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Managing the clinical encounter with patients with personality disorder in a general psychiatry setting: key contributions from neuropsychoanalysis

Published online by Cambridge University Press:  09 August 2023

Tennyson Lee Open the ORCID record for Tennyson Lee [Opens in a new window]  and
Mark Solms
Tennyson Lee*
Affiliation:
Consultant psychiatrist in medical psychotherapy with Deancross Personality Disorder Service and co-director of the Centre for Understanding of Personality (CUSP), London, UK. He trained in public health in South Africa and then in psychiatry and psychoanalysis in London. He is on the International Society of Transference Focused Psychotherapy (TFP) certification board.
Mark Solms
Affiliation:
Director of Neuropsychology, University of Cape Town, Rondebosch, and Groote Schuur Hospital, Cape Town, South Africa. He is also Director of Training in the South African Psychoanalytical Association, Science Director of the American Psychoanalytic Association and Co-chair of the International Neuropsychoanalysis Society. He is an honorary fellow of the American College of Psychiatrists.
*
Correspondence Tennyson Lee. Email: tennysonlee@doctors.org.uk
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Summary

Patients view their negative emotions as troublesome and they expect psychiatrists to deal with them, often wanting them taken away. We present a neuropsychoanalytical understanding of the essential biological function of emotion and how it influences behaviour. Through a vignette, we demonstrate how this understanding can contribute to the psychiatrist's management of the clinical encounter, in particular regarding the patient's expectations about their emotions and the pressures placed on the clinician.

Keywords

Clinical managementconsciousnessemotionneuropsychoanalysispersonality disorder
Type
Article
Information
BJPsych Advances , First View , pp. 1 - 8
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Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists

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