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The Nature of the Psychotic Experience and Its Implications for the Therapeutic Process

  • Sidney J. Blatt
  • Jean G. Schimek
  • C. Brooks Brenneis

Abstract

Effective psychotherapy with schizophrenic patients requires an extensive understanding of the nature of the psychotic process. In our research, we have tried to gain some understanding of the psychotic experience by studying how psychotic patients think about people, and how they interact. We have attempted to investigate the concept of the object (or object representations) in psychosis. In this paper we shall summarize briefly our research findings about the nature of the object world in psychosis and consider in detail the implications of these findings for understanding the psychotic experience and the therapeutic process with schizophrenic patients.

Keywords

Schizophrenic Patient Therapeutic Relationship Object Representation Therapeutic Alliance Therapeutic Process 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Piaget J: The Construction of Reality in the Child New York, Basic Books, 1954. (Original French ed., 1937).CrossRefGoogle Scholar
  2. 2.
    Werner H: Comparative Psychology of Mental Development. New York, International Universities Press, 1948.Google Scholar
  3. 3.
    Werner H, Kaplan B: Symbol Formation: An Organismic-Developmental Approach to Language and the Expression of Thought. New York, John Wiley & Sons Inc., 1963.Google Scholar
  4. 4.
    Decarie TG: Intelligence and Affectivity in Early Childhood. New York, International Universities Press, 1965.Google Scholar
  5. 5.
    Freud A: Normality and Pathology in Childhood: Assessments of Development New York, International Universities Press, 1965.Google Scholar
  6. 6.
    Wolff P: The developmental psychologies of Jean Piaget and psychoanalysis. Psychological Issues, Monograph 5. New York, International Universities Press, 1960.Google Scholar
  7. 7.
    Jacobson E: The Self and the Object World. New York, International Universities Press, 1964.Google Scholar
  8. 8.
    Mahler MS: Symbiosis and individuation: The psychological birth of the human infant. Psychoanal Study Child 29:30–106, 1974.Google Scholar
  9. 9.
    Fraiberg S: Libidinal object constancy and mental representation. Psychoanal Study Child 24:9–47, 1969.PubMedGoogle Scholar
  10. 10.
    Blatt SJ, Brenneis CB, Schimek J, et al: Normal development and psychopathological impairment of the concept of the object on the Rorschach. J Abnorm Psychol 85:364–373, 1976.PubMedCrossRefGoogle Scholar
  11. 11.
    Ritzier BA, Wyatt D, Harder D, et al: Psychotic patterns of the concept of the object on the Rorschach. J Abnorm Psychol, 89:46–55, 1980.CrossRefGoogle Scholar
  12. 12.
    Blatt SJ, Ritzler BA: Thought disorder and boundary disturbances in psychosis. J. Consult Clin Psychol 42:370–381, 1974.PubMedCrossRefGoogle Scholar
  13. 13.
    Blatt SJ, Wild CM: Schizophrenia: A Developmental Analysis. New York, Academic Press, 1976.Google Scholar
  14. 14.
    Blatt SJ, Wild CM, Ritzler BA: Disturbances of object representations in schizophrenia. Psychoanalysis and Contemporary Science 4:235–288, 1975.Google Scholar
  15. 15.
    Brenneis CB: Features of the manifest dream in schizophrenia. J Nerv Ment Dis 153:81–91, 1971.PubMedCrossRefGoogle Scholar
  16. 16.
    Frosch J: Psychoanalytic considerations of the psychotic character. J Am Psychoanal Assoc 18:24–50, 1970.PubMedCrossRefGoogle Scholar
  17. 17.
    Klein M: Notes on some schizoid mechanisms. Int J Psycho-Anal 27:99–110, 1946.Google Scholar
  18. 18.
    Schwartz DP: Aspects of schizophrenic regression: Defects, defense and disorganization. In the proceedings of Sixth International Symposium of Psychotherapy of Schizophrenia. Netherlands, Excerpta Medica, 1979.Google Scholar
  19. 19.
