In their paper (Journal, May, ig68, p. 525) describing varieties of psychodynamically suspect patients, Milan, Bacal, Heath and Balfour appear to accept the following three propositions: i. At follow-up, symptom improvement is no greater in psychodynamically treated than in untreated patients. 2. Symptoms are a response to identifiable stress, which the patient cannot handle because of personality disturbances. 3. Psychodynamic therapy relieves personality disturbances, so that the patient can handle the identifiable stress in a new way, without developing symptoms. At follow-up a similar proportion of treated and untreated patients will be subject to the identifiable stress (either to its continuance or recurrence). At least one of the propositions must be incorrect.
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