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Clinical Social Work Journal

, Volume 39, Issue 3, pp 253–261 | Cite as

When Absence Speaks Louder than Words: An Object Relational Perspective on No-Show Appointments

  • Michelle KwintnerEmail author
Original Paper

Abstract

The rates of no-show appointments in community mental health are reported to be as high as 50%. Yet there is a striking scarcity of clinical literature on this subject compared with the abundance of articles written from an administrative point of view. This paper describes a variety of countertransference responses to missed appointments. Drawing from object relations theory, the author maps out different pathways to guide thinking about the use of countertransference, listening to clinical material following a no-show appointment, and responding to organizational pressures. The paper aims to help practitioners make greater sense of the patient’s inner world and of what is going on in the transference-countertransference matrix.

Keywords

No-show Missed appointments Countertransference Object relations theory 

Notes

Acknowledgement

I would like to express my gratitude to Chris Erskine for helping me find room to think and write, Gerald Schamess for guidance and discussion of earlier versions of this paper, and Michael Weiss for unfailing encouragement.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.IthacaUSA

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