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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Patients who stay.

Myron L Glucksman¹

¹Psychiatry, New York Medical College, Valhalla, New York, USA. glucksmanmd@optonline.net

The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry

|March 26, 2011

Summary

Many patients, especially those with severe disorders, require ongoing treatment. Some patients continue therapy indefinitely for various reasons, suggesting indefinite treatment may sometimes be preferable.

Area of Science:

Psychology
Psychiatry
Psychoanalysis

Background:

Psychoanalytic therapy aims to resolve unconscious conflicts and strengthen the ego.
Therapeutic goals include insight, ego strengthening, and working through transference.
Termination criteria are based on achieving these therapeutic goals.

Purpose of the Study:

To explore reasons for treatment non-termination in psychoanalytic therapy.
To examine factors contributing to indefinite treatment, even after progress.
To discuss when ongoing or intermittent treatment may be necessary or preferable.

Main Methods:

Review of psychoanalytic termination criteria.
Analysis of patient factors precluding termination (e.g., severe disorders).

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Last Updated: Jun 3, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Exploration of reasons for prolonged treatment despite progress (e.g., transference, life stressors).

Main Results:

Patients with severe disorders often require ongoing or intermittent treatment due to persistent symptoms and functional impairment.
Some patients continue therapy indefinitely for reasons beyond pathology, including unresolved transference, separation anxiety, and external stressors.
Nontermination is not always pathological and can be linked to realistic factors.

Conclusions:

Termination is not always feasible or desirable for all patients.
Indefinite psychoanalytic treatment may be a necessary or beneficial option in certain clinical situations.
A nuanced approach to termination is required, considering both therapeutic goals and patient-specific realities.