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January 1962

Wednesday Afternoon Clinic: A Supportive Care Program: A Preliminary Evaluation of Modifications of the Prevalent Pattern of Treatment Arrangements in a Psychiatric Clinic

Author Affiliations

Department of Psychiatry, College of Medicine, University of Cincinnati.
Assistant Professor of Psychiatry (Dr. MacLeod); formerly Fellow in Adult Psychiatry (Dr. Middelman).

Arch Gen Psychiatry. 1962;6(1):56-65. doi:10.1001/archpsyc.1962.01710190058007

Introduction  In individual psychotherapy the prevalent pattern of regular 50-minute interviews encourages the development of a relatively intense doctor-patient relationship. With many patients such an arrangement is the most effective. But for a number of years it has been clear that many other patients are unable to benefit from, or even tolerate, an on-going, one-to-one therapeutic relationship even when it is handled skillfully.The central idea of the program which is the basis of this report is that a substantial number of patientsmay be helped if the psychotherapy were arranged in such a fashion as to encourage them to relate primarily and essentially to a group of doctors and to a clinic rather than to one psychiatrist. Further, a plan was evolved of conducting the treatment in a clearly demarcated subclinic especially created for this purpose. The subclinic, named the Wednesday Afternoon Clinic, was designed for giving primarily supportive

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