In the general hospital (GH), medical staff can find it difficult to establish collaborative relationships with patients exhibiting challenging behavior or personalities. Furthermore many of these patients need complex medical diagnoses and treatments. This paper illustrates an application of the principles of transference‐focused psychotherapy (TFP) in a psychiatric consultation for a patient with cardiac disease and poor adherence to medical recommendations. Among the principles of TFP illustrated are technical neutrality and the three channels of communication – verbal communication, nonverbal communication and countertransference. In addition, the paper shows the use of catamnesis, or the patient's report of their medical history and prior medical treatments. TFP principles allow the psychiatrist to assess the structure of the patient's personality and to help the medical staff to manage their relationship with the patient. TFP principles can be useful tools for psychiatrists working in consultation – liaison services in a general hospital.

中文翻译：

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将以转移为重点的心理治疗原理与精神科咨询相结合，以综合性方式入住综合医院的患者：心理治疗工具的临床应用

在综合医院（GH），医务人员会发现很难与表现出具有挑战性的行为或个性的患者建立合作关系。此外，这些患者中许多需要复杂的医学诊断和治疗。本文阐述了以转移性心理治疗（TFP）原理在心脏病患者和依从性较差的患者进行的精神科咨询中的应用。TFP的原理包括技术中立性和沟通的三个渠道，即口头沟通，非语言沟通和反向转让。此外，本文还显示了通病的用法，或患者的病史和以前的治疗报告。TFP原则允许精神科医生评估患者人格的结构，并帮助医务人员管理他们与患者的关系。对于在综合医院进行咨询（即咨询服务）的精神科医生，TFP原则可能是有用的工具。