Hostname: page-component-76fb5796d-45l2p Total loading time: 0 Render date: 2024-04-29T04:18:32.470Z Has data issue: false hasContentIssue false
  • English
  • Français

The role of psychotherapy in the treatment of acute mental disorders

Published online by Cambridge University Press:  11 October 2011

Antonio Andreoli
Antonio Andreoli*
Affiliation:
Dipartimento di Psichiatria, Facoltá di Medicina dell'Università di Ginevra, Servizio d'accueil, d'urgence et de liaison psychiatriques, Ospedali Universitari di Ginevra, Svizzera
*
Address for correspondence: Professor A. Andreoli, Service d'accueil, d'urgence et de liaison psychiatriques. HCUG. 24 Michéli-du-Crest, 1211 Genève (Suisse). Fax: +41-22 3728599 E-mail: antonio.andreoli@hcuge.ch
Get access Rights & Permissions [Opens in a new window]

Summary

This work is directed to further investigate the significant relevance of psychotherapy to better management of acute psychiatric disorders. Over the last years, there was impressive increase of the amount of psychiatric patients referred to emergency and in-patient treatment and such increase allmost resulted from subjects with acute emotional discontrol associated with affective, personality and stress related disorders. According to such change of the clinical scene of contemporary psychiatry, more attention and funding are needed in the field of acute treatment services and combined treatment innovation and research is become a major challenge for community psychiatry. A real progress in the field is not, however a simple matter of psychoterapy technology transference. While several recent studies suggest that well designed combined treatment is cost-effective in these patients, new nosographic, management and dynamic models are required for succesful development of new crisis intervention programs within general psychiatry services.

Keywords

psychotherapyacute mental disorderscommunity psychiatrycrisis interventionoutcome
Type
Invited Paper
Information
Epidemiology and Psychiatric Sciences , Volume 13 , Issue 4 , December 2004 , pp. 227 - 236
Copyright
Copyright © Cambridge University Press 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografia

Andreoli, A. (1999). What we have learned about emergency psychiatry and the acute tratment of mental disorders. In Emergency Psychiatry in a Changing World (ed. Declercq, M.. and Andreoli, A.). pp. 13–22. Excerpta Medica International Congress Series. Elsevier Science B.V.: Amsterdam.Google Scholar
Andreoli, A. (2001). Un point de vue psychanalytique sur le role de la psychotherapie dans l'intervention de crise. Psvchotherapies 21, 75–87.Google Scholar
Andreoli, A. & Foresti, G. (1997). Deinstitutionalization and treatment of acute psychiatric disorders: an European perspective. In Emergency Psychiatry and Mental Health Policies (ed. Clercq, M. De. Lamarre, S. and Vergowen, H.), pp. 97–105. Elsevier: Amsterdam.Google Scholar
Andreoli, A.. Mulebach, A.. Gognalons, M.. Abensur, J., Grimm, S. & Frances, A.J. (1992) Crisis intervention response and long-term out-come. Comprensive Psychiatry 33, 388–396.CrossRefGoogle Scholar
Bateman, A. & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial. American Journal of Psychiatry 156. 1563–1569.CrossRefGoogle ScholarPubMed
Bateman, A. & Fonagy, P. (2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalisation: an 18-month follow-up. American Journal of Psychiatry 158, 36–42.CrossRefGoogle ScholarPubMed
Bateman, A. & Fonagy, P. (2003). Health service utilization costs for borderline personality disorder patients treated with psychoanalytically oriented partial hospitalisation versus general psychiatric care. American Journal of Psychiatry 160, 169–171.CrossRefGoogle ScholarPubMed
Burnand, Y.. Andreoli, A., Kolatte, E., Venturini, A. & Rosset, N. (2002). Psychodynamic psychotherapy and clomipramine in the treatment of major depression. Psychiatric Senices 53(5), 585–90.Google ScholarPubMed
de Girolamo, G. & Reich, J.H. (1993). Personality Disorders. WHO: Geneva.Google Scholar
Gabbard, G.O. & Wilkinson, S.M. (1994). Management of Counterlransference With Borderline Patients. American Psychiatric Press: Washington. DC.Google Scholar
Goldstein, M.Rodwick, E. & Evans, J. (1978). Drug and family therapy in the aftercare of schizophrenia. Archives of General Psychiatry 35. 1169–1177.CrossRefGoogle Scholar
Gunderson, J.G. (1996). The borderline patient's intolerance of aloneness: insecure attachments and therapist availability. American Journal of Psychiatry 153, 752–758.Google ScholarPubMed
Linehan, M.M. (1993). Cognitive Behavioral Treatment of Borderline Personality Disorder. Guilford Press: New York.Google Scholar
Linehan, M.M.Amstrong, H.E.. Suarez, A.. Allmon, D. & Heard, H.L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry 4. 1060–1064.CrossRefGoogle Scholar
Linehan, M.M.. Tutek, D.A.. Heard, H.L. & Armstrog, H.E. (1994). Interpersonal outcome of cognitive behavioural treatment for chronically suicidal borderline patients. American Journal of Psychiatry 151.1771–1776.Google ScholarPubMed
Mance, R. (1990). Family management. In Schizophrenia: Treatment of Acute Psychotic Episodes (ed. Levy, T. and Ninan, T.). American Psychiatric Press: Washington, DC.Google Scholar
Mathur, A. (2001). Efficacite de la psychotherapie analytique chez les patients deprimes presentant un trouble de la personnalite type borderline. These de doctorat en medecine, Geneve.Google Scholar
Motto, J.A. & Bostrom, A.G. (2001). A randomised controlled trial of post-crisis suicide prevention. Psychiatric Senices 52, 828–833.Google Scholar
Müller, I. & Andreoli, A. (1998). Miti, limiti e possibility della psicoterapia analitica die disturbi schizofrenici. Studio di 79 trattamenti psicoanalitici di pazienti con sintomi psicotici. Rivista Sperimenlale di Freniatria 122. 232–241Google Scholar
Pinel, Ph. (1809). Traite Medico-Philosophique de VAIienation Mentale. J.A. Brosson: Paris.Google Scholar
Pirkis, J., Burgess, P. & Jolley, D. (1999). Suicide attempts by psychiatric patients in acute inpatient. long-stay inpatient and community care. Social Psychiatry and Psychiatric Epidemiology 34. 634–644.CrossRefGoogle ScholarPubMed
Safran, J. & Muran, C. (2000). Negotiating the Therapeutic Alliance. A Relational Treatment Guide. Guilford Press: New York.Google Scholar
Schotte, D.E. & Clum, G.A. (1987). Problem solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology 55, 49–54.CrossRefGoogle ScholarPubMed
Scott, D. (1974). The treatment barrier. Part I and II. British Journal of Medical Psychology 45, 45–55.Google Scholar
Seulin, Ch. & Dazord, A. (1997). Prises en Charge Institutionnelles en Psychiatrie: Methodologie de la Recherche Evaluative. Presses Universitaires de France: Paris.Google Scholar
Smith, G., Ruiz-Sancho, A. & Gunderson, J. (2001). An intensive out patient program for patients with borderline personality disorder. Psychiatric Services 52, 532–533.CrossRefGoogle ScholarPubMed
Stein, L.L. & Test, M.A. (1978). Alternatives to Mental Hospital Treatment. Plenum Press: New York.Google Scholar
Swick Perry, H. (1962). Introduzione. In Schizophrenia as a Human Process (ed. Sullivan, H.S.). Trad. it. Feltrinelli: Milano, 1993, pp 1–24.Google Scholar
Tansella, M. & Micciolo, R. (1998). Unplanned first-ever contact as predictor of future intensive use of mental health services. Social Psychiatry, and Psychiatric Epidemiology 33, 174–180.CrossRefGoogle ScholarPubMed
Thornicroft, G. & Tansella, M. (2000). Manuale per la Rifonna dei Sen'izi di Salute Mentale. II Pensiero Scientifico Editore: Roma.Google Scholar
Van der Sande, R., Buskens, E. & Allan, E. (1997). Psychosocial intervention following suicide attempt: a systematic review of treatment interventions. Ada Psychiatrica Scandinavica 96, 43–50.CrossRefGoogle ScholarPubMed
Van Heeringen, C., Jannus, S. & Buylaca, W. (1995). The management of non-compliance with referral to outpatient after-care among attempted suicide patients: a controlled intervention study. Psychological Medicine 25. 963–970.CrossRefGoogle ScholarPubMed