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The Psychotic: Aspects of the Personality

The Psychotic: Aspects of the Personality presents the results of the author's many years of experience as an analyst working with deeply disturbed or psychotic patients, and demonstrates how the deeply resulting clinical and theoretical formulations may additionally be applied to less disturbed patients. Dealing with the theory and clinical treatment of the psychotic aspects of the personality, includes a review of the literature and a rich array of clinical material to illustrate the author's technical approach. A chapter devoted to the survivors of concentration camps shows how the concept of encapsulated autistic nuclei leads to new diagnostic and technical procedures, while a further paper discusses the psychotic difficulties attending heart-transplant surgery. Further essays illuminate the importance of the accurate detection and the use of the countertransference and the significance of the supervisor's supportive role in severe cases.

The Psychotic: Aspects of the Personality

The Psychotic: Aspects of the Personality presents the results of the author's many years of experience as an analyst working with deeply disturbed or psychotic patients, and demonstrates how the deeply resulting clinical and theoretical formulations may additionally be applied to less disturbed patients. Dealing with the theory and clinical treatment of the psychotic aspects of the personality, includes a review of the literature and a rich array of clinical material to illustrate the author's technical approach. A chapter devoted to the survivors of concentration camps shows how the concept of encapsulated autistic nuclei leads to new diagnostic and technical procedures, while a further paper discusses the psychotic difficulties attending heart-transplant surgery. Further essays illuminate the importance of the accurate detection and the use of the countertransference and the significance of the supervisor's supportive role in severe cases.

Psychotic Continuum

One of the most important questions of our previous common volumes about affective, schizoaffective, and schizophrenic disorders was the question of what connects and what separates psychotic disorders (Marneros and Tsuang, Schizo­ affective Psychoses, Springer-Verlag, 1986; Marneros and Tsuang Affective and Schizoaffective Disorders, Springer-Verlag, 1990; Marneros, Andreasen, and Tsuang, Negative and Positive Schizophrenia, Springer-Verlag 1993). The boundaries between various psychotic disorders are not always clearly defined. Some groups of psychotic disorders, such as schizoaffective disorders and all the other "atypical" psychoses, occupy a position between "typical" mental disorders, such as schizophrenia, and affective disorders. The question is: Do psychotic disorders form a continuum, or are they, despite their unclear boundaries, distinct entities? On what basis should we assume there is a continuity of psychotic disorders? Solely symptomatology? Or perhaps also a continuity in genetic predispositions? Or in biological, pharmacological, and other dimensions? Is the old idea of "Einheitspsychose" (unitary psychosis) really always wrong? The contributions contained in this new volume cannot provide a definite answer to the above questions. But they try to describe some relevant aspects of the problem, and to give some partial answers. Halle-Wittenberg, Germany A. MARNEROS Brockton, USA M. T. TSUANG Iowa, USA N. C. ANDREASEN October 1994 Contents Part I Psychotic Continuum: An Introduction A. MARNEROS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Psychotic Continuum or Distinct Entities: Perspectives from Psychopathology CH. MUNDT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Psychotic Continuum Under Longitudinal Considerations A. MARNEROS, A. ROHDE, and A. DEISTER. . . . . . . . . . . . . . . . . . . . . . . . . . 17 Psychotic Continuum or Distinct Entities: Perspective from Psychopharmacology H. Y. MELTZER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The Psychotic Core

This book examines the key ordering—disordering processes of the psychotic self. It draws on Sigmund Freud, Jung, object relation and selfpsychologies, and, particularly, the work of Winnicott, Bion, and Elkin.

The Psychotic Core

This book examines the key ordering—disordering processes of the psychotic self. It draws on Sigmund Freud, Jung, object relation and selfpsychologies, and, particularly, the work of Winnicott, Bion, and Elkin.

