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THE USE OF LETTERS IN NHS PSYCHOTHERAPY:A TOOL TO HELP WITH ENGAGEMENT, MISSED SESSIONS AND ENDINGS
Author(s) -
Ingrassia Antonina
Publication year - 2003
Publication title -
british journal of psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.442
H-Index - 17
eISSN - 1752-0118
pISSN - 0265-9883
DOI - 10.1111/j.1752-0118.2003.tb00089.x
Subject(s) - alliance , psychology , psychotherapist , feeling , task (project management) , psychodynamics , resource (disambiguation) , process (computing) , psychodynamic psychotherapy , social psychology , management , computer science , computer network , political science , law , economics , operating system
Individual psychodynamic psychotherapy in the NHS has very specific characteristics: the absence of self‐referrals, time and resource limitations, a client group very often presenting with complex issues. Engaging the patient initially, maintaining the therapeutic alliance through the process and preparing to ‘let go’ without leaving the patient with the feeling of being ‘let down’ can be a difficult task. The use of letters, when carefully thought through, can be an invaluable aid to creatively resolving the problem of impasse at various stages of the therapeutic process.

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