Abstract
Assessment of patients referred for psychotherapy has more commonly consisted of a psychodynamic assessment with less emphasis on a formal psychiatric diagnosis, whereas the reverse tends to be the case in the general psychiatric services. Within the National Health Service there are close links between the two services. A common frame of reference regarding the definition of the patient groups using the services could Improve communication, the planning and evaluation of specific treatment programmes, and outcome studies. A retrospective case-note study was carried out at a regional psychotherapy unit in order to define the population referred between 1991 and 1992 according to ICD–10 (WHO, 1992).
Highlights
Assessment of patients referred for psychotherapy has more commonly consisted of a psychodynamic assessment with less emphasis on a formal psychiatric diagnosis, whereas the reverse tends to be the case In the general psychiatric services
A common frame of reference regarding the definition of the patient groups using the services could
The general trend in psychotherapy services for the use of individual psychodynamic assessments with out necessarily assigning a formal diagnosis has made evaluation of services more difficult, one particular consequence being a lack of data concerning the type of patient referred for psychotherapy within the NHS
Summary
Assessment of patients referred for psychotherapy has more commonly consisted of a psychodynamic assessment with less emphasis on a formal psychiatric diagnosis, whereas the reverse tends to be the case In the general psychiatric services. The general trend in psychotherapy services for the use of individual psychodynamic assessments with out necessarily assigning a formal diagnosis has made evaluation of services more difficult, one particular consequence being a lack of data concerning the type of patient referred for psychotherapy within the NHS. The general psychiatric services place more emphasis on formal psychiatric diagnosis, so that despite close links between the two services, survey issues are difficult to communicate and com pare. Health Organization, 1992) provides more meaningful diagnostic categories for use in a psychotherapy setting than previous editions, as well as a common frame of reference for both services. There are specific service provisions for certain identified patient groups, for example couple therapy or victims of sexual abuse
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