ABSTRACT

Except among single-minded practitioners for whom the only solution for all problems is their own chosen therapeutic approach, the question must sometimes arise as to which form of therapy is appropriate for a given problem. In my own work setting, in which my units provide inpatient and outpatient psychiatric treatment as well as specialized family, marital, and sexual therapy, the question is constantly arising. Although sometimes one may make a wrong choice, the cases in this setting appear by and large to be appropriately assigned to the different clinics. This chapter is an attempt to provide a rational basis for making such decisions; it draws on the literature and on the observed outcome of therapy in the different modalities.