Physicians’ “compliance with treatment” in the context of consultation-liaison psychiatry: The role of “triangle” relationships and projective identification
نویسندگان
چکیده
Transference and countertransference issues arising in the context of consultation-liaison (C-L) psychiatry could be more complex than originally assumed since they include reactions evoked within the frame of a unique "therapeutic triangle" of the patient, the physician, and the C-L psychiatrist. A clinical vignette illustrates how the projective identification process could mediate the relationships between the members of the therapeutic triangle through the different transferences and countertranferences interwoven in the setting of C-L psychiatry. This, if left unchecked, may result in the disruption of professional relationships and in jeopardizing the treatment of patients.
منابع مشابه
Rings of Singularities
This paper is a slightly revised version of an introduction into singularity theory corresponding to a series of lectures given at the ``Advanced School and Conference on homological and geometrical methods in representation theory'' at the International Centre for Theoretical Physics (ICTP), Miramare - Trieste, Italy, 11-29 January 2010. We show how to associate to a triple of posit...
متن کاملThe role of consultation-liaison psychiatry In the general hospital
This article reviews some of the recent data concerning Consultation-Liaison Psychiatry in a general hospital. As the organic medical conditions have a major impact on the one's quality of life and self-awareness as an ill-person, very often a psychiatric disorder appears as co-morbidity. It is the responsibility of the psychiatrist to recognize and to treat these psychiatric conditions, and al...
متن کاملمروری بر روان درمانی پویشی فشرده و کوتاه مدت: مبانی تا عمل
This paper presents an overview of the concepts, requirements, scope, objectives, techniques and principles of this area of psychodynamic therapy. Moreover, with further analysis and consideration of the impact and effectiveness of the fore-mentioned therapy on reduction of pain causing symptoms of Medical and psychiatric diseases, it also tries to expand the horizons of psychoanalysts and thos...
متن کاملDifferential aspects of consultation-liaison psychiatry in a Saudi hospital. II: knowledge and attitudes of physicians and patients.
To assess the attitude and knowledge of physicians and patients towards psychiatry, we asked 115 referring doctors and 188 referred patients to complete questionnaires. We examined the results along with the referral rates to try to identify factors that may affect a consultation-liaison psychiatry service. Generally, knowledge was poor and attitudes towards psychiatry negative in both groups. ...
متن کاملCultural Considerations in Physician-Patient Relationships, With an Emphasis on Electronic Health Record
Good and healthy communication between physician and patient is cornerstone of a complete medical care that has long been considered in sociology. From the classical point of view, the physician-patient relationship as a unique relationship encompasses a wide range of cultural and social influences. Electronic health record not only has facilitated the treatment and diagnosis process, but also ...
متن کامل