    Burnham D. Gladstone A., Gibson R: Schizophrenia and the Need-Fear Dilemma. New York, International Universities Press, 1969.Google Scholar
  20. 20.
    Boyer LB: Psychoanalytic technique in the treatment of certain characterlogical and schizophrenic disorders. Int J Psycho-Anal 52:67–85, 1971.Google Scholar
  21. 21.
    Giovacchini PL: The influence of interpretation upon schizophrenic patients. Int J Psycho-Anal 50:179–186, 1969.Google Scholar
  22. 22.
    Wexler M: Schizophrenia: Conflict and deficiency. Psychoanal Quart 40:38–99, 1971.Google Scholar
  23. 23.
    Hartmann H: Contributions to the Metapsychology of Schizophrenia. Psychoanal Study Child, 8:177–198, 1953.Google Scholar
  24. 24.
    Wexler M: The structural problem in schizophrenia: Therapeutic implications. Int J Psycho-Anal 32:157–166, 1951.Google Scholar
  25. 25.
    Wexler M: The structural problem in schizophrenia: The role of the internal object, in Brody E, Redlich F (eds): Psychotherapy with Schizophrenia. New York, International Universities Press, 1952.Google Scholar
  26. 26.
    Wexler M: Hypothesis Concerning ego deficiency in schizophrenia, in Scher S & Davis H (eds): The Outpatient Treatment of Schizophrenia. New York, Grune and Stratton, 1960.Google Scholar
  27. 27.
    Bak RC: Object-relationships in schizophrenia and perversion. Int J Psycho-Anal 52–235–242, 1971.Google Scholar
  28. 28.
    Greenson RR, Wexler, M: The non-transference relationship in the psycho-analytic situation. Int J Psycho-Anal 50:27–39, 1969.Google Scholar
  29. 29.
    Freud S: Neuropsychoses of defense (1894). The Standard Edition of the Complete Works of Sigmund Freud, 3. London, Hogarth Press, 1962, pp 25–68.Google Scholar
  30. 30.
    Freud S: Psycho-analytic notes on an autobiographical account of a case of paranoia (Dementia Paranoides) (1911). The Standard Edition of the Complete Works of Sigmund Freud, 12, 3–82. London, Hogarth Press, 1958, pp 3–82.Google Scholar
  31. 31.
    Freud S: On narcissism: An introduction (1914). The Standard Edition of the Complete Work of Sigmund Freud, 14, 73–102. London, Hogarth Press, 1962, pp 73–102.Google Scholar
  32. 32.
    Freud S: The unconscious (1915). The Standard Edition of the Complete Works of Sigmund Freud, 14. London, Hogarth Press, 1962, pp 166–215.Google Scholar
  33. 33.
    Freud S: Neurosis and psychosis (1924a). The Standard Edition of the Complete Works of Sigmund Freud, 19. London, Hogarth Press, 1961, pp 149–153.Google Scholar
  34. 34.
    Freud S: The loss of reality in neurosis and psychosis (1924b). The Standard Edition of the Complete Works of Sigmund Freud, 19. London, Hogarth Press, 1961, pp 183–186.Google Scholar
  35. 35.
    Wexler M: Working through in the therapy of schizophrenia. Int J Psycho-Anal 46:279–286,1965.Google Scholar
  36. 36.
    Fenichel O: Psychoanalytic Theory of Neurosis. New York, WW Norton & Co, 1945.Google Scholar
  37. 37.
    Searles H. Collected Papers on Schizophrenia and Related Subjects. New York, International Universities Press, 1965.Google Scholar
  38. 38.
    Smith S: The golden fantasy: A regressive reaction to separation anxiety. Int J Psycho-Anal 58:311–324, 1977.Google Scholar
  39. 39.
    Jacobson E: Contribution to the metapsychology of psychotic identifications. J Am Psychoanal Assoc 2:239–262, 1954.PubMedCrossRefGoogle Scholar
  40. 40.
    Blatt SJ: Levels of object representation in anaclitic and introjective depression. Psychoanal Study Child 29:107–157, 1974.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1980

Authors and Affiliations

  • Sidney J. Blatt
    • 1
  • Jean G. Schimek
    • 2
  • C. Brooks Brenneis
    • 3
  1. 1.Department of PsychiatryYale UniversityNew HavenUSA
  2. 2.Department of PsychologyNew York UniversityNew YorkUSA
  3. 3.Department of Psychology and PsychiatryUniversity of WisconsinMadisonUSA

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