Treating the 'Untreatable'
Karnac Books (Verlag)
978-1-85575-680-9 (ISBN)
Treating the 'Untreatable' offers the hope of recovery, healing and cure for the most severe psychotic disturbances, schizophrenia and delusional disorder. Through a psychotherapeutic exploration of hallucinations, delusions and thought disorder, even the most hopeless and "untreatable" patients have a chance for returning to a life of relationships and function even after years, if not decades, of disturbance. These studies in the intensive psychotherapy of schizophrenia and delusional disorders demonstrate that recovery, healing and cure can be achieved in those most disturbed.In this era of treating schizophrenic and delusional patients with a primarily antipsychotic drug oriented approach, a more thorough exploration of the meaning to the patient of his psychosis - with judicious antipsychotic use, when indicated - leads to internal character and external behavioral change that is far more lasting than with antipsychotic use alone. With such a psychodynamic approach, some of these previously chaotic, disturbed and heavily medicated people were able to understand the symbolism and the origin of their psychotic productions and go off antipsychotic medication altogether.Treating the 'Untreatable' provides an overview of the chaotic world of the schizophrenic or delusional patient, a history of intensive psychotherapy with such patients, and twelve case histories demonstrating varying degrees of recovery, healing and cure. Some of the patients were able to integrate delusional systems that had persisted for many years and give up previous extensive antipsychotic medication, as they understood and worked through psychological issues underlying their psychotic orientation.The book offers compelling stories for the general reader and teaching tales for students and mental health practitioners who want to work in the realm of madness. These clinical cases demonstrate the efficacy of an intensive psychotherapy of schizophrenia and delusional states, combined with the judicious use of antipsychotics. These tales show that even seemingly "untreatable" and "hopeless" psychotic patients may recover and heal in the course of an inquiring psychodynamic psychotherapy aimed at understanding and working through the symbolic meaning of his or her hallucinations, delusions and bizarre thoughts and actions. Such an approach has led to some maintaining their gains for decades.Treating the 'Untreatable' ultimately questions why patients who responded to an insight oriented psychotherapy were previously viewed as 'untreatable' and given high doses of antipsychotic medication. In addition, the book talks about some of the factors that have led the field of psychiatry to pursue a primarily antipsychotic medication approach in patients so disturbed, rather than integrating a potentially healing dynamic psychotherapy into one's therapeutic armamentarium.
Ira Steinman has focused on schizophrenia for 45 years; his early training ranged from studying with R.D. Laing to working at the National Academy of Sciences' Drug Efficacy Study, which evaluated all the antipsychotic medications available at that time. For more than 35 years, he has pursued an out-patient psychiatric practice where he has been able to demonstrate that an intensive psychoanalytic psychotherapy, in conjunction with the judicious use of antipsychotic medication, can help even the most lost and disturbed schizophrenic and delusional patients recover, heal and, at times, achieve a cure. With such an approach, some allegedly "untreatable" schizophrenics have been able to work their way off of antipsychotic medication. He has spoken on this subject at length on a local, statewide, national and international level for more than twenty five years. He is a member of the ISPS (International Society for the Psychological Treatments of the Schizophrenias and other Psychoses); the American Psychiatric Association; and the Northern California Psychiatric Association
Preface -- Delusional reality -- The psychotherapy of delusional states -- Causes of a delusional orientation -- The method -- The history of the psychotherapy of schizophrenia and delusional states -- Psychotherapeutic technique and stages in the psychotherapy -- Apologia and clinical presentation -- The Good Angel, the Bad Devil, the Smiling Man's Voice, and Mother-God -- The pugilist, Mary, and the mother with the fiery halo -- Two rats and the extraterrestrial -- The ghost in the history -- Stalemate -- Maya, Little, and the world of illusion -- Death, Egyptian style -- Nobody -- The voice didn't win -- The world-class artist of the symbolic world: the Mafia, the movie stars and the "Unconscious God" -- Can anyone that evil ever really die? -- The cheerleader -- Thoughts, lessons and conclusions -- Long-term studies on schizophernia -- Brief review of the history of psychoanalytic perspectives on schizophrenia
| Verlagsort | London |
|---|---|
| Sprache | englisch |
| Maße | 147 x 230 mm |
| Themenwelt | Geisteswissenschaften ► Psychologie ► Klinische Psychologie |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Psychiatrie / Psychotherapie | |
| ISBN-10 | 1-85575-680-3 / 1855756803 |
| ISBN-13 | 978-1-85575-680-9 / 9781855756809 |
| Zustand | Neuware |
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