EFFECTIVENESS OF LONG-TERM, INTENSIVE, INPATIENT TREATMENT FOR SERIOUSLY DISTURBED YOUNG-ADULTS - A REPLY TO BEIN

Bein's criticisms of Therapeutic Change: An Object Relations Perspecti ve are based on a misreading of the book; on a confusion between two i ndependent types of analysis that were conducted; on a lack of appreci ation of the nature of severe psychopathology and of long-term inpatie nt treatment; and on an attempt to impose a methodology from studies o f treatment efficacy onto the investigation of the effectiveness of a comprehensive, multifaceted. intensive, long-term, inpatient treatment program designed to assist severely disturbed, treatment-resistant pa tients. Thus, we still contend that our findings, across a wide range of independent measures derived from the evaluation clinical case reco rds and several different psychological assessment procedures, indicat e that severely disturbed patients made significant therapeutic gain i n long-term, intensive, inpatient treatment.