Covering the last four decades of the 20th century, this book explores the unwritten history of the struggles between psychoanalysis and psychiatry in postwar USA, inaugurated by the neosomatic revolution, which had profound consequences for the treatment of psychotic patients. Analyzing and synthesizing major developments in this critical and clinical field, Orna Ophir discusses how leading theories redefined what schizophrenia is and how to treat it, offering a fresh interpretation of the nature and challenges of the psychoanalytic profession. The book also considers the internal dynamics and conflicts within mental health organizations, their theoretical paradigms and therapeutic practices. Opening a timely debate, considering both the continuing relevance and the inherent limitations of the psychoanalytic approach, the book demonstrates how psychoanalysts reinterpreted their professional identity by formalizing and disseminating knowledge among their fellow practitioners, while negotiating with neighboring professions in the medical fields, such as psychiatry, pharmacology and the burgeoning neurosciences. Chapters explore the ways in which psychoanalysts constructed – and also transgressed upon – the boundaries of their professional identity and practice as they sought to understand schizophrenia and treat its patients. The book argues that among the many relationships psychoanalysis sustained with psychiatry, some weakened their own social role as service providers, while others made the theory and practice of psychoanalysis a viable contender in the jurisdictional struggles between professions. Psychosis, Psychoanalysis and Psychiatry in Postwar USA will appeal to researchers, academics, graduate students and advanced undergraduates who are interested in the history of psychoanalysis, psychiatry, the medical humanities and the history of science and ideas. It will also be of interest to clinicians, health care professionals and other practitioners.

This book offers a practitioner's guide to evidence-based practice in working with psychotic patients in an outpatient setting by clinicians and scholars who are internationally recognized for their work in treating severe psychopathology. Topics cover conceptual, technical, and practical considerations in the parameters of working with adult and adolescent populations that exhibit thought disorder, delusions, hallucinations, borderline organizations, trauma, and schizoid phenomena. Different theoretical models are presented from psychoanalytic traditions that introduce the student and practitioner to eclectic ways of conceptualizing and treating these challenging clinical groups. Concrete approaches to establishing a proper treatment environment, working alliance, symptom management, managing countertransference, and facilitating a therapeutic framework are provided. Various psychodynamic techniques are demonstrated by master clinicians through the extensive use of clinical case material culled from outpatient settings that illustrate how psychoanalytic perspectives enrich our understanding of the psychotic spectrum and lead to therapeutic efficacy.

As a clear and user-friendly guide for clinicians who work with patients affected by psychosis, this book challenges the false notion that psychosis is untreatable through talk therapy. The authors contend that since psychotic symptoms are features of survival adaptation, they naturally serve as a valuable source of information, providing clues about the origins of people's psychic derailment along with a path to its cure. The authors advise therapists not only to read and respond to the messages embedded in the symptoms, but also to recognize and utilise the non-psychotic aspects of the patient in facilitating recovery. The overall aim is to recruit the patient as a collaborator in their treatment, thus wresting a meaningful and redemptive narrative from the psychotic experience. All aspects and phases of treatment - from initial encounters through the middle phase to termination, and even supervision - are covered in this volume. Abundant with clinical examples, theoretical and technical points, and treatment methods, this book is essential reading for all psychotherapists, psychoanalysts, and other mental health clinicians working with psychosis.

Throughout the world, schizophrenia is a diagnosis now in decline, representing a radical shift in our historical and medical understanding of madness and mental distress. But what does this medical term, first coined by a Swiss psychiatrist in 1908, mean? And why is it increasingly unpopular among patients and the medical establishment? Historian and clinician Orna Ophir unearths the stories of patients and doctors as they struggle to make sense of this debilitating condition. At different times, patients have been depicted as possessed by demons, or simply “inspired,” as hearing voices, suffering from a “split-mind,” or merely having difficulty in “integrating” experiences. Now, a century after its birth, schizophrenia is increasingly viewed not as a radical, abnormal disease defined by an ever-changing cluster of symptoms, but the extreme end of a spectrum on which we are all located. The story Ophir tells is a hopeful one: As patients and doctors sought to overcome stigma and improve therapeutic outcomes, they have shown ever-greater sensitivity to diversity and difference. Schizophrenia: An Unfinished History gestures toward a future in which clinicians and patients will collaborate in the search for better outcomes.

