Therapeutic relationships and the problem of containment : experiences of patients at a psychiatric training hospital

Show simple item record Bohmer, M.W. (Manfred) Kruger, Christa 2020-05-19T06:15:55Z 2020-05-19T06:15:55Z 2019-10
dc.description.abstract BACKGROUND : The biopsychosocial model emphasises the role of human relationships in psychiatric care. Therapeutic relationships that improve treatment outcome and provide containment are desperately needed by patients in distress. Despite the importance of human relationships, they are neglected in an era dominated by biological psychiatry. AIM : This qualitative research project explores the experiences, perceptions and subsequent needs of patients. The role of therapeutic relationships, and the factors that patients felt influenced their relationship with their therapists, were examined. SETTING : A psychiatric training hospital in South Africa. METHOD : Thirty in-depth semi-structured interviews were conducted with 15 inpatients. A qualitative, explorative-descriptive, collective case study design was used. Purposive sampling ensured maximum variation and richness of information. Grounded theory methods were used to analyse transcribed recordings. RESULTS : Patients valued therapeutic relationships that provide containment and potentially obviate the need for ‘measures of control’. A model of containment was developed to demonstrate the various factors that interact in the attempt to provide containment to patients in a psychiatric training hospital system. CONCLUSION : Training hospitals should emphasise the role of therapeutic relationships in achieving containment and positive treatment outcomes. In developing countries, severe shortcomings in mental healthcare resources hinder the building of personal therapeutic relationships. en_ZA
dc.description.department Psychiatry en_ZA
dc.description.librarian pm2020 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Böhmer MW, Krüger C. Therapeutic relationships and the problem of containment: Experiences of patients at a psychiatric training hospital. South African Journal of Psychiatry 2019;25(0), a1246. en_ZA
dc.identifier.issn 2078-6786 (online)
dc.identifier.issn 1608-9685 (print)
dc.identifier.other 10.4102/sajpsychiatry.v25i0.1246
dc.language.iso en en_ZA
dc.publisher AOSIS Open Journals en_ZA
dc.rights © 2019. The Author(s). Licensee: AOSIS. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. en_ZA
dc.subject Therapeutic relationships en_ZA
dc.subject Containment en_ZA
dc.subject Psychiatric inpatients en_ZA
dc.subject Psychiatric hospital en_ZA
dc.subject Psychiatry registrar training en_ZA
dc.title Therapeutic relationships and the problem of containment : experiences of patients at a psychiatric training hospital en_ZA
dc.type Article en_ZA

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