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Transfer to a New Psychopharmacologist

Its Effect on Patients

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Abstract

The authors surveyed 38 psychiatry residents to determine the effect of end-of-residency transfer of care on psychopharmacology patients. Senior residents reported that 19% of patients worsened after notification about the upcoming transfer, 32% required medication changes, and up to 9% became noncompliant. Junior residents reported that, after transfer, 10% of patients worsened, 7% required medication changes, and up to 12% became non-compliant. Approximately 29% of patients considered the change of residents a major treatment disruption. The authors propose a system for minimizing deleterious effects and improving outcome in the transfer of psychopharmacology patients.

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References

  1. Dewald PA: Reactions to the forced termination of therapy. Psychiatr Q 1965; 39: 102–126

    Article  CAS  PubMed  Google Scholar 

  2. Bostic JQ, Shadid LG, Blotcky MJ: Our time is up: forced terminations during psychotherapy training. Am J Psychother 1996; 50: 347–359

    CAS  PubMed  Google Scholar 

  3. Mikkelsen EJ, Gutheil TG: Stages of forced termination: uses of the death metaphor. Psychiatr Q 1979; 51: 15–27

    Article  CAS  PubMed  Google Scholar 

  4. Parsons M: Imposed termination of psychotherapy and its relation to death and mourning. Br J Med Psychol 1982; 55: 35–40

    Article  CAS  PubMed  Google Scholar 

  5. Glenn ML: Separation anxiety: when the therapist leaves the patient. Am J Psychother 1971; 25: 437–446

    CAS  PubMed  Google Scholar 

  6. Fielding B: Aspects affecting premature termination of psychotherapy at a training clinic. Am J Psychother 1972; 26: 268276

    Google Scholar 

  7. Schwarz IG: Forced termination of analysis revisited. International Review of Psychoanalysis 1974; 1: 283–290

    Google Scholar 

  8. Zahourek RP, Crawford CM: Forced termination of psychotherapy. Perspectives in Psychiatric Care 1978; 16: 193–199

    CAS  PubMed  Google Scholar 

  9. Beatrice J: Premature termination: a therapist leaving. International Journal of Psychoanalytic Psychotherapy 1982–83; 9: 313–336

    PubMed  Google Scholar 

  10. Smith S: Interrupted treatment and forced terminations. International Journal of Psychoanalytic Psychotherapy 198283; 9: 337–352

    PubMed  Google Scholar 

  11. Martinez D: Pains and gains: a study of forced terminations. Journal of the American Psychoanalytic Association 1989; 37: 89–115

    Article  CAS  PubMed  Google Scholar 

  12. de Bosset F, Styrsky E: Termination in individual psychotherapy: a survey ofresidents’ experience. Can J Psychiatry (Rev Canadienne de Psychiatrie) 1986; 31: 636–642

    Google Scholar 

  13. Lenzer AS: Countertransference and the resident on leaving his patient. Journal of the Hillside Hospital 1955; 4: 148–150

    Google Scholar 

  14. Goldberg A: Narcissism and the readiness for psychotherapy termination. Arch Gen Psychiatry 1975; 32: 695–699

    Article  CAS  PubMed  Google Scholar 

  15. Weddington WW Jr, Cavenar JO Jr: Termination initiated by the therapist: a countertransference storm. Am J Psychiatry 1979; 136: 1302–1305

    PubMed  Google Scholar 

  16. Otto MW: Statistical methods for clinical psychopharmacology trials, in Research Designs and Methods in Psychiatry. Edited by Fava M, Rosenbaum J. Amsterdam, The Netherlands, Elsevier Science, 1992, pp 247–266

    Google Scholar 

  17. Keith C: Multiple transfers of psychotherapy patients. Arch Gen Psychiatry 1966; 14: 185–189

    Article  CAS  PubMed  Google Scholar 

  18. Reider N: A type of transference to institutions. Bull Menninger Clin 1959; 17: 58–63

    Google Scholar 

  19. Pumpian-Mindlin E: Comments on techniques of termination and transfer in a clinic setting. Am J Psychother 1958; 12: 455–464

    CAS  PubMed  Google Scholar 

  20. Becker TC: The difference between termination in psychotherapy and psychoanalysis. J Am Psychoanal Assoc 1993; 41: 765–773

    Google Scholar 

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Correspondence to David Mischoulon M.D., Ph.D..

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The authors thank Michael Otto, Ph.D., for his assistance with statistical procedures.

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Mischoulon, D., Rosenbaum, J.F. & Messner, E. Transfer to a New Psychopharmacologist. Acad Psychiatry 24, 156–163 (2000). https://doi.org/10.1176/appi.ap.24.3.156

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  • DOI: https://doi.org/10.1176/appi.ap.24.3.156

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