Summary and Conclusions
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1.
Psychotherapy in a mental hygiene clinic faces many problems not encountered in private practice. One of the greastest problems is that of poor motivation for treatment on the part of the patient as well as lack of sufficient enthusiasm on the part of the therapist.
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2.
Outpatient clinic psychotherapy is a necessity largely “supportive” in nature. This is nevertheless sound, in that, by this means, patients get relief from their anxieties as well as support, so that at the very least they may remain employable and socially functioning.
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3.
Mental hygiene clinics reduce the need for hospitalization in many instances.
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4.
In an outpatient situation, analytically-trained and oriented therapists apparently do not provide any better therapy or produce better results than therapists not so trained or qualified.
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5.
Formal residency training in psychiatry appears not to have produced better therapists as far as the experience of this clinic is concerned.
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6.
Intangible factors such as the personality of the therapist and the latter's attitude toward the effectiveness of his treatment, are vital elements leading to good results.
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7.
Psychotherapy isa medical function and responsiblity.
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References
The functioning of psychiatric clinics in New York City: A study by the New York City Committee on Mental Hygiene of the State Charities Aid Association, 1949.
Tissenbaum, M. J., and Harter, H. M.: Survey of a mental hygiene clinic—21 months of operation.Psychiat. Quart., 24:677–705, October 1950.
Appel, K. E., et al.: Long term psychotherapy. Proceedings of the Association for Research in Nervous and Mental Disease, 31:21–34, December 1951.
Knight, R. P.: Present statusof organized psychoanalysis in the United States. J. Am. Psychoan. Asso., 1:2,197–221, 1953.
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Tissenbaum, M.J. Psychotherapy in a mental hygiene clinic. Psych Quar 28, 465–477 (1954). https://doi.org/10.1007/BF01567068
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DOI: https://doi.org/10.1007/BF01567068