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The unconscious mind becomes manifest in the physical world through the nature and placement of external, physical objects surrounding us. Could this transference or countertransference present in your office be effecting your patients?

When a client enters your consulting room, the

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

space itself communicates to them a myriad of messages. How your client interprets and reacts to the psychotherapy setting may be thought of as transference. Do you know what messages you may be sending unconsciously via your setting?

Every setting constantly and silently tells a s

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

ory, a narrative constructed by the elements of the room, their placement, their associations, and their symbolic meaning. It is right there for all to read, and each person will interpret it differently. The consultory is a room of stories. It acts as a container for the stories tol

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

d by clients and by the therapist. However, like an ancient vase, the container itself tells its own story. Do you know how your clients are interpreting the stories conveyed by your setting?

Charged with the psychological and emotional health of their clients, mental health practit

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

oners would do well to consider all elements positive and negative in the psychotherapeutic environment that possibly could contribute to the therapeutic process as a whole. Yet, the psychological literature and interviews with psychiatrists, psychologists, and psychotherapists indic

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

te that the room in which therapy takes place is rarely discussed. Can you identify if or how your office contributes to or detracts from your clients psychotherapeutic progress, your professional or personal achievements? Archetypal psychologist, James Hillman writes, "As long as

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

the world around us is just dead matter, Eros is trapped in personal relationships. And transference, by the way, just confirms that, hour after therapeutic hour."

Hillman cautions therapists about the design of the consultory:

It's not enough to be in a tastefully decorated room.

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

hite bread therapy has all along secured itself in well-appointed consulting rooms, with comfortable chairs and artistic ornamentation. "Good" design can lead to the mediocrity of normal adaptation rather than into the depths of soul.

James Hillman (1982) invited psychothe

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

rapy to attend to the world of things--things that are empty, wrong, ugly, or brokenby moving with the heart toward the world. In the analytic setting, if the analyst became "thing conscious," they would awaken to how uncomfortable they are in their poorly built, "chemicalized" chair

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

Hillman proposed that psychotherapy might conceive of itself as an aesthetic activity rather than as a science, and ask questions about "what things are, and where, and who, and in which precise way they are as they are, rather than why, how come, and what for". He rhetorically aske

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

if this meant that psychotherapists would analyze their couches, or tell their office-ventilating machines that their cold monotone interrupts conversations.

Hillman looked at setting itself through various lenses, in addition to looking at a settings content. Lamenting the ceiling

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

as "the most neglected segment of our contemporary interior," he posited that "the ceiling is the unconsidered, the unconscious". "[It is] the place of images to which imagination turns its gaze to renew vitality". He wondered, as one might wonder about all the facets of the psychot

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

erapy setting, "What statements are these ceilings making? What are they saying about our psychic interiors?" What statements are the file cabinets, the wall hangings, the rugs, the lighting, the window treatments, the furniture making? Hillman contended that our ordinary rooms are

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

the places in which soul change can take place if we attend to these places "where these interior faculties of the human mind begin."

By better understanding their countertransference and its effect on their patients, our mental health clients enhance the therapeutic experience for

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

oth the patient and themselves.

Helping You Help Your Patients And Your Practice

The office itself acts as a feedback loop, answering the questions:

1. Does your setting reflect your unconscious personal psychotherapeutic beliefs? 2. Is your setting congruent with how you feel a

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

out your patients? 3. Does it mirror how you feel about yourself, personally or professionally? 4. Do you know how your consultory affects your clients? 5. Does your setting encourage or stifle patient communication? 6. What unconscious signals in your setting are affecting y

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

our fiscal health?

How Is Your Office Affecting You, the Practitioner?

Understanding the aspects of your countertransference as manifested in the physical setting of your office will allow you deeper insight into yourself, which in turn enhances the therapeutic process for your pat

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

ents. For the mental health professional, symptoms of negative countertransference may be experienced as fractured focus, indecision, wanting to escape the office, feeling "disconnected" from patients, depression, feeling professionally unfulfilled or unsatisfied, lack of energy or c

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

reativity.

How Is Your Office Effecting Your Fiscal Health?

Mental health professionals usually have practical concerns that parallel the desire to help clients achieve emotional and psychological balance, since their practice often defines their fiscal health. A mental health prac

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

ice is also a business. The consequences of negative or unidentified countertransference can manifest as low or declining patient retention, a sense of business being stuck in a rut, unrealized advancement of their practice or professional recognition, or fiscal decline or "flatline.

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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