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Therapeutic Holding.
Linda Emanuel1,2, Keri O Brenner3, Neal Spira2
1Department of Medicine, Northwestern Medical School, Chicago, Illinois.
Journal of Palliative Medicine
|January 9, 2020
Summary
Therapeutic holding is vital in palliative care, offering patients and families crucial support during serious illness. Psychodynamic therapy principles help identify and enhance this essential element of care.
Area of Science:
- Medicine
- Psychology
- Palliative Care
Background:
- Care relationships are fundamental in medicine.
- Palliative care offers essential interpersonal support for patients and families facing serious illness and end-of-life.
- Therapeutic holding is a critical, yet often underexplored, component of effective medical care.
Purpose of the Study:
- To identify key elements of therapeutic holding within palliative care.
- To explore the application of psychodynamic therapy principles to enhance therapeutic holding.
- To illustrate the practical implementation of therapeutic holding in a palliative care setting.
Main Methods:
- Utilized theoretical foundations of psychodynamic therapy.
- Identified six major concepts contributing to therapeutic holding.
- Presented a case study demonstrating a palliative care team's creation of therapeutic holding with psychodynamic therapist involvement.
Main Results:
- Psychodynamic theory provides a framework for discerning and describing elements of therapeutic holding in palliative care.
- The case study exemplified how a multidisciplinary team, including a psychodynamic therapist, successfully established therapeutic holding.
- Therapeutic holding was illuminated as a crucial factor in effective palliative care delivery.
Conclusions:
- Psychodynamic therapy offers valuable insights and practical applications for enhancing therapeutic holding in palliative care.
- Further research is recommended to explore the multifaceted role of therapeutic holding in palliative care settings.
- Integrating psychodynamic principles can significantly improve patient and family support during serious illness.
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