Search PubMed⌕ Search

Biomedical subjects

L J Duhl

Publications and source records attributed to L J Duhl.

At least 19 recordsLinked to original sources
PubMed1999

Confessions of a psychotherapist.

The evolution of a therapist is the result of personal style, training, and social context. The author describes how his active involvement with people, love of telling stories, and desire to interact with others set the stage for his training as a psychoanalyst. He also discusses how the specific needs of patients drew him toward more active interaction with them, both within and outside therapeutic sessions. Supporting patients in their need to cope with a daily life meant intervening in their total system. The author's parallel work with community mental health and the development of the Healthy Cities program led to a broader understanding of the holistic sociopsychological experiences of people. As a result, he combined storytelling, assisting with job placement, dealing with day-to-day emergencies, and many more activities with analytic and cognitive therapy. Although the author recognizes that as a therapist he breaks boundaries, he respects the approaches of therapists who work in more standard ways, which are also helpful, effective, and needed.

California↗
PubMed1998

The future of psychiatry: communities in action.

Psychiatry and psychotherapy are in the midst of a turbulent time. The increasing control of cost-cutting health maintenance organizations over health care delivery has resulted in a monumental shift in the field. Primary care providers prefer to treat psychiatric disorders with medication instead of psychotherapy. Consequently, psychiatrists and related mental health professionals must find new ways to offer treatment. The author suggests that this transition period offers a tremendous opportunity for psychiatrists and other therapists to look beyond the standard doctor-patient context and reach into the patient's community, involving other social organizations to form a network of total care. To understand how the mental health field reached this stage and to understand what lies ahead, it is essential to look to the past.

Community Mental Health Services↗
PubMed1994

Can mental illness be prevented under managed care?

Ideally, managed care should force a focus on all the issues involved in prevention and treatment. Unfortunately, the decisions in managed care are based on costs, along with the intervention techniques, as the most important criteria in choice of treatment. Medical treatment accounts for only 10 percent of health. To find a solution means working together, making the goal "healthy people in a healthy community." Programs such as the Healthy Cities initiative, not managed care, are more likely to realize this goal.

Community Mental Health Services↗