: Journal    
DOI: 10.1521/psyc.66.4.346.25438     Document Type: Review

References (32)

1. ALLEN, J.G., COLSON, D.B., COYNE, L., DEERING, C.D., AND JEHL, N. Difficult patients (letter). Hospital and Community Psychiatry (1987) 38:672-3.
2. ALLEN, J.G., COLSON, D.B., COYNE, L., DEXTER, N., JEHL, N., MAYER, C.A., AND SPOHN, H.E. Problems to anticipate in treating difficult patients in a long-term psychiatric hospital. Psychiatry (1986) 49:350-8.
3. ALLEN, J.G., COLSON, D.B., AND COYNE, L. Organic brain dysfunction and behavioral dyscontrol in difficult-to-treat psychiatric hospital patients. Integrative Psychiatry (1988) 6:120-30.
4. ALLEN, J.G., DEERING, C.D., BUSKIRK, J.R., AND COYNE L. Assessment of therapeutic alliances in the psychiatric hospital milieu. Psychiatry (1988) 51:291-9.
5. BALINT, M. The Doctor, the Patient and his Illness. International Universities Press, 1957.
6. BREUER, J. AND FREUD, S. Studies on Hysteria (1893-95). Vol. II. Standard Edition of the Complete Psychological Works of Sigmund Freud (pp. 21-47). Hogarth Press, 1955.
7. BURNHAM, D.L. The special-problem patient: Victim or agent of splitting? Psychiatry (1966) 29:105-22.
8. CARLSON, DAVID A. Free-swinging attention. Psychoanalytic Quarterly (2002) 71:723-50.
9. COLSON, D.B. Difficult patients in extended psychiatric hospitalization: A research perspective on the patient, staff and team. Psychiatry (1990) 53:369-82.
10. COLSON, D.B., AND ALLEN, J.G. Organic brain dysfunction in difficult-to-treat psychiatric hospital patients. Bulletin of the Menninger Clinic (1986) 50:88-98.
11. COLSON, D.B., ALLEN, J.G., COYNE, L., DEERING, D., JEHL, N., KEARNS, W., AND SPOHN, H.E. Patterns of staff perception of difficult patients in a long-term psychiatric hospital. Hospital and Community Psychiatry (1985) 36:168-172.
12. COLSON, D.B., ALLEN, J.G., COYNE, L., DEERING, D., JEHL, N., KEARNS, W., AND SPOHN, H.E. Profiles of difficult psychiatric hospital patients. Hospital and Community Psychiatry (1986) 37:720-4.
13. COLSON, D.B., ALLEN, J.G., COYNE, L., DEXTER, N., JEHL, N., MAYER, C.A., AND SPOHN, H.E. An anatomy of countertransference: staff reactions to difficult patients. Hospital and Community Psychiatry (1986) 37:923-8.
14. DEWAN, M., AND PIES, R., eds. The Difficult-to-Treat Psychiatric Patient. American Psychiatric Publishing, 2002.
15. FONAGY, P., GERGELY, G., JURIST, E.L., AND TARGET, M. Affect Regulation, Mentalization and the Development of the Self. Other Press, 2002.
16. FROMM-REICHMAN, F. Principles of Intensive Psychotherapy. University of Chicago Press, 1950.
17. GREEN, H. I Never Promised You a Rose Garden, a Novel by Hannah Green. 1st ed. Holt, Reinhart and Winston, 1964.
18. GROVES, J.E. Taking care of the hateful patient. New England Journal of Medicine (1978) 298:883-7.
19. HASLAM-HOPWOOD, G.T.G. The role of the primary clinician in the multidisciplinary team. Bulletin of the Menninger Clinic (2003) 67:5-17.
20. JOSEPH, B. The patient who is difficult to reach. In P.L. Giovacchini, ed. Tactics and Techniques in Psychoanalytic Therapy, Vol 2: Countertransference (pp. 205-16). Aronson, 1975.
21. KELLY, K. Multiple personality disorder: Treatment coordination in a partial hospital setting. Bulletin of the Menninger Clinic (1993) 57:390-398.
22. LIVSITT, D. Medical and psychological characteristics of "crocks." Psychiatry in Medicine (1970) 1:15-25.
23. MAIN, T. F. The ailment. British Journal of Medical Psychology (1957) 30:129-45.
24. MARTIN, P.A. The obnoxious patient. In P.L. Giovacchini, ed. Tactics and Techniques in Psychoanalytic Therapy, Vol 2: Countertransference (pp. 196-204). Aronson, 1975.
25. MCKINLEY, J., AND CAVOURAS, C.A. 2001 Survey of Hours; Direct and Total Hours per Patient Day by Patient Care Units. Lawrence Consulting, May 2001.
26. MICHELS, R. Treatment of the difficult patient in psychotherapy. Canadian Psychiatric Association Journal (1977) 22:117-21.
27. MUNICH, R.L. Efforts to preserve the mind in contemporary hospital treatment. Bulletin of the Menninger Clinic (2003) 67:128-47.
28. MUNICH, R.L. Leadership and restructured roles: The evolving inpatient treatment team. Bulletin of the Menninger Clinic (2001) 64:482-93.
29. MUNICH, R.L. The role of the unit chief: An integrated perspective. Psychiatry (1986) 49:325-36.
30. NEILL, J. R. The difficult patient: Identification and response. Journal of Clinical Psychiatry (1979) May; 40(5):209-12.
31. PLAKUN, E.M. A psychodynamic perspective on treatment-refractory mood disorders. Psychiatric Times (2002) 73-4.
32. STANTON, A.H., AND SCHWARTZ, M.S. The Mental Hospital: A Study of Institutional Participation in Psychiatric Illness and Treatment. Basic Books, 1954.