Psychoanalysis And Psychosis
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Author | : Michael Robbins |
Publisher | : Routledge |
Total Pages | : 283 |
Release | : 2019-04-09 |
Genre | : Psychology |
ISBN | : 0429575564 |
Psychoanalysis Meets Psychosis proposes a major revision of the psychoanalytic theory of the most severe mental illnesses including schizophrenia. Freud believed that psychosis is the consequence of a biologically determined inability to attain and sustain a normal or neurotic mental organization. Michael Robbins proposes instead that psychosis is the outcome of a different developmental pathway. Conscious mind functions in two qualitatively different ways, primordial conscious mentation and reflective representational thought, and psychosis is the result of persistence of a primordial mental process, which is adaptive in infancy, in later situations in which it is neither appropriate nor adaptive. In Part I Robbins describes how the medical model of psychosis underlies the current approach of both psychiatry and psychoanalysis, despite the fact that neuroscience has failed to confirm the model’s basic organic assumption. In Part II Robbins examines two of Freud’s models of psychosis that are based on the assumption of a constitutional inability to develop a normal or neurotic mind. The theories of succeeding generations of analysts have for the most part reiterated the biases of Freud’s two models, so that psychoanalysis considers the psychoses beyond its scope. In Part III Robbins proposes that the psychoses are the result of disturbances in the attachment-separation phase of development, leading to maladaptive persistence of a primordial form of mental activity related to Freud’s primary process. Finally, in Part IV Robbins describes a psychoanalytic approach to treatment based on his model. The book is richly illustrated with material from Robbins’ clinical practice. Psychoanalysis Meets Psychosis has the potential to undo centuries of alienation between society and psychotic persons. The book offers an understanding of severe mental illness that will be novel and inspiring not only to psychoanalysts but to all mental health professionals.
Author | : Joachim Küchenhoff |
Publisher | : Routledge |
Total Pages | : 249 |
Release | : 2018-10-03 |
Genre | : Psychology |
ISBN | : 1351025929 |
Do psychotic disorders make sense? Are psychotic symptoms amenable to interpretation? Understanding Psychosis: A Psychoanalytic Approach takes the various pathways to psychotic illness outlined by psychoanalytic clinicians and scholars and integrates them into a model that allows a systematic assessment of relevant psychodynamic dimensions in the diagnosis of psychotic disorders, and which serves as a guide to psychotherapy with psychotically ill patients. Joachim Küchenhoff reviews and integrates various psychoanalytic concepts and theories about psychosis into a multi-dimensional psychodynamic model that allows an assessment and understanding of the patient’s subjective experience, objective psychological capabilities, and interpersonal resources. Küchenhoff helps the therapist to establish a basic attitude in working psychodynamically with patients and to understand the dynamics of the therapeutic relationship. Understanding Psychosis also addresses specific issues that can arise in work with clients experiencing psychosis, including understanding imminent crises or precursor states, elucidating semiotic qualities in seemingly negative symptoms, differentiating the psychotic and a non-psychotic part of the personality and providing a dynamic approach to the psychopharmacological treatment. Clinical vignettes and three detailed case reports are included in the book. Understanding Psychosis will be an essential guide for psychiatrists, psychotherapists and psychoanalysts working with patients experiencing psychosis. It will also be of use to psychologists, and academics and students of psychotherapy, psychiatry and psychoanalysis for psychosis.
Author | : Orna Ophir |
Publisher | : Routledge |
Total Pages | : 209 |
Release | : 2015-05-01 |
Genre | : Psychology |
ISBN | : 1317584899 |
Covering the last four decades of the 20th century, this book explores the unwritten history of the struggles between psychoanalysis and psychiatry in postwar USA, inaugurated by the neosomatic revolution, which had profound consequences for the treatment of psychotic patients. Analyzing and synthesizing major developments in this critical and clinical field, Orna Ophir discusses how leading theories redefined what schizophrenia is and how to treat it, offering a fresh interpretation of the nature and challenges of the psychoanalytic profession. The book also considers the internal dynamics and conflicts within mental health organizations, their theoretical paradigms and therapeutic practices. Opening a timely debate, considering both the continuing relevance and the inherent limitations of the psychoanalytic approach, the book demonstrates how psychoanalysts reinterpreted their professional identity by formalizing and disseminating knowledge among their fellow practitioners, while negotiating with neighboring professions in the medical fields, such as psychiatry, pharmacology and the burgeoning neurosciences. Chapters explore the ways in which psychoanalysts constructed – and also transgressed upon – the boundaries of their professional identity and practice as they sought to understand schizophrenia and treat its patients. The book argues that among the many relationships psychoanalysis sustained with psychiatry, some weakened their own social role as service providers, while others made the theory and practice of psychoanalysis a viable contender in the jurisdictional struggles between professions. Psychosis, Psychoanalysis and Psychiatry in Postwar USA will appeal to researchers, academics, graduate students and advanced undergraduates who are interested in the history of psychoanalysis, psychiatry, the medical humanities and the history of science and ideas. It will also be of interest to clinicians, health care professionals and other practitioners.