Psychotic Disorders: A Practical Guide (Current Clinical Psychiatry)

This book provides clear and concise guidance for clinicians when they encounter a patient with psychosis, starting with the medical work-up to arrive at a diagnosis and ending with the comprehensive care for patients with established schizophrenia. It covers the optimal use of medications (emphasizing safe use) but also addresses other treatment approaches (psychological treatments, rehabilitation) and the larger societal context of care, including how to work effectively in complex systems. It uniquely condenses the literature into teaching points without simplifying too much, effectively serving as a learning tool for trainees and professionals. For this second edition, the book was extensively updated and its content expanded, with new figures as well. Each chapter begins with an initial summary and includes Tips and Key Points in text boxes. Each chapter also includes links to external websites and additional readings. The book contains clinical and practical wisdom for clinicians who are treating real patients at the front lines, setting it apart from all other texts. Psychotic Disorders is an excellent resource for medical students, early career professionals such as trainees and fellows, and related clinicians seeking additional training and resources, including those in psychiatry, psychology, neurology, and all others.

Psychotic Disorders: Comprehensive Conceptualization and Treatments

Psychotic Disorders: Comprehensive Conceptualization and Treatments emphasizes a dimensional approach to psychosis--one of the most fascinating manifestations of altered brain behavior--that cuts across a broad array of psychiatric diagnoses from schizophrenia to affective psychosis and organic disorders like epilepsy and dementias. Written by an international roster of over seventy leading experts in the field, this volume comprehensively reviews, critiques, and integrates available knowledge on the etiology, mechanisms, and treatments of psychotic disorders, and outlines ways forward in both research and clinical practice towards more objective, mechanistically-based definitions of psychotic disorders. Chapters address topics such as psychosis phenomenology, biomarkers and treatments, the overlaps and interfaces between psychiatric disorders within the psychosis dimension, and novel disease definitions. Furthermore, the volume incorporates findings on potential mechanisms, bridges between various system levels (i.e., genetic, epigenetic, molecular and cellular, brain circuit and function, psychological, social, environmental and cultural) and their interactions, as well as the potential role in causation and/or mediation in psychotic disorders. Finally, the volume outlines a broad array of treatment approaches, from the readily available (e.g., psychopharmacology, various modalities of psychotherapy) to the experimental (e.g., cognitive interventions, neuromodulation). With a concluding section of forward perspectives conjecturing future directions and related challenges, this book aspires to stimulate new knowledge, generate novel frameworks, and carry new directions forward on psychotic disorders.

Psychotic Disorders - E-Book: Comorbidity Detection Promotes Improved Diagnosis And Treatment

A counterintuitive and novel approach to the long-sought goal of subtyping schizophrenia and other psychotic disorders emerges from ongoing research.? Five psychosis associated anxiety and depressive subtypes each help define five corresponding psychosis diagnoses, their fixed false beliefs, and most importantly, their treatments. These anxiety and depressive comorbidities have long been long overlooked as an understandable hodgepodge of distressing symptoms caused by the pain of psychosis.? But these five comorbidities usually precede onset of the psychosis, and their treatment can significantly improve outcome. So, maybe, the causation is the other way around: maybe they are among the underlying contributors to schizophrenia and other psychotic disorders. The chapter authors expertly detail the data supporting this innovative approach.? They provide fictional case studies, DSM-5 diagnostic criteria, specific interviewing approaches for the five comorbidities in psychosis patients, and improved treatment options.? Other chapters explore psychoses related to substance use, medical illness and medical treatment, as well as other factors that contribute to psychotic disorders. This first-of-its-kind reference is a valuable clinical, educational, research and training resource for psychiatrists, psychologists, nurses, social workers, neurologists and anyone interested in the care and treatment of someone with a psychotic disorder. - Reflects current research, diagnosis, and treatment options for: - Schizophrenia with Voices and Panic Anxiety - Obsessive-Compulsive Schizophrenia and Obsessive-Compulsive Disorder - Persecutory Delusional Disorder and Social Anxiety - Delusional Depression and Melancholic Depression - Bipolar I Disorder and Atypical Depression - Substance Use Psychoses - Medical Illness and Iatrogenic Psychoses - Covers treatment options and outcomes with medication and psychotherapy.? - Includes sample patient interview approaches and/or biological tests for each diagnosis. - Highlights symptoms, quasi-psychotic symptoms and secondary signs of the comorbidities when alone, and when in conjunction with psychosis. - Reviews diagnosis-specific significance and contributory roles of neurotransmitters, hypofrontality, psychological trauma, and genetics.

