TY  - JOUR
PY  - 2011//
TI  - Breakdown and development - a clinical case study
JO  - Psychoanalytic psychotherapy
A1  - Gloger, E.R.
SP  - 157
EP  - 175
VL  - 25
IS  - 2
N2  - In this paper I will attempt to describe the treatment of a seriously ill patient in a National Health Service (NHS) clinic who suffered from recurrent depressive disorder with co-morbidity, repeated breakdowns and was at risk of suicide. The purpose of writing a clinical case study is to illustrate the vital importance of a psychoanalytically-informed approach in the treatment of a very ill patient in the public sector. At a time when there is a decrease in the provision of long-term psychoanalytic psychotherapy my aim is to illustrate its value in the understanding and treatment of complex disorders, a perspective that seems to be under constant threat from internal and external pressures and at risk of being sidelined as a non-evidence-based form of treatment. I will try to describe the different stages in the treatment; from referral through to the beginning of treatment, its interruption, the patient's breakdown and admission, and finally his return to treatment upon discharge. The ending will be discussed with a view to highlighting some of the patient's internal movements enabled by the work undertaken. © 2011 The Association for Psychoanalytic Psychotherapy in the NHS.<p /> <p>Language: en</p>
LA  - en
SN  - 0266-8734
UR  - http://dx.doi.org/10.1080/02668734.2011.576495
ID  - ref1
ER  -