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J Natl Med Assoc. 1979 Apr;71(4):361-8.

The need for psychoanalysis is alive and well in community psychiatry.

Journal of the National Medical Association

C C Bell

PMID: 439170 PMCID: PMC2537370

Abstract

While the author recognizes the positive impact community psychiatry has had on postpsychotic patients by the uses of medical management and environmental manipulation, he demonstrates that there is a deficiency in the treatment of lower socioeconomic patients with neurotic illnesses. Specifically, neurotic patients tend to be given supportive therapy and psychopharmacotherapy when a form of psychoanalytic psychotherapy would be more appropriate. The author supports these contentions by presenting three cases which have a diagnosis of hysterical neurosis and which clearly demonstrate the economic, topographical, structural, dynamic, and genetic components of the psychoanalytic theory. Finally, as psychoanalytic psychotherapy is too time-consuming, the author suggests that Freud's early psychoanalytic technique of symptom removal by memory recovery be used when appropriate.

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References

  1. Arch Gen Psychiatry. 1972 Jan;26(1):57-63 - PubMed
  2. Am J Psychiatry. 1970 Dec;127(6):798-803 - PubMed

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