Related Experiment Video
Updated: Nov 3, 2025
06:15
Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma
Published on: October 27, 2014
27.6K
Functions of the Treatment Contract in TFP
Jill C Delaney1, Frank Yeomans2
1Clinical Associate Faculty, Weill Cornell Medical College, Department of Psychiatry; and Senior Fellow, The Personality Disorders Institute, New York Presbyterian Hospital, Department of Psychiatry, White Plains, New York.
Psychodynamic Psychiatry
|June 1, 2021
Summary
The treatment contract establishes expectations and guides therapy. Challenges to the contract offer deep insights into patient dynamics and the therapeutic relationship.
Area of Science:
- Psychology
- Psychotherapy
- Psychoanalysis
Background:
- The treatment contract traditionally defines practical aspects of therapy.
- It sets expectations, goals, and roles for patient and therapist.
- Contracts provide a containing framework and focus for treatment.
Purpose of the Study:
- To emphasize the role of the treatment contract in psychotherapy.
- To explore how contracts facilitate in-depth understanding of the patient's internal world.
- To highlight the contract's utility in analyzing transference/countertransference dynamics.
Main Methods:
- Summarizing the established functions of the treatment contract.
- Analyzing how patient challenges to the contract reveal internal dynamics.
- Examining the contract's role within the transference/countertransference matrix.
Main Results:
- Treatment contracts serve as a roadmap, keeping therapy focused.
- Challenges to the contract by the patient provide critical data.
- The contract is instrumental in exploring patient dynamics and therapeutic relationships.
Conclusions:
- The treatment contract is more than utilitarian; it's a dynamic tool.
- Analyzing contract enactment offers profound insights into patient psychology.
- The contract is central to understanding transference and countertransference phenomena.
Keywords:
TFPcontract breachescountertransferenceobject relations theorypersonality disorderstransferencetreatment contracts“acting out”More Related Videos
Related Concept Videos
01:30Family Therapy
280
Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
280
01:16Therapeutic Drug Monitoring: Overview and Classification
73
Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood at designated intervals to ensure the drug concentration stays within a therapeutic range. This monitoring is crucial for optimizing individual dosage regimens, enhancing therapeutic efficacy, and minimizing drug-related toxicity. TDM is vital for drugs with narrow therapeutic windows, significant variability in pharmacokinetics, and a clear correlation between plasma levels and...
73
01:25Interpersonal Psychotherapy
159
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
159
01:25Elements Crucial for Effective Psychotherapy
174
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
174
01:26Couples Therapy
149
Couples therapy is a therapeutic approach designed to help individuals in intimate relationships address conflicts, improve communication, and foster healthier dynamics. It is appropriate for couples at various stages, including those who are dating, married, or in long-term partnerships, and aims to support partners in navigating their unique relational challenges.
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
149
01:29Therapeutic Drug Monitoring: Affecting Factors
49
Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
49