Psychotic Organisation of the Personality: Psychoanalytic Keys (The International Psychoanalytical Association Psychoanalytic Ideas and Applications Series)

The book is a psychoanalytic understanding of psychosis as a particular organisation of the personality, based on 'psychotic personality' (Bion) and 'pathological organisations' (Steiner). The theoretical development is traced through Freud, Klein and Bion, along with contemporary Kleinian authors. An important role is granted to psychic pain as the cornerstone of psychopathology, and particularly to the psychotic patient's difficulties in dealing with it. Bion's distinction between "feeling psychic pain and suffering it" is considered an indicator when evaluating the patient's ability to cope with psychoanalytic treatment. The author's experience with a schizophrenic patient is related in detail, offering a view of the patient and her relationship with the analyst from various different angles, and showing how the psychoanalytic method can be used to treat psychosis.

Psychotic Organisation of the Personality: Psychoanalytic Keys (The International Psychoanalytical Association Psychoanalytic Ideas and Applications Series)

The book is a psychoanalytic understanding of psychosis as a particular organisation of the personality, based on 'psychotic personality' (Bion) and 'pathological organisations' (Steiner). The theoretical development is traced through Freud, Klein and Bion, along with contemporary Kleinian authors. An important role is granted to psychic pain as the cornerstone of psychopathology, and particularly to the psychotic patient's difficulties in dealing with it. Bion's distinction between "feeling psychic pain and suffering it" is considered an indicator when evaluating the patient's ability to cope with psychoanalytic treatment. The author's experience with a schizophrenic patient is related in detail, offering a view of the patient and her relationship with the analyst from various different angles, and showing how the psychoanalytic method can be used to treat psychosis.

Psychotic States: A Psychoanalytic Approach

Psychotic States brings together a number of the author's papers written between 1946 and 1964 dealing with the psychopathology and treatment of various psychotic and borderline conditions from a psychoanalytic viewpoint. Taking the theories and techniques developed by Melanie Klein in her work with infants and young children, the author investigated their application to a range of psychotic syndromes, including chronic and acute schizophrenia, severe hypochondriasis, drug addiction, severe depression and manic depression, both to determine their possible therapeutic efficacy and to see what light they might shed on the etiology of the psychosis.

Psychotic States: A Psychoanalytic Approach (Maresfield Library)

Psychotic States brings together a number of the author's papers written between 1946 and 1964 dealing with the psychopathology and treatment of various psychotic and borderline conditions from a psychoanalytic viewpoint. Taking the theories and techniques developed by Melanie Klein in her work with infants and young children, the author investigated their application to a range of psychotic syndromes, including chronic and acute schizophrenia, severe hypochondriasis, drug addiction, severe depression and manic depression, both to determine their possible therapeutic efficacy and to see what light they might shed on the etiology of the psychosis.

Psychotic States in Children (Tavistock Clinic Series)

Since it was founded in 1920, the Tavistock Clinic has developed a wide range of psychotherapeutic approaches to community mental-health which have always been strongly influenced by psychoanalysis. In the last thirty years it has also developed systemic family therapy as a new theoretical model and clinical approach to family problems. The Clinic has become the largest training im3titUtion in Britain for work of this kind, providing post-graduate and qualifying courses in social work, psychology, psychiaay, child, adolescent and adult psychotherapy and, latterly, in nursing. It trains about 1200 student each year in over 45 courses.

