Biomedical subjects

P Rijnierse

Publications and source records attributed to P Rijnierse.

4 recordsLinked to original sources

PubMed2006

[Intakes for (day) clinical psychotherapy. A cohort study].

Little is known about the type of patient who is referred for clinical psychotherapy. A descriptive, retrospective cohort study was performed involving 100 patients who attended a (day) clinic for personality, anxiety and eating disorders. Sociodemographic and clinical characteristics of these patients are described. Most of the patients had multiple disorders of a serious nature, displayed a high degree of functional impairment and were relatively treatment-resistant. Of the 70% who were diagnosed as requiring treatment, 79% agreed to have the treatment that was offered.

Adult↗

PubMed1994

Psychoanalytic supportive psychotherapy.

Psychoanalytic Supportive Psychotherapy (PSP) is described as a distinct psychotherapeutic method rooted in the psychoanalytic frame of reference. It is argued (a) that PSP is psychotherapy and indeed a therapeutic modality on its own, (b) that it is supportive, and (c) that it is psychoanalytic. PSP is characterized by a therapeutic relationship determined predominantly by its primary relationship aspect, a therapeutic technique consisting in the main of supportive interventions, a therapeutic process that consists essentially of growing by experience, and a therapeutic goal residing in the first place in structure building. Like psychoanalysis proper, but in a substantially different way, it aims at structural personality change and can provide lasting results. As far as therapy is concerned, psychoanalysis is no longer a unimodal discipline. The psychoanalytic therapies include at least three treatment modalities: psychoanalysis proper, interpretive psychotherapy, and psychoanalytic supportive psychotherapy. Enlarging the number of therapeutic methods based on psychoanalytic theory represents a new approach to the widening scope of indications for psychoanalysis.

Humans↗

PubMed1992

The role of support in psychoanalysis.

A two-factor theory of clinical psychoanalysis is proposed. In accordance with the predominant position of the structural-adaptational ("classical") approach in psychoanalytic theory, the power of interpretation and insight in clinical psychoanalysis has received ample attention in psychoanalytic literature. There seems, however, to be a growing awareness among analysts that not all the facts of an analytic treatment can be accounted for by this approach alone. A second factor is increasingly recognized: the power of adequate support provided by the analyst and resulting in a specific experience by the analysand. In the application of the developmental ("postclassical") approach of psychoanalytic theory, the importance of this support-experience factor in the treatment of ordinary neurosis by means of ordinary psychoanalysis is emphasized. The relative neglect of this aspect of clinical psychoanalysis may be indicative of the present-day dilemma of how to translate advances in theoretical knowledge of mental development into the therapeutic praxis of psychoanalysis. There may, however, be another important reason. Support and experience are phenomena often occurring on the nonverbal level. In contrast to interpretation and insight, they are usually not voiced, let alone distinctly and loudly expressed. They are the silent power of psychoanalysis.

Humans↗

PubMed1991

Aspects of the analytic relationship.

In this article the analysand-analyst relationship is investigated from the classical and from the post-classical point of view. This leads to the distinction of four fundamental aspects of the analytic relationship: the realistic relationship, the working relationship, the transference relationship, and the primary relationship. Similarities and differences between these various aspects of the analytic relationship are discussed. Examples of confusion about the aspects are given. Disagreement about the issue is mentioned. Emphasis is laid on one of the four aspects: the primary relationship. Its importance in ordinary psychoanalysis has not received the attention it deserves.

Countertransference↗