Psychosis is a breakdown of the establishment of the unitary self – defenses that have been in place to maintain stability and self- organization when environmental failure threatens or is a reality and a reversal of maturational processes of emotional growth results – in fact psychosis is itself another defense; a defense upon a defense.
Winnicott D. W. (1974)
There is a connection between mental functioning and relatedness. When relatedness is threatened by a significant other, one of the results is fragmentation and incoherence, as a result of changes in cognition and emotions – this pathological process is unconscious, provoking guilt and anxiety which leads to primitive functioning –regression, intrusion of misperceptions and hallucinations.
Cameron J. (1965)
There is currently renewed interest in environment and psychotic disorders, including Schizophrenia – the above references around the middle of the last century illustrate that this notion has been around for a long time.
I aim to describe the psychoses; explore the traumatic origins of psychosis, and show that psychotherapy in the Conversational Model can be effectively used in various types of psychotic disorders, along with pharmacotherapy. I will not be talking about Schizophrenia, but rather I will refer to the paranoid, affective and obsessive compulsive psychoses.
The essentials of the Conversational Model (CM) are briefly presented. The focus is upon the two main forces in the therapeutic field. One of these is towards a better state of well being
Therapy with the Conversational Model is based upon an understanding of the development of self. William James' understanding of the stream of consciousness as providing a basis for an experience of
Psychoanalysis and therefore Psychotherapy does not have an integrated homogenous point of view. But all contemporary theories and clinicians subscribe to the complexity of the mind, the importance
"This could never happen to me." Beware, it happens to many.
Relationship issues are a common presenting problem for psychotherapists. Some therapists work with the individual, while others work primarily with the couple. Such practices occur in a context in which formal training in couple therapy is difficult to access. This presentation is concerned with providing an overview of practical and theoretical considerations in the practice of couple therapy with both parties present. It will draw on a range of perspectives including family life stage development, systems and psychodynamic theories to conceptualise relationship issues.