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Published Online: 1994, pp. 489–662

Supportive Psychotherapy of the Schizophrenic Patient

James Kates, M.D., and Lawrence H. Rockland, M.D.Authors Info & Affiliations

Publication: American Journal of Psychotherapy

Volume 48, Number 4

https://doi.org/10.1176/appi.psychotherapy.1994.48.4.543

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Abstract

The principles of Psychodynamically Oriented Supportive Therapy are applied to the treatment of the schizophrenic patient. The role of the supportive therapist includes overall executive responsibility, management of psychopharmacology, and referral for family work, social skills training, and vocational rehabilitation.

The treatment is divided into stabilization and maintenance phases. The tasks of stabilization are building a therapeutic alliance, psychoeducation, and establishment of an effective drug regimen in collaboration with the patient. The maintenance phase focuses on adaptive and maladaptive defenses, therapeutic alliance, transference, resistance, working through, and attenuation. Clinical examples illustrate the main issues.

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Information & Authors

Information

Published In

American Journal of Psychotherapy

Volume 48 • Number 4 • 1994, pp. 489–662

Pages: 543 - 561

PubMed: 7872417

History

Published in print: 1994, pp. 489–662

Published online: 30 April 2018

Authors

Details

James Kates, M.D.

Staff Psychiatrist, Seacoast Mental Health Center, Portsmouth, NH 03801.

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Lawrence H. Rockland, M.D.

Director, Adult Outpatient Department, Associate Professor of Clinical Psychiatry, The New York Hospital, Cornell Medical Center-Westchester Division.

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Notes

Mailing address: The New York Hospital, Cornell Medical Center, 21 Bloomingdale Road, White Plains, NY 10605.

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Supportive Psychotherapy of the Schizophrenic Patient

Abstract

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