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

Abstract

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.

Keywords

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

References

  1. Abbass, A. 2002. Intensive short-term psychodynamic psychotherapy in a private psychiatric office: Clinical and cost effectiveness. American Journal of Psychotherapy 56(2): 225–232.PubMedGoogle Scholar
  2. Cacioppo, J.T., and L.C. Hawkley. 2003. Social isolation and health, with an emphasis on underlying mechanisms. Perspectives in Biology and Medicine 46(Suppl 3): S39–S52.CrossRefPubMedGoogle Scholar
  3. Gaskin, C.J. 2012. The effectiveness of psychodynamic psychotherapy: A systematic review of recent international and Australian research. Melbourne: Psychotherapy and Counselling Federation of Australia. https://www.health.gov.au/internet/main/publishing.nsf/Content/phi-natural-therapies-submissions-containerpage/$file/PACFA%20Psychodynamic%20Psychotherapy%20Lit%20Review.pdf.
  4. Gerull, F., R. Meares, J. Stevenson, A. Korner, and L. Newman. 2008. The beneficial effect on family life in treating borderline personality. Psychiatry 71(1): 59–70.CrossRefPubMedGoogle Scholar
  5. Hall, J., S. Caleo, J. Stevenson, and R. Meares. 2001. An economic analysis of psychotherapy for borderline personality disorder patients. The Journal of Mental Health Policy and Economics 4(1): 3–8.PubMedGoogle Scholar
  6. Leichsenring, F., S. Rabung, and E. Leibing. 2004. The efficacy of short-term psychodynamic psychotherapy in specific psychiatric disorders: a meta-analysis. Archives of General Psychiatry 61(12): 1208–1216.CrossRefPubMedGoogle Scholar
  7. Norcross, J.C., and M.J. Lambert. 2013. Compendium of evidence-based relationships. Psychotherapy in Australia 19(3): 22–26.Google Scholar
  8. Shedler, J. 2010. The efficacy of psychodynamic psychotherapy. American Psychologist 65(2): 98–109.CrossRefPubMedGoogle Scholar
  9. Stevenson, J., and R. Meares. 1999. Psychotherapy with borderline patients: II. A preliminary cost benefit study. The Australian and New Zealand Journal of Psychiatry 33(4): 473–477.CrossRefPubMedGoogle Scholar
  10. Walsh, F. 2003. Family resilience: A framework for clinical practice. Family Process 42(1): 1–18.CrossRefPubMedGoogle Scholar
  11. Walsh, F. 2007. Traumatic loss and major disasters: Strengthening family and community resilience. Family Process 46(2): 207–227.CrossRefPubMedGoogle Scholar

Copyright information

© Journal of Bioethical Inquiry Pty Ltd. 2016

Authors and Affiliations

  1. 1.Westmead Psychotherapy ProgramSydney UniversitySydneyAustralia

Personalised recommendations