Psychotic Symptoms in Children and Adolescents: Assessment, Differential Diagnosis, and Treatment

Psychotic Symptoms in Children and Adolescents demystifies the interviewing diagnostic process of psychosis in children and adolescents and provides a valuable resource for treatment. Psychotic symptoms have traditionally been rationalized and disregarded as products of the child’s imagination. There has been a professional reluctance to acknowledge that children could suffer from severe psychotic disorders akin to adult subjects, and that these symptoms merit a comprehensive and systematic evaluation. This book offers a useful guide to the interviewing process, a review of differential diagnosis, and an overview on psychosocial interventions. It deals also with the use of antipsychotic drugs, beginning with issues related to their use in the field, followed by a review of literature on the subject, atypical side effects, and implementation throughout treatment. The book fills a vacuum in the field of child and adolescent psychosis, and will have a broad appeal and interest to general psychiatrists, clinical psychologists, to child and adolescent psychiatrists, and many other mental health professionals working with disturbed children and adolescents.

Psychotic Symptoms in Children and Adolescents: Assessment, Differential Diagnosis, and Treatment

Psychotic Symptoms in Children and Adolescents demystifies the interviewing diagnostic process of psychosis in children and adolescents and provides a valuable resource for treatment. Psychotic symptoms have traditionally been rationalized and disregarded as products of the child’s imagination. There has been a professional reluctance to acknowledge that children could suffer from severe psychotic disorders akin to adult subjects, and that these symptoms merit a comprehensive and systematic evaluation. This book offers a useful guide to the interviewing process, a review of differential diagnosis, and an overview on psychosocial interventions. It deals also with the use of antipsychotic drugs, beginning with issues related to their use in the field, followed by a review of literature on the subject, atypical side effects, and implementation throughout treatment. The book fills a vacuum in the field of child and adolescent psychosis, and will have a broad appeal and interest to general psychiatrists, clinical psychologists, to child and adolescent psychiatrists, and many other mental health professionals working with disturbed children and adolescents.

Psychotic Temptation (The New Library of Psychoanalysis)

How can we understand the pull towards that which we fear: psychosis? In this thought provoking book, Abensour proposes the idea of a temptation towards psychosis rather than a regression, as a response to the hatred or denial of the subject’s origins. She shares her reflections on her psychoanalytic work with psychotic patients focusing on their struggle to achieve a coherent sense of a self that can inhabit a shared world. Abensour locates this struggle within the universal human struggle to achieve a balance between what we can and cannot allow ourselves to know about the reality of death and of our insignificance in the world.

Psychotic Temptation (The New Library of Psychoanalysis)

How can we understand the pull towards that which we fear: psychosis? In this thought provoking book, Abensour proposes the idea of a temptation towards psychosis rather than a regression, as a response to the hatred or denial of the subject’s origins. She shares her reflections on her psychoanalytic work with psychotic patients focusing on their struggle to achieve a coherent sense of a self that can inhabit a shared world. Abensour locates this struggle within the universal human struggle to achieve a balance between what we can and cannot allow ourselves to know about the reality of death and of our insignificance in the world.

The Psychotic Wavelength: A Psychoanalytic Perspective for Psychiatry (The New Library of Psychoanalysis)

The Psychotic Wavelength provides a psychoanalytical framework for clinicians to use in everyday general psychiatric practice and discusses how psychoanalytic ideas can be of great value when used in the treatment of seriously disturbed and disturbing psychiatric patients with psychoses, including both schizophrenia and the affective disorders. In this book Richard Lucas suggests that when clinicians are faced with psychotic patients, the primary concern should be to make sense of what is happening during their breakdown. He refers to this as tuning into the psychotic wavelength, a process that allows clinicians to distinguish between, and appropriately address, the psychotic and non-psychotic parts of the personality. He argues that if clinicians can find and identify the psychotic wavelength, they can more effectively help the patient to come to terms with the realities of living with a psychotic disorder. Divided into five parts and illustrated throughout with illuminating clinical vignettes, case examples and theoretical and clinical discussions, this book covers: the case for a psychoanalytical perspective on psychosis a historical overview of psychoanalytical theories for psychosis clinical evidence supporting the concept of a psychotic wavelength the psychotic wavelength in affective disorders implications for management and education. The Psychotic Wavelength is an essential resource for anyone working with disturbed psychiatric patients. It will be of particular interest to junior psychiatrists and nursing staff and will be invaluable in helping to maintain treatment aims and staff morale. It will also be useful for more experienced psychiatrists and psychoanalysts.

