Back to Journals » Patient Preference and Adherence » Volume 2

Physicians’ “compliance with treatment” in the context of consultation-liaison psychiatry: The role of “triangle” relationships and projective identification

Authors Hyphantis TN, Arvanitakis KI

Published 6 August 2008 Volume 2008:2 Pages 189—193


Review by Single-blind

Peer reviewer comments 3

Thomas N Hyphantis1, Konstantinos I Arvanitakis2

1Consultation-Liaison Psychiatric Unit, Department of Psychiatry,Medical School, University of Ioannina, Ioannina, Greece; 2Department of Philosophy and Department of Psychiatry, McGill University Health Centre, Montreal, Canada

Abstract: Transference and countertransference issues arising in the context of consultation-liaison (C-L) psychiatry could be more complex than originally assumed since they include reactions evoked within the frame of a unique “therapeutic triangle” of the patient, the physician, and the C-L psychiatrist. A clinical vignette illustrates how the projective identification process could mediate the relationships between the members of the therapeutic triangle through the different transferences and countertranferences interwoven in the setting of C-L psychiatry. This, if left unchecked, may result in the disruption of professional relationships and in jeopardizing the treatment of patients.

Keywords: consultation-liaison psychiatry, compliance, transference, countertransference, projective identification

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF] 


Other articles by this author:

Narcissistic rage: The Achilles’ heel of the patient with chronic physical illness

Thomas Hyphantis, Augustina Almyroudi, Vassiliki Paika, et al

Patient Preference and Adherence 2009, 3:239-250

Published Date: 9 August 2009

Readers of this article also read:

Management of preterm labor: atosiban or nifedipine?

Roel de Heus, Eduard J H Mulder, Gerard H A Visser

International Journal of Women's Health 2010, 2:137-142

Published Date: 17 May 2010

Patient’s compliance with allergen immunotherapy

Cristoforo Incorvaia, Marina Mauro, Erminia Ridolo, Paola Puccinelli, Massimiliano Liuzzo, et al

Patient Preference and Adherence 2008, 2:247-251

Published Date: 15 September 2008

Relationship between serum albumin and pulse wave velocity in patients on continuous ambulatory peritoneal dialysis

Li-Tao Cheng, Li-Jun Tang, Hui-Min Chen, Wen Tang, Tao Wang

Vascular Health and Risk Management 2008, 4:871-876

Published Date: 8 August 2008

A PDA-based dietary self-monitoring intervention to reduce sodium intake in an in-center hemodialysis patient

Mary Ann Sevick, Roslyn A Stone, Matthew Novak, Beth Piraino, Linda Snetselaar, et al

Patient Preference and Adherence 2008, 2:177-184

Published Date: 2 July 2008

Clopidogrel-taking behavior by drug-eluting stent patients: Discontinuers versus continuers

Carole Decker, Linda Garavalia, Brian Garavalia, John A Spertus

Patient Preference and Adherence 2008, 2:167-175

Published Date: 3 June 2008

Patients’ perception of diagnostic tests in the preoperative assessment of esophageal cancer

Marinke Westerterp, Henderik L van Westreenen, Marije Deutekom, Jaap Stoker, Paul Fockens, et al

Patient Preference and Adherence 2008, 2:157-162

Published Date: 30 April 2008

Adherence to glatiramer acetate treatment for multiple sclerosis: the Brazilian experience

Tatiana de Melo Gomes de Oliveira, Ana Patricia Peres Fiore, Yára Dadalti Fragoso

Patient Preference and Adherence 2008, 2:41-46

Published Date: 5 March 2008