CHAPTER 6Interpersonal deficits are chosen as the focus of treatment when a patient
with major depression presents with a history of social impoverishment, inadequate or unsustaining interpersonal relationships. Patients with such
deficits may never have established lasting or intimate relationships as
adults, or have pervasive feelings of loneliness and social isolation not
specifically related to recent transitions or interpersonal disputes. In general,
patients with a history of interpersonal deficits tend to be more severely disturbed than those with other presenting problems. If patients describe both
interpersonal deficits and one of the other interpersonal problem areas, it is
preferable to focus on the latter.Included are patients who:
|1. ||are socially isolated, lacking relationships either with intimate
friends or at work. They have chronic difficulty in developing close
|2. ||have an adequate number and range of relationships, but find them
unfulfilling and/or have difficulty in sustaining them. These people
may have chronic low self-esteem, despite apparent popularity or
success at work.|
|3. ||have lingering symptoms, untreated or inadequately treated in the
past, that interfere with relationships.|
It is important to rule out dysthymic disorder among patients with interpersonal deficits, as chronic depression often presents with social impover
Questia, a part of Gale, Cengage Learning. www.questia.com
Book title: Comprehensive Guide to Interpersonal Psychotherapy.
Contributors: Myrna M. Weissman - Author, John C. Markowitz - Author, Gerald L. Klerman - Author.
Publisher: Basic Books.
Place of publication: New York.
Publication year: 2000.
Page number: 103.
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