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Resistances in a hospital setting: issues in resolution
1Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
American Journal of Psychotherapy
|January 1, 1996
Summary
This study explores various forms of resistance within hospital settings, including patient, staff, and self-resistance. Understanding these dynamics is crucial for effective psychiatric care and therapy interventions.
Area of Science:
- Psychiatry
- Clinical Psychology
- Healthcare Management
Background:
- Healthcare settings, particularly psychiatric facilities, are complex environments where interpersonal dynamics significantly impact patient outcomes.
- Understanding resistance is critical for effective therapeutic alliances and treatment progression in mental health care.
Observation:
- The article examines multiple forms of resistance: patient resistance to reality, staff resistance towards patients, interpersonal staff resistance, and the author's own counterresistances.
- These observations are drawn from diverse clinical contexts including psychiatric systems, group work with chronically ill populations, multiple family therapy, and case conferences.
Findings:
- Resistance manifests in various forms across patient-staff and staff-staff interactions within a hospital milieu.
- The author's personal counterresistances highlight the pervasive nature of these dynamics, even for clinicians.
Implications:
- Recognizing and addressing these multifaceted resistances is essential for improving therapeutic efficacy and patient well-being.
- This analysis provides insights for training healthcare professionals to navigate complex interpersonal challenges in psychiatric care.
- Further research into interventions targeting specific forms of resistance could enhance treatment outcomes.