ABSTRACT

Many perspectives have appeared and reappeared across time from biological, psychoanalytic, psychodynamic, learning, cognitive, humanisticexistential, and social and rehabilitative approaches for persons with serious and persistent mental illness. This chapter explores many of the essential similarities and differences between psychotherapeutic and psychiatric rehabilitation approaches in working with persons coping with serious and persistent illness. The authors include a Harvard-trained psychiatrist/ psychotherapist (DJMC) and a Vermont-and Yale-trained psychologist (CMH) who have spent their careers working with psychiatric patients with serious and persistent illnesses in need of rehabilitation, conducting research, and helping systems of care.