Some Technical Problems of the Psychotherapy of Depressed Patients
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.
KeywordsBody Image Depressed Patient External Object Human Relationship Psychomotor Retardation
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- 1.Sarwer-Foner, G.J. An Object Relationship Classification of Depressive States 1: Patients who seek Object Realtionships. Dis.Nerv.System,31: WAN Supp1. 64–81 (Nov.) 1970.Google Scholar
- 2.Sarwer-Foner, G.J. A PsychoAnalytic Note on the Deluded Sense of Time in Psychotic Depression. Canad. Psych.A.J. 11: Sp.Suppl.S221–S228 (May) 1966.Google Scholar
- 3.Sarwer-Foner, G.J. Depresssion and Suicide: On Some High Risk Suicidal Patients. Dis.Nerv.Syst.30:Sp. Supp. 104–110 (Feb.) 1969.Google Scholar
- 4.Arieti, S., Bemporad, J. “Severe and Mild Depression: The Psychotherapeutic Approach”. Basic Books, New York,1978.Google Scholar
- 5.Sarwer-Foner,G.J. “Les Syndromes Depresifs et le psychotherapie. Revue de Médecine(France) 14: 699–704 (April) 1980.Google Scholar
- 6.Sarwer-Foner, G.J. “The Depressive Group of Illnesses”. Sp.Supp. Canad Psychiat. A.J. 1966 (339 pages).Google Scholar
- 7.Sarwer-Foner, G.J. Basic Concepts of Character. Character Neurosis and Character Disorders. Brunner/hazel Dec. 1983 Ed. Zales, M. New York.Google Scholar
- 8.Usdin, G. “Depression: Clinical, Biological and Psychological Guidelines”. Amer.Coll.Psychiat. Brunner/Mazel, New York 1977.Google Scholar