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A View from Riggs: Treatment Resistance and Patient Authority—IX. Integrative Psychodynamic Treatment of Psychotic Disorders

A View from Riggs: Treatment Resistance and Patient Authority—IX. Integrative Psychodynamic... Psychotic spectrum disorders present treatment challenges for patients, families, and clinicians. This article addresses the history of the dualism in the field between biological and psychological approaches to mental disorders, and surveys the contemporary literature about the etiology and treatment of psychotic spectrum disorders. An integrative approach to treatment derived from work at Austen Riggs with previously treatment refractory patients with psychotic spectrum disorders is described that combines individual psycho- dynamic psychotherapy, psychopharmacology, family systems approaches, and intensive psychosocial engagement. Helping patients develop their own authority to join the treatment, use relationships for learning, and understand the meaning of their symptoms is central to the treatment at Austen Riggs. An extended case vignette of a patient diagnosed with a schizoaffective disorder is presented illustrating this integrative psychodynamic treatment approach. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Academy of Psychoanalysis & Dynamic Psychiatry Guilford Press

A View from Riggs: Treatment Resistance and Patient Authority—IX. Integrative Psychodynamic Treatment of Psychotic Disorders

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Publisher
Guilford Press
Copyright
© The American Academy of Psychoanalysis and Dynamic Psychiatry
ISSN
1546-0371
DOI
10.1521/jaap.2008.36.4.739
pmid
19113964
Publisher site
See Article on Publisher Site

Abstract

Psychotic spectrum disorders present treatment challenges for patients, families, and clinicians. This article addresses the history of the dualism in the field between biological and psychological approaches to mental disorders, and surveys the contemporary literature about the etiology and treatment of psychotic spectrum disorders. An integrative approach to treatment derived from work at Austen Riggs with previously treatment refractory patients with psychotic spectrum disorders is described that combines individual psycho- dynamic psychotherapy, psychopharmacology, family systems approaches, and intensive psychosocial engagement. Helping patients develop their own authority to join the treatment, use relationships for learning, and understand the meaning of their symptoms is central to the treatment at Austen Riggs. An extended case vignette of a patient diagnosed with a schizoaffective disorder is presented illustrating this integrative psychodynamic treatment approach.

Journal

Journal of the American Academy of Psychoanalysis & Dynamic PsychiatryGuilford Press

Published: Dec 1, 2008

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