Some Technical Problems of the Psychotherapy of Depressed Patients

  • Gerald J. Sarwer-Foner


The author divides depressed patients into two groups. (1) — Those who can no longer in their depressed state cathect, or invest energy in relating to external objects, and (2) — Those who even in the depressed state are still able to put energy into human relationships and into contact with their entourage.1 This second group shows less psychomotor retardation, is diagnostically largely, but not exclusively, in the group of the neurotic depressive reactions and is able to invest energies in relating to its entourage and to its human relationships. It is important to note that a minority of psychotically-depressed patients, show the capacity to relate, in a considerable degree, to their entourage; and are included in this category. The first group that shows great motor retardation, or inability to put energy into relating to their environment, that has depressive stupor or other severe depressive withdrawal cannot be successfully treated with psychotherapy while in this state. Such patients should receive appropriate organic therapy to bring them out of this state as quickly as possible.


Body Image Depressed Patient External Object Human Relationship Psychomotor Retardation 
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Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • Gerald J. Sarwer-Foner
    • 1
  1. 1.Department of PsychiatryUniversity of Ottawa School of Medicine/Ottawa General HospitalOttawaCanada

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