Effectiveness of long-term, intensive, inpatient treatment for seriously disturbed young adults: A reply to Bein

Bein's criticisms of Therapeutic Change: An Object Relations Perspective are based on a misreading of the book; on a confusion between two independent types of analysis that were conducted; on a lack of appreciation of the nature of severe psychopathology and of long-term inpatient treatment; and on an attempt to impose a methodology from studies of treatment efficacy onto the investigation of the effectiveness of a comprehensive, multifaceted. intensive, long-term, inpatient treatment program designed to assist severely disturbed, treatment-resistant patients. Thus, we still contend that our findings, across a wide range of independent measures derived from the evaluation clinical case records and several different psychological assessment procedures, indicate that severely disturbed patients made significant therapeutic gain in long-term, intensive, inpatient treatment.