This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Allen Frances, MD; John F. Clarkin, PhD

Arch Gen Psychiatry. 1981;38(5):542-545.

Abstract
• As part of each evaluation, the clinician must decide whether or not a psychiatric treatment is indicated. It is unfortunate that there is little available research to aid in this decision, and it has not received much attention in the clinical literature. In actual practice, therapists tend to recommend treatment almost automatically and without a careful consideration of its necessity or possible harmful effects. The research methodology and problems in defining those patients who are better off without psychiatric treatment is discussed. This group is categorized into negative responders and nonresponders and spontaneous improvers. A set of preliminary criteria for no treatment and clinical examples are provided.

Author Affiliations
From the Department of Psychiatry, Cornell University Medical College, New York (Drs Frances and Clarkin); the Payne Whitney Clinic, New York (Dr Frances); and the Westchester Division, New York Hospital, White Plains, (Dr Clarkin).

Footnotes
Accepted for publication July 1, 1980.

Reprint requests to 525 E 68th St, New York, NY 10021 (Dr Frances).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Informed Consent in Psychotherapy
Beahrs and Gutheil
Am. J. Psychiatry 2001;158:4-10.
ABSTRACT | FULL TEXT