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Psychodynamic Psychotherapy Guidelines in Psychosis

The Letter, Issue 55/56, Spring/Summer 2014, Pages 53 - 64


REFLECTIONS ON GUIDELINES FOR SUPPORTIVE

PSYCHODYNAMIC PSYCHOTHERAPY WITH PERSONS

EXPERIENCING THEIR FIRST EPISODE OF SCHIZO-

PHRENIA-SPECTRUM PSYCHOSIS

Bent Rosenbaum[1]


The Danish National Schizophrenia Project[2],[3] is used as a background for presenting some phenomenological characteristics of persons in psychotic states of mind, some psychoanalytic concepts grounded in the phenomenology of the psychotic self, and some elements in the supporting psychoanalytic approach. Finally, the concept of cure will be presented as an increased capacity for symbolisation.


Keywords: Danish National Schizophrenia project (DNS); phenomenology of first episode psychosis; supportive psychodynamic psychotherapy; guidelines


Some phenomenological characteristics of psychotic states of mind

In the last 20 years, an increased interest among psychiatrists and psychologists in the revival of phenomenological psychiatry has taken place. The focus of this interest has mainly been in the field of diagnostics, and this approach has, to some extent counteracted the objectifying, reductionistic, symptomfocused mode of diagnosing psychopathological disorders in the DSM- and ICD-dominated mainstream psychiatry. In Denmark, the psychiatrist, Josef Parnas, has worked with the philosopher, Dan Zahavi, and the American psychologist, Louis Sass, to investigate the phenomenological aspects of schizophrenia. The disturbances in the self-experience of psychotic persons draw on observations of some German psychiatrists, e.g. Karl Jaspers, Klaus Conrad and Wolfgang Blankenburg


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