Mental Illness

Download The Psychotic Wavelength: A Psychoanalytic Perspective for by Richard Lucas PDF

By Richard Lucas

The Psychotic Wavelength presents a psychoanalytical framework for clinicians to take advantage of in daily normal psychiatric perform and discusses how psychoanalytic principles could be of serious worth whilst utilized in the therapy of heavily disturbed and aggravating psychiatric sufferers with psychoses, together with either schizophrenia and the affective problems.

In this publication Richard Lucas means that whilst clinicians are confronted with psychotic sufferers, the first drawback could be to make experience of what's occurring in the course of their breakdown. He refers to this as tuning into the psychotic wavelength, a procedure that enables clinicians to differentiate among, and accurately deal with, the psychotic and non-psychotic components of the character. He argues that if clinicians can locate and establish the psychotic wavelength, they can extra successfully support the sufferer to return to phrases with the realities of dwelling with a psychotic disorder.

Divided into 5 elements and illustrated all through with illuminating medical vignettes, case examples and theoretical and medical discussions, this ebook covers:

  • the case for a psychoanalytical standpoint on psychosis
  • a ancient review of psychoanalytical theories for psychosis
  • clinical facts assisting the concept that of a psychotic wavelength
  • the psychotic wavelength in affective disorders
  • implications for administration and education.

The Psychotic Wavelength is an important source for an individual operating with disturbed psychiatric sufferers. it will likely be of specific curiosity to junior psychiatrists and nursing employees and should be valuable in assisting to take care of therapy goals and employees morale. it's going to even be worthy for more matured psychiatrists and psychoanalysts.

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Additional resources for The Psychotic Wavelength: A Psychoanalytic Perspective for Psychiatry

Sample text

A young man in his twenties already had a protracted history of severe chronic schizophrenia. As well as failing to take his medication, he would also drink, and when he ran out of money would go round to his mother and demand money from her in a threatening manner. His mother could not stand up to him. His father, who worked as a long-distance lorry driver and was away much of the time, was the only one who stood up to him. The patient was in such a disturbed state on his latest admission that he required initial containment on the secure ward.

Unfortunately, a policy was subsequently introduced to make each ward single sex, leading to the loss of the integrated model and six consultants sharing beds on one ward. This led to bed occupancy running at 150–170 per cent, with sleeping out in the private sector. The response has been the creation of crisis resolution home treatment teams and early intervention services to reduce the stress on the ward and contain patients in the community wherever possible away from hospital based services ( Johannessen et al.

Nevertheless, he made a plea for future generations to become conversant with both psychoanalysis and general psychiatry for analysis to make a contribution to psychosis. In Chapter 5, the Kleinian contribution is considered. Following a 10 Introduction brief review of fundamental concepts on psychosis as described by Melanie Klein, some contributions by others on psychosis from the Kleinian school are noted. These include the contributions from Rosenfeld, who introduced the concept of the psychotic transference, and Segal, Sohn, Rey, Steiner, O’Shaughnessy and Britton.

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