Forming a therapeutic alliance with teenagers.
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Biomedical subjects
Publications and source records attributed to G D Godenne.
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The Homewood campus of The Johns Hopkins University in Baltimore has been served by volunteer mental health professionals--psychiatric residents, psychologists, social workers, psychiatric nurses, and counselors--over a 17-year period. The nonsalaried associates have donated an estimated $3 million in professional services (based on prevailing rates for therapy) and served a yearly caseload varying from 293 in 1973 to more than 500 in the years since 1978. The author offers suggestions for others who would like to beat the financial crunch by using trained volunteers.
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In summary an attempt is made in this paper to describe the psychopathology of the borderline patient. Descriptive features of the syndrome in children, adults and adolescents are given based on the respective work of Pine, Masterson and Kernberg. The psychic structures of the borderline patient are discussed with their resulting treatment implications. Genetic considerations with their effects on the psychotherapy of the borderline are reviewed. Finally the outpatient treatment strategies of the borderline adolescent are presented in detail including countertransference issues frequently encountered in the course of their treatment.
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