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    15 views480 pages

    Psychodynamic View Schizophrenia

    Uploaded by

    Sharvari Shah

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
    Download as pdf
    of 480
    Theory and Treatment froma Psychodynamic Point of View Ping-Nie Pao SCHIZOPHRENIC DISORDERS Theory and Treatment from a Psychodynamic Point of View Ping-Nie Pao At the turn of the century, psychoanalysis revolutionized our conceptualization of schizophrenia. Prior to that, schizophrenia was conceived of as a hereditary-consti- tutional-degenerative disease of the brain. Psychoanalysis taught us to think of schizo- phrenia in terms of human development. A certain combination of nature and nur- ture in the first weeks of life results in a deficient capacity for adaptation, which becomes increasingly impaired, eventuat- ing in schizophrenic illness To enunciate this viewpoint, Freud formu- lated a comprehensive theory of schizo- phrenia, describing the etiology, the na- ture of deficient states of adaptive capacity, and the mechanism of symptom formation. Many writers have subsequently contributed to the enrichment of various aspects of that theory. The primary aim of this book is to collate their contributions and to offer a cohesive psychoanalytic theory of schizophrenia. The integrated theory of schizophrenia pre- sented in this book not only offers guide- lines for the psychoanalytic treatment of schizophrenic patients, but also provides new systems for subgrouping the schizo- phrenias. These systems make prognostic evaluation possible and aid in therapeutic planning for a given patient at the time of initial consultation. The author deals with the criteria of diag- nosis and systems of subgrouping the (continued on back fiap) SCHIZOPHRENIC DISORDERS SCHIZOPHRENIC DISORDERS Theory and Treatment from a Psychodynamic Point of View PING-NIE PAO, M.D. INTERNATIONAL UNIVERSITIES PRESS, INC. New York Copyright © 1979, International Universities Press, Inc All rights reserved. No part of this book may be reproduced by any means, nor translated into a machine language, without the written permission of the publisher. Library of Congress Cataloging in Publication Data Pao, Ping-Nie. Schizophrenic disorders: theory and treatment from a psychodynamic point of view. Includes bibliographical references and index 1, Schizophrenia. 2. Psychoanalysis. I. Title. RC514.P284 616.8'982 77-92180 ISBN 0-8236-5990-9 Manufactured in the United States of America To Pearl, Maryland, and William C 10. ontents Preface PART I. DIAGNOSTIC CONSIDERATIONS . On the Diagnostic Term “Schizophrenia” . On Schizophrenic Subtypes xi 20 PART II. EARLY PSYCHOANALYTIC THEORY OF SCHIZOPHRENIA . Freud’s Theory of Schizophrenia . Fenichel’s Restatement of Freud’s Theory of Schizophrenia . Hartmann’s Application of Ego Psychology to Schizophrenia . Jacobson’s Contributions to the Explanation of Schizophrenia . Melanie Klein’s “Paranoid-Schizoid Position” and Schizophrenia . Fairbairn’s “Object-Relations” Theory of Schizophrenia . Schizophrenia in the Light of Sullivan’s Interpersonal Theory The Place of Federn’s Ego Psychology in a Contemporary Theory of Schizophrenia vii 41 54 61 71 83 92 102 114 viii CONTENTS PART III. TOWARD A COMPREHENSIVE PSYCHOANALYTIC THEORY OF SCHIZOPHRENIA A. General Considerations 11. The Relationship of Infantile Experience to the Etiology of Schizophrenia 143 12. The Pathway to Schizophrenia 162 13. An Excursion to the Recent Debate on Conflict versus Deficiency 189 14. Symptom Formation in Schizophrenia 209 B. Notes on Certain Symptomatic Manifestations 15. On Delusional Experiences of Schizophrenics 235 16. On Hallucinatory Experiences of Schizophrenics 251 17. The Schizophrenic’s Use of Devices or Rituals Against His Aggression and Violence 265 18. The Schizophrenic’s Use of Language 281 19. The Experience of Emotions in Schizophrenia 297 PART IV. PSYCHOANALYTIC PSYCHOTHERAPY OF SCHIZOPHRENIA A. General Considerations 20. The Treatment of Schizophrenic Patients —An Overview 315 21. Countertransference, Empathy, Verbal Intervention 340 22. Attachment, Therapeutic Alliance, Transference 359 B. Approaches to Different Stages of Illness 23. Psychotherapy with Schizophrenic Patients during the Acute Phase 377 CONTENTS 24. Psychotherapy with Schizophrenic Patients 25. in the Subacute Phase Psychotherapy with Schizophrenic Patients during the Chronic Phase References Name Index Subject Index 393 412 429 445 449 sieattnt mone et sa WE SOIDVS: 6,

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