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Psychosis, symbol, affectivity 2: another perspective on the treatment of psychotic disorder

Psychosis, symbol, affectivity 2: another perspective on the treatment of psychotic disorder This is the second of two papers concerning our study into an integrated approach to psychotic disorders conducted at the University Psychiatry Unit of Palermo’s Polyclinic over approximately 15 years; this paper concentrates on the clinical phenomena. The study aimed to find the best possible treatment and to improve the prognosis of this patient group. We have explored the efficacy of a range of psycho‐therapeutic (cognitive‐behavioural, systemic‐relational, psychodynamic, group and others), psycho‐pharmaceutical, psychiatric rehabilitative and psycho‐educational treatments, with a hermeneutic approach instead of a systematic one. The study’s conclusions, described in the paper, are that all psychotic functions start with a nuclear psychic issue connected to emotional development. We describe how the most significant symptoms of acute psychotic manifestations (delusions and misperceptions) make use of an encrypted psychological meaning that can be decoded through the patient’s symbolic language. This language is a key element in diagnosis and in the choice of treatment. The paper describes how we revised our understanding of psychosis from being a brain disease to being a process aimed at the rearrangement of psychic functioning. Our significant results are described. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Journal of Analytical Psychology Wiley

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References (19)

Publisher
Wiley
Copyright
© 2021, The Society of Analytical Psychology
ISSN
0021-8774
eISSN
1468-5922
DOI
10.1111/1468-5922.12665
Publisher site
See Article on Publisher Site

Abstract

This is the second of two papers concerning our study into an integrated approach to psychotic disorders conducted at the University Psychiatry Unit of Palermo’s Polyclinic over approximately 15 years; this paper concentrates on the clinical phenomena. The study aimed to find the best possible treatment and to improve the prognosis of this patient group. We have explored the efficacy of a range of psycho‐therapeutic (cognitive‐behavioural, systemic‐relational, psychodynamic, group and others), psycho‐pharmaceutical, psychiatric rehabilitative and psycho‐educational treatments, with a hermeneutic approach instead of a systematic one. The study’s conclusions, described in the paper, are that all psychotic functions start with a nuclear psychic issue connected to emotional development. We describe how the most significant symptoms of acute psychotic manifestations (delusions and misperceptions) make use of an encrypted psychological meaning that can be decoded through the patient’s symbolic language. This language is a key element in diagnosis and in the choice of treatment. The paper describes how we revised our understanding of psychosis from being a brain disease to being a process aimed at the rearrangement of psychic functioning. Our significant results are described.

Journal

The Journal of Analytical PsychologyWiley

Published: Apr 1, 2021

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