Free Psychotherapy: The Therapist’s and the Patient’s View

  • Nikolas Manos


Since the inception of dynamic psychotherapy, there has been a recognition of the theoretical as well as the clinical significance of the fee for servicel. Freud’s belief that financial sacrifice on the part of the patient can be an incentive for successful treatment is well known2. Following his example various analysts have stressed this “sacrificial” aspect of therapy3 along with the importance of setting the appropriate fee for the individual patient. Thus, it has been postulated that free psychotherapy or low fee may lead to unique conflicts and resistances within treatment including but not restricted to depreciation of the value of therapy, feelings of obligation toward the therapist, inhibition of the expression of anger, avoidance of involvement and even expectations of inappropriate non-financial demands from the therapist4,5.


Attendance Rate Psychiatric Resident Monetary Issue Psychiatric Training High Attendance Rate 
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Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Nikolas Manos
    • 1
  1. 1.Department of Psychiatry and NeurologyAristotelian University of Thessaloniki Medical SchoolThessalonikiGreece

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