Author | : Franco De Masi |
Publisher | : |
Total Pages | : 208 |
Release | : 2020 |
Genre | : Psychoanalysis |
ISBN | : 9780367416416 |
"This ground-breaking examination begins by clearly explaining complex terms and theories from the most significant thinkers in psychoanalysis. Split into 3 parts, it then explores the problems faced when following one specific technique for understanding the psychotic process. Practical as well as theoretical, Part 2 illustrates how to prepare an appropriate setting for the patient, including the importance of listening and the analyst's approach, as well as highlighting key features of the condition, such as delusions, hallucinations, infantile withdrawal and psychotic dreams. Acknowledging that psychosis is a psychic transformation which the mind works as a sensorial organ, the author asserts that the seeds are sown in childhood through emotional trauma, leading to withdrawal in a fantasy world"--
Author | : Eric R. Marcus |
Publisher | : Springer Science & Business Media |
Total Pages | : 245 |
Release | : 2012-12-06 |
Genre | : Medical |
ISBN | : 1461391970 |
Psychosis and Near Psychosis offers a psychoanalytically-based approach to an integrated treatment of psychosis and near psychosis, achieved by organizing psychotherapy, medication, hospital and milieu interventions into a powerful therapeutic tool. The author navigates confidently between psychiatric and psychoanalytic approaches, between biological evidence and psychological assessments. According to Dr. Eric Marcus, since the past, so-called heroic psychoanalyses with psychotic patients have clearly been shown to fail, the time is now ripe again to discuss psychosis in terms of the broadened psychoanalytic theory, with the support of medication and a better understanding of the neuropsychological factors involved. This book, which maps out mental illness in concrete and innovative ways, will interest all researchers and clinicians eager to find the best means, both practical and theoretical, to initiate satisfying psychiatric therapies.
Author | : Jon Mills |
Publisher | : Routledge |
Total Pages | : 282 |
Release | : 2018-09-21 |
Genre | : Psychology |
ISBN | : 0429851383 |
This is the first book of its kind that attempts to distill Lacan’s views on psychosis for both a specialized and non-specialized audience. An attempt is made to present Lacan’s unorganized theories to apply to conceptual paradigms in psychoanalysis and the humanities as well as applied clinical practice. This effort is in the spirit of fostering dialogue and educating different theoretical orientations within psychoanalysis on what Lacan and his followers have contributed to emerging contemporary perspectives on psychotic phenomena in both normative and pathological populations. Within Lacanian circles there is debate over what constitutes psychosis, including defining the ordinary from pathological variants that have historically defined the phenomena as a mental illness. Here psychosis is not defined by hegemonic authoritarian psychiatry, but rather as a conceptual framework or philosophical perspective supported by descriptive narrative and symptomatic phenomenology that challenges preconceived notions of what we typically consider psychosis to entail. In this book a variety of perspectives are presented by internationally respected scholars and clinicians who examine what Lacan had to say about psychosis, from his nuanced theories represented in select texts, including omissions, extrapolations, and new applications, as well as how clinical methodology and technique have been adapted and advanced by practitioners treating psychotic individuals. Lacan on Psychosis will be of interest to academics, scholars, researchers, and practitioners in the fields of psychoanalysis, psychotherapy, philosophy, cultural theory, the humanities, and the behavioral sciences.