The Psychotic Wavelength: A Psychoanalytic Perspective for Psychiatry (The New Library of Psychoanalysis)

The Psychotic Wavelength provides a psychoanalytical framework for clinicians to use in everyday general psychiatric practice and discusses how psychoanalytic ideas can be of great value when used in the treatment of seriously disturbed and disturbing psychiatric patients with psychoses, including both schizophrenia and the affective disorders. In this book Richard Lucas suggests that when clinicians are faced with psychotic patients, the primary concern should be to make sense of what is happening during their breakdown. He refers to this as tuning into the psychotic wavelength, a process that allows clinicians to distinguish between, and appropriately address, the psychotic and non-psychotic parts of the personality. He argues that if clinicians can find and identify the psychotic wavelength, they can more effectively help the patient to come to terms with the realities of living with a psychotic disorder. Divided into five parts and illustrated throughout with illuminating clinical vignettes, case examples and theoretical and clinical discussions, this book covers: the case for a psychoanalytical perspective on psychosis a historical overview of psychoanalytical theories for psychosis clinical evidence supporting the concept of a psychotic wavelength the psychotic wavelength in affective disorders implications for management and education. The Psychotic Wavelength is an essential resource for anyone working with disturbed psychiatric patients. It will be of particular interest to junior psychiatrists and nursing staff and will be invaluable in helping to maintain treatment aims and staff morale. It will also be useful for more experienced psychiatrists and psychoanalysts.

Psychotrauma: Die Posttraumatische Belastungsstörung

Psychotraumatology: Key Papers and Core Concepts in Post-Traumatic Stress (Springer Series on Stress and Coping)

The nosological roots of post-traumatic stress disorder (PTSD) may be traced back to th~American Psychiatric Association's DSM-I entry of gross stress reaction, as published in 1952. Yet the origins of the current enthusi­ asm with regard to post-traumatic stress can be traced back to 1980, which marked the emergence of the term post-traumatic stress disorder in the DSM­ III. This reflected the American Psychiatric Association's acknowledgment of post-traumatic stress as a discrete, phenomenologically unique, and reli­ able psychopathological entity at a time in American history when such recognition had important social, political, and psychiatric implications. Clearly, prior to DSM-I the lack of a generally accepted terminology did little to augment the disabling effects that psychological traumatization could engender. Nor did the subsequent provision of an official diagnostic label alone render substantial ameliorative qualities. Nevertheless, the post­ Vietnam DSM-III recognition of PTSD did herald a dramatic increase in research and clinical discovery. The American Red Cross acknowledged the need to establish disaster mental health services, the American Psychological Association urged its members to form disaster mental health networks, and the Veterans Administration established a national study center for PTSD.

Psychotropic Agents: Part I: Antipsychotics and Antidepressants (Handbook of Experimental Pharmacology #55 / 1)

The volumes on "psychotropic substances" in the Handbook of Experimental Phar­ macology series clearly show that the classical concept of this discipline has become too narrow in recent years. For instance, what substances are psychotropic is determined not by the criteria of the animal trial, i.e. by experimental pharmacology, but by their action on the psy­ che, which in the final analysis is only accessible to us in man. Psychotropic substances force experimental pharmacology (and thus also this Handbook) outside its tradition­ allimits, which have essentially depended on animal studies. The antipsychotics and antidepressants were not discovered in animal ex­ periments, but by chance (or more precisely, by clinical empiricism). Experienced psy­ chiatrists trained in the observation of patients recognised the efficacy of drugs, the beneficial effect of which nobody had dreamed of before: DELAY and DENICKER in the case of chlorpormazine, KLINE in the case of the monoamine oxidase inhibitors and KUHN in the case of imipramine. It was only after these discoveries that the pharma­ cologists developed experimental models of the psychoses in animal experiments. However, even today we still do not know with certainty which of the effects shown in animals is relevant for the clinical effect despite the vast abundance of individual investigations. For many years, this uncertainty led to the testing of antipsychotics (e.g. of the neuroleptic type) in models which actually produced the undesired effects.

