Narrative Medicine and the Treatment-Resistant Patient

  • Eric R. MarcusEmail author
  • Rita Charon


Narrative medicine is applied to the understanding and technique of psychodynamic psychotherapy with nonadherent, treatment-resistant psychiatric patients. Narrative medicine’s efficacy in aiding differential diagnosis of the illness etiologies of ego dysfunctions and self-synthesis problems in these patients is discussed. The narrative medicine technique of elaborating self-narratives to resolve characteristic transference and countertransference stalemates is shown. Narrative medicine may provide crucial enhancement of adherence for the nonadherent patient. A case illustration is given.


Narrative medicine Treatment resistance Enhancing adherence Psychodynamic psychotherapy Nonadherent 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Columbia University College of Physicians and Surgeons, Supervising and Training Analyst, Columbia University Center for Psychoanalytic Training and ResearchNew YorkUSA
  2. 2.Medical Humanities and Ethics and of Medicine at the Columbia University Medical CenterNew YorkUSA
  3. 3.Department of Medical Humanities and EthicsColumbia University College of Physicians and SurgeonsNew YorkUSA

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