II. A Basic Concept and Its Implications
Abstract
II. A Basic Conceptand Its ImplicationsA. State TYCE, Hospital, M.D. Rochester, MinnesotaDirector,âtreating polymoron thepoint outdisorder,be biologi-the phousmentally meaningsill, Dr. Frazier of treatment.discusses the The variations an attitude,be to besubtle:assuming care,handling,the approaches,managing,giving to reduceof all ofengratsymp-solved thatoften withpathological.could moretreating, ification,toms, suggests andarguing, givingso certain on.us seehuman times byEach therapeutica checkbookwe the in professionals pathologya checkup.too we conditionsI feelmeaning whichreference,I conceptsuggest oftheir successes,another treatment-âadisciples,basic willingnessfailures.meaning toof becomethe in-with,patientâs all,we mayof his condition.the cure,impercepti-illness,the more ably intothe physician!volved with another troubled one. That but it has manyâwillingness toindividual,â may sound ramifications.involvedââ in our case with rather simple-minded,engagement donationas treatment of much, self but should thereproceeds.the beinter-therapistâsis a possibleon Frazierunderstanding.True,is nomap ofpretation of the concept that treatment cannotpsychiatrists, and thatof treatment, be confinedindeed therewe see at once to physicians orare many whounconscious,we mustpatient says thatto lead treatmentus.in the dark,based ontroubled.matter his who treats, what his method, or approach, there is a basic phenotheis oftenBut no partisanThis thinks,not I do, asnecessarily thata weobservations.psychiatrist.menology to the concept and process. The structure of treatment in the sense of âwillingness to become involvedâ has three steps: the approach, the engagement, and What theprocess-others They patients, arewhom the nurses, and variousI call attenprofes-the disengagement. follows once treatment there must now be patient-perhaps but not always.patient to move,silent participants. dants, relatives, otherinitiated? movementlisten treatment As disengagingto them, process time goes ourselvesask for with on,their them. we fromknow thatopinions, arrive theshare point relation-the oftowards movement,pend ona mutual, a reciprocal Because we cannot dethe one who treatsat therapeuticmust vances, ized who andmake...