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The abandoned therapist.

A discussion of "The Holding Environment and Family Therapy with Acting Out Adolescents," by E.R. Shapiro, M.D. It is presupposed that the central motivation of psychotherapists is to derive a secure holding environment from the patient. The most fundamental need of human beings is the allaying of separation anxiety. As parents use their children to maintain an inner sense of security, the unresponsive child will cause the parent significant depression and anxiety. The parallel of the therapist's and parent's position with the patient/child is explored.