Journal of Bioethical Inquiry

, Volume 13, Issue 1, pp 159–160 | Cite as

Effective Therapeutic Relationships Using Psychodynamic Psychotherapy in the Face of Trauma

Comment on “The Ethics of Isolation for Patients With Tuberculosis in Australia”
Case Studies


The case of Xiang as described by Jane Carroll is indeed disconcerting well beyond the immediately apparent factors contained within the article. While Xiang’s direct medical expenses are excessive and his inability to pay for those expenses and further support his noncustodial family seem to be the main issues up for debate, Xiang, however, is likely going to need much more psychosocial support if he is to regain his previous independent functionality or retain any aspect of a quality of life whilst continuing his indefinitely isolated treatment. In this response, I briefly outline the probable effects of Xiang’s current situation on his social identity and mental health as well as a potential way that we can minimize these adverse effects.


Tuberculosis Social identity Self-worth Psychodynamic psychotherapy Mental health Trauma-informed care model Conversational Model Therapy 


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Copyright information

© Journal of Bioethical Inquiry Pty Ltd. 2016

Authors and Affiliations

  1. 1.Westmead Psychotherapy ProgramSydney UniversitySydneyAustralia

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