The rupture of the alliance between the attending psychiatrist and the patient in psychiatry is a complex of different problems that gradually appear between people. There are many factors for this phenomenon, and this is a reasonably typical case among practicing psychiatrists (Safran & Kraus, 2014). Moreover, common treating alienists do not pay enough attention to this problem, making it more complex and challenging to analyze in the treatment process. One of the leading causes for the alliance rupture is the inability of the doctor to notice fluctuations in the patient’s behavior in time, and there is one crucial reason for this.
The main reason for the doctor’s inattention to his patient’s behavior is a lack of focus on one of the illness’s sides, leading to unintentional ignorance of the changes in the patient’s behavior. In the case of the analysis of mental illnesses, they can be divided into two main structures. On the one hand, a physiological component includes an analysis of the human nervous system, the work of their brain, and the release of hormones. On the other hand, a psychological one, when the patient’s condition can deteriorate sharply depending on their perception of the illness (Safran & Kraus, 2014). Consequently, if the attending psychiatrist pays attention to mostly one of these two components, their patient begins to experience discomfort, either feeling a lack of medication or communicating with themselves as with an individual.
As a result, one of the main reasons for the alliance rupture is that the attending psychiatrist becomes unable to notice changes in the patient’s behavior as they omit one of the abovementioned aspects. Thus, it is possible to build effective communication with the patient in the case of equal attention to both the psychological and physiological sides of the illness. In particular, the lack of personal attention to changes in the patient’s behavior also indicates an overanalysis of the disease, leading to an increase in the distance in the interaction of two people.
Reference
Safran, J. D., & Kraus, J. (2014). Alliance ruptures, impasses, and enactments: a relational perspective. Psychotherapy, 51(3), 381.