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The British Journal of Psychiatry 158: 523-528 (1991)
© 1991 The Royal College of Psychiatrists
C Lund
Regional Department of Psychotherapy, Royal Victoria Infirmary, Newcastle upon Tyne.
Jacobsen's theory of affects and psychotic depression can be of benefit to the management of patients, even when recourse to physical therapies is required. Awareness of such psychodynamic issues would improve staff training, morale, and practice; rotation schemes for junior staff may have serious effects through the abandonment of patients and established therapeutic relationships.
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