Articles and Papers

“The Medical-Psychiatric Coordinating Physician-Led Model: Team-Based Treatment for Complex Patients”
Steven A. Frankel, MD, and James A. Bourgeois, MD, OD, et al.
Psychosomatics, 2014 (in press)

“The Medical-Psychiatric Coordinating Physician”
Steven A. Frankel, MD
Marin Medicine, 2010
Synopsis: Introducing the Medical-Psychiatric Coordinating Physician (MPCP), a doctor with the responsibility for grappling with the medical and psychosocial complexities of difficult cases. The MPCP assembles, leads, and coordinates the treatment team, making sure goals are consistent throughout the team and that outcome is carefully monitored. The MPCP takes responsibility for organizing and managing the entire clinical situation, doing everything essential to maximize its outcome.
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“The Three Person Field: Collaborative Consultation to Psychotherapy”
Steven A. Frankel, MD and Diane Engelman, PhD
Humanistic Psychologist, 2002
Synopsis: We describe our work at the Center for Collaborative Psychiatry, Psychology, and Medicine, where we use a collaborative model of assessment and treatment analogous to Finn’s therapeutic assessment, and to Fischer’s individualized, collaborative assessment, with the collaboration occurring between each member of the therapy team: client, therapist, and consultant. The consultation is also directed to the therapy dyad, the consulting psychologist offering a fresh perspective about therapeutic difficulties and progress. We make consultation to the therapy a standard part of our collaborative therapy protocol, required for all therapies conducted through the Center.
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“Serious Problems in Psychotherapy Require Serious Medicine”
Steven A. Frankel, MD
Psych Central, 2008
Synopsis: As a patient in psychotherapy, do you wonder whether the work you and your therapist are doing will succeed and produce lasting results? You may like, even admire, your psychotherapist, but how do you know that as a result of his or her work you will achieve the goals for which you came to treatment? Patients frequently remain in the dark about whether treatment is actually succeeding. The solution to this dilemma is a treatment considerably broader in scope than conventional psychological and psychiatric therapy. This treatment embodies proven techniques for accurately assessing the nature and severity of a psychological problem and for monitoring treatment progress. In using these methods, therapist and patient work collaboratively to track progress, continually providing feedback to each other.
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“The Clinical Uses of Therapeutic Disjunctions”
Steven A. Frankel, MD
Psychoanalytic Psychology, 2006
Synopsis: Psychotherapy is dialectical. What the patient does for the therapist, the therapist returns through his or her own initiative. The same is true for the therapist’s contribution. In this intricate choreography where patient and therapist alternately or simultaneously take responsibility for restoring the integrity of the therapy, understanding is only part of the process. The tension caused by rifts in the therapy needs to be tolerated and contained, ultimately by the therapist. His or her whole-hearted willingness to understand the meaning and work through the consequences of these disjunctions follows. According to this view of the therapeutic process, the patient’s contribution to reviving and sustaining the therapy is often as important as the therapist’s. In my opinion, the patient’s role has generally been under-appreciated. This is true even with the current groundswell of psychodynamic literature on symmetry and self-disclosure.
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For other papers by James A. Bourgeois, MD, OD, visit PubMed