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Less Time to Do More

Psychotherapy on the Short-Term Inpatient Unit

Edited by Ellen Leibenluft, M.D., Allan Tasman, M.D., and Stephen A. Green, M.D.

  • ISBN 978-0-88048-512-8
  • Item #8512

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Will psychotherapy survive to be a vital part of inpatient treatment in the future? Will inpatient units themselves survive, or will they be replaced by partial hospital programs complemented by supervised housing arrangements? Will average length of inpatient stay continue to decrease, or has it reached its lowest possible level?

Less Time to Do More: Psychotherapy on the Short-Term Inpatient Unit examines the implications of shorter stays for the practice of inpatient psychotherapy. The contributors describe techniques that inpatient psychotherapists can use to remain therapeutically effective despite increased pressure from managed care companies and the threat of malpractice suits. This book utilizes over 20 years of research on techniques and strategies to bring the reader the most up-to-date methods as well as the traditional models of inpatient treatment.

How can inpatient psychotherapists respond to the realities of modern hospital practice? Each of these chapters describes one facet of how the therapist can adapt his or her goals and techniques to treat seriously ill patients effectively in the limited time available.—Ellen Leibenluft, M.D., From the Afterword


  • The Modalities

    . Application of therapeutic community principles in short-stay units. Integrating somatic and psychological treatment in inpatient settings. Individual psychodynamic psychotherapy. Family treatment during brief hospitalization. Group psychotherapy. Inpatient cognitive-behavior therapy of depression.

    Special Populations

    . Inpatient psychotherapy with chronically mentally ill patients. Inpatient psychotherapy with alcoholic patients. Patients with eating disorders. Treating concurrent medical and psychiatric illness. Adolescent inpatient psychotherapy. Geriatric patients. Patients with severe personality disorders. Residency training in psychotherapy on acute inpatient treatment services. Afterword.

About the Authors

Ellen Leibenluft, M.D., is Medical Officer in the Clinical Psychobiology Branch, National Institute of Mental Health, and Clinical Associate Professor of Psychiatry at Georgetown University School of Medicine in Washington, DC.

Allen Tasman, M.D., is Professor and Chair of the Department of Psychiatry at the University of Louisville School of Medicine, Louisville, Kentucky.

Stephen A. Green, M.D., is Clinical Professor of Psychiatry at Georgetown University School of Medicine, Washington, DC.

Less Time to Do More is a telling review of current approaches to inpatient psychiatry; one in which insurers ask us to treat patients as objects to be cleverly and quickly maneuvered into conforming behavior and to overlook the possibility that they may be interesting persons overwhelmed by futile attempts to deal with conflicts beyond their abilities to manage.—The New England Journal of Medicine

The book has been well-edited so that there is little redundancy across chapters. Both the novice clinician and the experienced hospital psychiatrist will find a good deal of clinical wisdom on the pages of this fine new volume, and it will serve equally well as a text for residents assigned to inpatient rotations and as a reference book for the busy inpatient clinician.—American Journal of Psychiatry

This is a quality book, useful for psychotherapeutically disciplined trainees as an overview of philosophy and techniques that offer enhanced treatment effectiveness.—Doody's Journal

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