Open and hidden reality of the psychotherapeutic ward - reflection on the possibilities of understanding and integration
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Klinika Psychiatrii w Bydgoszczy, Oddział Zaburzeń Lękowych i Afektywnych
Submission date: 2022-12-13
Final revision date: 2023-04-04
Acceptance date: 2023-04-05
Publication date: 2023-05-30
Corresponding author
Jacek Maślankowski   

Klinika Psychiatrii w Bydgoszczy
Psychoter 2022;203(4):87–94
The text is part of the current dialogue in the team of the Centre for the Treatment of Anxiety and Affective Disorders at the Psychiatry Clinic in Bydgoszcz, which revolves around the search for effective strategies to create the right environment for patients as part of the integration of psychotherapy processes with other therapeutic implementations. At the same time, the content fits into the broader context of the description of healing factors in psychiatric and psychotherapeutic departments, emphasizing the need for a coherent conceptualization resulting from the diagnostic process and patient activity at various levels of the ward's community. The author recalls the commonly known concepts of transference, countertransference, and parallel processes, confirming their usefulness in the common language of psychotherapists and medical staff. At the same time, he points to the dangers of limiting the therapeutic context to the psychotherapist-patient dyad, while unread relationships with the active environment constituted by the diversity of the ward constantly deliver new open and secret facts. The author cites his clinical experience, illustrating the individual theoretical descriptions with cases. The article emphasizes the problem of the diversity of initial diagnoses, which makes it necessary to adjust therapeutic interventions to the patients' abilities. The usefulness of the method is emphasized even in the face of the variety of paradigms in the human resources of the staff.