Causas de la deserción en la hospitalización parcial de adolescentes

the results of the study about the causes of the dropout of 23 adolescents functioning at the neurotic level in a partial hospitalization regimen are presented. there is more than one cause of dropout, both in the group where it took place during the first week of hospitalization (9 cases) and in those with a longer stay. it is stressed the vagueness of the consciousness of the disease, the pretension to establish a psychopathic alliance with the therapist, and the unclear formulation on the part of the therapist of the objectives of admission. to prevent the dropout, it is recommended, before deciding the admission, to explain the objectives of hospitalization, to work on the development of the conciousness of the disease, and the careful psychotherapeutic management of the proposal of the psychopathic alliance.