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Titolo:
The current role of psychoanalysis and psychotherapy in primary care
Autore:
Mollon, P;
Indirizzi:
Lister Hosp, Mental Hlth Unit, Stevenage, Herts, England Lister Hosp Stevenage Herts England Hlth Unit, Stevenage, Herts, England
Titolo Testata:
PRIMARY CARE PSYCHIATRY
fascicolo: 2, volume: 7, anno: 2001,
pagine: 43 - 47
SICI:
1355-2570(200106)7:2<43:TCROPA>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL-PRACTITIONERS; FAMILY MEDICINE;
Keywords:
Balint groups; Bion; counselling; National Service Framework for Mental Health; primary care; psychoanalysis; psychosomatic;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
47
Recensione:
Indirizzi per estratti:
Indirizzo: Mollon, P Lister Hosp, Mental Hlth Unit, Stevenage, Herts, England Lister Hosp Stevenage Herts England Stevenage, Herts, England
Citazione:
P. Mollon, "The current role of psychoanalysis and psychotherapy in primary care", PRIM CARE P, 7(2), 2001, pp. 43-47

Abstract

At least one-third of consultations in primary care involve psychological problems. The National Service Framework for Mental Health requires that appropriate treatments are available for the full range of common mental disorders. Effective treatments are available for many of these. Although previously called into question, the value of person-centred counselling in primary care is supported by recent reviews. However, the general practitioner's (GP) work is pervaded by psychological dimensions and emotional pain, even when the presenting problem is not overtly a mental disorder. The GP is likely to be involved at many deeply emotionally significant points in the life cycle. Illness evokes anxieties and confusions that are both infantile and unconscious. The patient's emotional relationship with their GP is infiltrated by transference based on their infantile relationship with parents. The GP must be open to the communication of emotional pain, modelled on the child's plea seeking of reassurance from a parent, whilst also able to withstand the danger of being affectively overwhelmed. The study of the emotional relationship between patient and doctor was pioneered by the psychoanalyst Michael Balint. One of Balint's concepts was of the contribution of the GP to the organization of the patient's 'illness', an idea related to Bion's concept of the 'proto-mental system' and the understanding of psychosomatic processes. Attention to these dimensions of the primary care relationship can be of benefit to both patient and GP.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 18:59:43