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A Report of Problems and Management

CHARLES KEITH, MD

Arch Gen Psychiatry. 1966;14(2):185-189.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE ANXIETY and turmoil experienced by psychotherapy patients and psychiatric residents during changes of services has been designated in clinical parlance as the "Transfer Syndrome." Standard textbooks of psychotherapy (eg, Colby,¹ Saul,² Tarachow,³ and Wolberg⁴) do not mention this common clinical problem for the resident probably because the authors of these texts are practitioners of long-term psychotherapy or psychoanalysis. Thus, administratively dictated, frequent transferring of therapy patients does not fall within the authors' usual clinical domain. For instance, Wolberg states that the most common reason for transferring patients is a therapeutic impasse resulting from insurmountable transference-countertransference problems within the doctor-patient relationship. These authors consider termination occurring at the end of a lengthy therapeutic process, a situation which the resident unfortunately rarely encounters during the usual three-year training program.

A review of the periodical literature has likewise revealed a paucity of references dealing with . . . [Full Text PDF of this Article]

Author Affiliations
DURHAM, NC

From the Department of Psychiatry, Duke University Medical Center, Durham, NC.

Footnotes
Submitted for publication July 23, 1965.

Reprint requests to Durham Child Guidance Clinic, Trent & Elba St, Durham, NC 27706.

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