Reluctance to change and end psychotherapy

Reluctance to change therapy has clinical and economic implications. Therapists are expected to deliver treatment in a oneto- one setting ending up with patient improvement. Such an achievement is difficult to overview. There is great uncertainty as to what works in psychotherapies despite research...

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Main Author: John E. Berg
Format: Article
Language:English
Published: Hindawi - Emerald Publishing 2018-01-01
Series:Mental Illness
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/mi/article/view/7167
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author John E. Berg
author_facet John E. Berg
author_sort John E. Berg
collection DOAJ
description Reluctance to change therapy has clinical and economic implications. Therapists are expected to deliver treatment in a oneto- one setting ending up with patient improvement. Such an achievement is difficult to overview. There is great uncertainty as to what works in psychotherapies despite research efforts. Prolonged treatment duration with little positive effect may be caused by factors inherent in therapist and patient and the external environment. Two cases are discussed illustrating the need for better surveillance of what happens in the therapy room. Responsibility for the progress in therapy rests on the shoulders of the therapist. When therapy becomes detrimental to patient and therapist, we do not have a comprehensive system to interfere or help. Delayed recovery emanates as an increase in costs to society and the family. This is the case when return to work after treatment is partly or completely retarded.
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spelling doaj.art-e9548207fc054c62ac342e9f55aa34892023-01-03T08:28:46ZengHindawi - Emerald PublishingMental Illness2036-74572036-74652018-01-019210.4081/mi.2017.71673868Reluctance to change and end psychotherapyJohn E. Berg0Faculty of Health Sciences, Oslo and Akershus University Hospital, OsloReluctance to change therapy has clinical and economic implications. Therapists are expected to deliver treatment in a oneto- one setting ending up with patient improvement. Such an achievement is difficult to overview. There is great uncertainty as to what works in psychotherapies despite research efforts. Prolonged treatment duration with little positive effect may be caused by factors inherent in therapist and patient and the external environment. Two cases are discussed illustrating the need for better surveillance of what happens in the therapy room. Responsibility for the progress in therapy rests on the shoulders of the therapist. When therapy becomes detrimental to patient and therapist, we do not have a comprehensive system to interfere or help. Delayed recovery emanates as an increase in costs to society and the family. This is the case when return to work after treatment is partly or completely retarded.http://www.pagepress.org/journals/index.php/mi/article/view/7167Psychotherapy, duration, individual practice
spellingShingle John E. Berg
Reluctance to change and end psychotherapy
Mental Illness
Psychotherapy, duration, individual practice
title Reluctance to change and end psychotherapy
title_full Reluctance to change and end psychotherapy
title_fullStr Reluctance to change and end psychotherapy
title_full_unstemmed Reluctance to change and end psychotherapy
title_short Reluctance to change and end psychotherapy
title_sort reluctance to change and end psychotherapy
topic Psychotherapy, duration, individual practice
url http://www.pagepress.org/journals/index.php/mi/article/view/7167
work_keys_str_mv AT johneberg reluctancetochangeandendpsychotherapy