Author | : Richard Lucas |
Publisher | : Routledge |
Total Pages | : 294 |
Release | : 2013-11-19 |
Genre | : Psychology |
ISBN | : 1317796721 |
The Psychotic Wavelength provides a psychoanalytical framework for clinicians to use in everyday general psychiatric practice and discusses how psychoanalytic ideas can be of great value when used in the treatment of seriously disturbed and disturbing psychiatric patients with psychoses, including both schizophrenia and the affective disorders. In this book Richard Lucas suggests that when clinicians are faced with psychotic patients, the primary concern should be to make sense of what is happening during their breakdown. He refers to this as tuning into the psychotic wavelength, a process that allows clinicians to distinguish between, and appropriately address, the psychotic and non-psychotic parts of the personality. He argues that if clinicians can find and identify the psychotic wavelength, they can more effectively help the patient to come to terms with the realities of living with a psychotic disorder. Divided into five parts and illustrated throughout with illuminating clinical vignettes, case examples and theoretical and clinical discussions, this book covers: the case for a psychoanalytical perspective on psychosis a historical overview of psychoanalytical theories for psychosis clinical evidence supporting the concept of a psychotic wavelength the psychotic wavelength in affective disorders implications for management and education. The Psychotic Wavelength is an essential resource for anyone working with disturbed psychiatric patients. It will be of particular interest to junior psychiatrists and nursing staff and will be invaluable in helping to maintain treatment aims and staff morale. It will also be useful for more experienced psychiatrists and psychoanalysts.
Author | : R. D. Hinshelwood |
Publisher | : Psychology Press |
Total Pages | : 208 |
Release | : 2004 |
Genre | : Caregivers |
ISBN | : 9781583918937 |
When madness is intolerable for sufferers, how do professional carers remain sane? Psychiatric institutions have always been places of fear and awe. Madness impacts on family, friends and relatives, but also those who provide a caring environment, whether in large institutions of the past, or community care in the present. This book explores the effects of the psychotic patient's suffering on carers and the culture of psychiatric services. Suffering Insanity is arranged as three essays. The first concerns staff stress in psychiatric services, exploring how the impact of madness demands a personal resilience as well as careful professional support, which may not be forthcoming. The second essay attempts a systematic review of the nature of psychosis and the intolerable psychotic experience, which the patient attempts to evade, and which the carer must confront in the course of daily work. The third essay returns to the impact of psychosis on the psychiatric services, which frequently configure in ways which can have serious and harmful effects on the provision of care. In particular, service may succumb to an unfortunate schismatic process resulting in sterile conflict, and to an assertively scientific culture, which leads to an unwitting depersonalisation of patients. Suffering Insanity makes a powerful argument for considering care in the psychiatric services as a whole system that includes staff as well as patients; all need attention and understanding in order to deliver care in as humane a way as possible. All those working in the psychiatric services, both in large and small agencies and institutions, will appreciate that closer examination of the actual psychology and interrelations of staff, as well as patients, is essential and urgent.
Author | : Michael Garrett |
Publisher | : Guilford Publications |
Total Pages | : 369 |
Release | : 2019-08-28 |
Genre | : Medical |
ISBN | : 1462540562 |
In this innovative book, master clinician Michael Garrett shows how to weave together cognitive-behavioral therapy (CBT) and psychodynamic therapy to support the recovery of persons suffering from psychosis. This integrated framework builds on the strengths of both methods to achieve lasting gains, even for patients with severe, chronic mental illness. The therapist is guided to use CBT to help the patient recognize the literal falsity of delusions, while employing psychodynamic strategies to explore the figurative truth and personal meaning of psychotic symptoms. Extended case presentations and numerous clinical vignettes illustrate Garrett’s compassionate, empowering approach. Winner (Second Place)--American Journal of Nursing Book of the Year Award, Psychiatric and Mental Health Nursing Category
Author | : Ira Steinman |
Publisher | : Routledge |
Total Pages | : 218 |
Release | : 2018-05-08 |
Genre | : Psychology |
ISBN | : 0429918879 |
In this groundbreaking volume, the authors bring us into the immediacy of the analyst's consulting room in direct confrontation with the thought disorder, delusions and hallucinations of their patients grappling with psychosis. From the early days of psychoanalysis when Freud explicated the famous Schreber case, analysts of all persuasions have brought a variety of theories to bear on the problem of schizophrenia and the other psychoses. Here, as William Butler Yeats notes, "the centre cannot hold" and any sense of self-esteem - positive feelings about oneself, a continuous sense of self in time and a functional coherence and cohesion of self - is shattered or stands in imminent danger. What makes psychoanalytic self psychology so compelling as a framework for understanding psychosis is how it links together the early recognition of narcissistic impairment in these disorders to the "experience-near" focus which is the hallmark of self psychology.