Psychotropic Drugs, Prevention and Harm Reduction

This book promotes the interaction between research and professional practices in the field of prevention and harm reduction. Through the scientific work and experience of human and social sciences researchers and medical social actors, research and action assist one another in illuminating the problems associated with the consumption of psychotropic drugs and in developing intervention strategies.Over the course of several chapters, contributed by attendees of the Psychotropics, Prevention and Harm Reduction Put to the Test By "Human and Social Sciences workshop, a range of varied themes are explored within the scope of drugs and their uses. Both the socio-historical context of drug uses and the construction of prevention and harm reduction public policies in light of scientific knowledge are covered, as well as the issue of release, mobilization and/or negotiation of prevention and harm reduction standards, both for professionals and drug users. - Presents acts that formalize the first day of study initiated by the network of young researchers at the Psychotropes and Societies Intervention - Offers a multidisciplinary view on the understanding of the use of psychotropic substances - Includes different analyses to stimulate reflection

Psycurity: Colonialism, Paranoia, and the War on Imagination (Concepts for Critical Psychology)

Across the world, the rhetoric and violence of white supremacy is rising up. Yet, explanations for white supremacist attacks typically direct attention toward an unreasonable, paranoid state of mind, and away from the neocolonial security state that made them. Offering a response to US expressions of white supremacy, Liebert reads paranoia as a dis-ease of coloniality by following its circulation within the ultimate place of reason, indeed a key arbitrator of it: Psychology. Through reflexivity, interviews, participant observation, scientific artefacts, and public art, this unique work seeks to argue for and experiment with unsettling the entwined coloniality of Psychology and the current political moment, joining with struggles for a world where it is not only white lives that matter. Tracing the spinning cogs and affective coils of the prodromal movement – a program of research that, capturing potential psychosis, illustrates the serpentine workings of a control society – Liebert argues that, within a context of psycurity, paranoia hides as reasonable suspicion, predicts the future, brands threatening bodies, and grows through fear, thereby seeping into the cracks of white supremacy, stabilizing it. Catching this argument as itself enacting psycurity, she then engages the more-than-human to search for paranoia’s decolonizing, otherworldly potential; one that may revive the psykhe – breath – of psychologies too. Calling for psychologies to leave Psychology’s comfort zone and make space for imagination, this performative, interdisciplinary work will engage students, researchers, and activists from an array of disciplines who wish to examine a critical and creative response to present-day racism and fascism.

Psycurity: Colonialism, Paranoia, and the War on Imagination (Concepts for Critical Psychology)

Across the world, the rhetoric and violence of white supremacy is rising up. Yet, explanations for white supremacist attacks typically direct attention toward an unreasonable, paranoid state of mind, and away from the neocolonial security state that made them. Offering a response to US expressions of white supremacy, Liebert reads paranoia as a dis-ease of coloniality by following its circulation within the ultimate place of reason, indeed a key arbitrator of it: Psychology. Through reflexivity, interviews, participant observation, scientific artefacts, and public art, this unique work seeks to argue for and experiment with unsettling the entwined coloniality of Psychology and the current political moment, joining with struggles for a world where it is not only white lives that matter. Tracing the spinning cogs and affective coils of the prodromal movement – a program of research that, capturing potential psychosis, illustrates the serpentine workings of a control society – Liebert argues that, within a context of psycurity, paranoia hides as reasonable suspicion, predicts the future, brands threatening bodies, and grows through fear, thereby seeping into the cracks of white supremacy, stabilizing it. Catching this argument as itself enacting psycurity, she then engages the more-than-human to search for paranoia’s decolonizing, otherworldly potential; one that may revive the psykhe – breath – of psychologies too. Calling for psychologies to leave Psychology’s comfort zone and make space for imagination, this performative, interdisciplinary work will engage students, researchers, and activists from an array of disciplines who wish to examine a critical and creative response to present-day racism and fascism.