The Politics of Medicine: Anxiety or Cost - Page 2
Electrode treatment essentially rendered the patient dead-to-the-world. The politics that this brings us to, of course, has to do with the human rights of the patient. Although, many talk therapies would have a significant impact on the family, it seems that in order to get the entire family on board in relation to treatment proves difficult. Either unresolved issues in the other family members, or out-right hostility toward the patient for all the chaos that the patient has rained on the family, frequently make the provision of talk therapy impossible.
Also the politics within the therapeutic communities have a great deal to do with what kind of service is offered. In today's "market" psychoanalysis, a deeply personal and heavily relational therapy is shunned by insurance companies because the treatment planning does not match the behavioral codes that they are willing to pay for.
If a family has the financial resources to pay for the on-going analysis, resistances can be found in the amount of time and work that must be placed toward the treatment. The more severe conditions rely on providing a strict structure along with providing an atmosphere where de-stimulation is the norm. In the mean time the family must be on board with resolving the family issues that contribute the the nature and the condition of the dis-ease in the identified patient.
Needless to say, many people urged on by physicians, suggest a combination of drugs and cognitive behavioral therapy. In my opinion this misses the most essential factor in the dis-ease, the patients internalized difficulty to establish permanent and effective relationships in the world. We might say that what is at stake here is the Politics of Connection.