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The concept of supportive psychotherapy was developed early in the twentieth century to characterize a treatment approach with objectives more limited than the objectives of psychoanalysis. The objectives of supportive treatment, as initially defined, were not to change a patient’s personality, but rather to help a patient cope with symptoms, to prevent relapse of serious mental illness, or to help a relatively healthy person deal with a transient problem. In more recent years, the domain of supportive psychotherapy has become larger, reflecting changes in the definition—and even more so, in the practice—of psychotherapy. Although customarily explained in terms of its origins in psychoanalysis, supportive psychotherapy is a treatment approach that shares tactics and objectives with the medical management that is familiar to physicians who are entering the specialty of psychiatry.
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