Art Therapy for Psychosis presents innovative theoretical and clinical approaches to psychosis that have developed in the work of expert clinicians from around the world. It draws on insights that have emerged from decades of clinical practice to explain why and how specialised forms of art therapy constitute a particularly appropriate psychotherapeutic approach to psychosis. The contributors present a diverse range of current theoretical perspectives on the subject, derived from the fields of neuroscience, phenomenology and cognitive analytic theory, as well as from different schools of psychoanalysis. Collectively, they offer insights into the specific potentials of art therapy as a psychotherapeutic approach to psychosis, and describe some of the specialised approaches developed with individuals and with groups over the past 20 years. Throughout the book, the meaning and relevance of art-making as a medium for holding and containing unbearable, unthinkable and unspeakable experiences within the psychotherapeutic setting becomes apparent. Several of the chapters present detailed illustrated case studies which show how making visual images with an appropriately trained art psychotherapist can be a first step on the path into meaningful relatedness. This book offers fresh insights into the nature of psychosis, the challenges encountered by clinicians attempting to work psychotherapeutically with people in psychotic states in different settings, and the potentials of art therapy as an effective treatment approach. It will be essential reading for mental health professionals who work with psychosis, including psychiatrists, psychoanalysts, psychotherapists and arts therapists, and those in training. Full colour versions of the illustrations can be viewed at http://isps.org/index.php/publications/book-series/publication-photos Please see p. ix of the book for details of how to access them.

"From 1940 to 1945, forty thousand patients died in French psychiatric hospitals. The Vichy Regime's "soft extermination" let patients die of cold, starvation, or lack of care. Yet, in Saint-Alban-sur-Limagnole, a small village in central France, one psychiatric hospital attempted to resist. Hoarding food with the help of the population, the staff not only worked to keep patients alive but began to rethink the practical and theoretical bases of psychiatric care. The movement that began at Saint-Alban and came to be known as "institutional psychotherapy" would go on to have a profound influence on postwar French thought.Though the movement was varied, and the point was never to devise a dogma or a model that could be applied indiscriminately, institutional psychotherapy did attempt to offer an "ethics," or a practice of everyday life. Among its most important principles were the belief that theory and practice were inextricably linked, and that psychiatric practice was explicitly political. Camille Robcis traces the history of institutional psychotherapy from its inception to its various transformations between 1945 and 1975. Each chapter of the book is organized around a thinker who was either at Saint-Alban or who engaged with institutional psychotherapy: from François Tosquelles, Franz Fanon, Jean Oury and Félix Guattari, to Michel Foucault. They made up a fascinating constellation within which unexpected relationships between characters, contexts, and ideas--often seemingly fragmentary of tangential--emerged"--

Cognitive Behaviour Therapy (CBT) for psychosis is constantly changing and evolving. Recently, in what is sometimes called the ‘third wave’, therapy has become more concerned with the individual’s relationship to their experience, rather than with the content of it. This more process–orientated approach appears to tap into universal psychological processes. The aim is to reduce distress by changing the function of the experience, rather than necessarily the experience itself. Written by some of the leading figures from around the world, CBT for Psychosis: Process-Orientated Therapies and the Third Wave brings the reader the latest developments in the field. Presented in three parts, CBT for Psychosis first explores theoretical perspectives on recent developments in cognitive behavioural therapies. Part two examines specific therapeutic approaches, including metacognitive training, mindfulness, acceptance and commitment therapy, compassion focused therapy and the method of levels. Finally, part three presents two critical perspectives: the first offering a reflection on the experience of receiving CBT, and the second looking ahead to possible future developments. Offering a cutting-edge collection of theoretical, therapeutic and critical perspectives, CBT for Psychosis: Process-Orientated Therapies and the Third Wave will be of great interest to clinical and counselling psychologists, both practising and in training, as well as psychiatrists, nurse therapists, occupational therapists and other healthcare professionals working with people experiencing psychosis.