Am J Psychiatry 1979; 136:824-827
Copyright © 1979 by American Psychiatric Association
Implications of increased dosage of neuroleptic medications during psychotherapy
JN Digiacomo and R Cornfield
Unrecognized emotional reactions on the part of the psychiatric trainee may
result in the inappropriate use of medications. To illustrate the
possibility that increases in medication dosages may be related to the
psychiatric clinician's lack of control, the authors present three clinical
examples and discuss the concept of countertransference. A model of
supervision is described in which the supervisor, trainee, and patient meet
to correct these therapeutic distortions and reduce the amount of
medication required.
