Abstract
This paper looks at the relevance of psychoanalysis as a treatment option for psychotic individuals at a time when psychosis is invariably considered to be a biologically-based brain disease, for which the preferred course of treatment is psychotropic medication. In recent years, the use of psychoanalysis has declined noticeably in favor of evidenced-based biomedical approaches, which rely heavily upon statistical probabilities for ameliorating specific psychotic symptoms. Well-publicized biological approaches have proliferated, often to the detriment of the psychotic individual’s general health, emotional recovery, and long-term rehabilitation. Sadly, these approaches may also be a significant factor affecting mortality rates in those suffering with psychosis, known to be about 25 years shorter, on average, than the general population.
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References
Alanen, Y. O. (1997). Schizophrenia—Its origins and need-adapted treatment. London: Karnac.
Alanen, Y. O. (2009). Can we approach patients with schizophrenic psychoses from a psychological basis? In Y. O. Alanen, M. González de Chávez, A.-L. Silver, & B. Martindale (Eds.), Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future (pp. 3–9). London: Routledge.
Alanen, Y. O., González de Chávez, M., Silver, A.-L., & Martindale, B. (2009a). (Eds.), Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future. London: Routledge.
Alanen, Y. O., González de Chávez, M., Silver, A.-L., & Martindale, B. (2009b). Further development of treatment approaches to schizophrenic psychoses: An integrated view. In Y. O. Alanen, M. González de Chávez, A.-L. Silver, & B. Martindale (Eds.), Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future (pp. 356–377). London: Routledge.
Arieti, S. (1955). Interpretation of schizophrenia. New York: Robert Brunner.
Arieti, S. (1966). The psychoanalytical approach to the psychoses. American Journal of Psychoanalysis, 26, 63–66.
Arieti, S. (1969). The meeting of the inner and the external world: In schizophrenia, everyday life and creativity. American Journal of Psychoanalysis, 29, 115–130.
Arieti, S. (1974). Interpretation of schizophrenia (2nd ed.). New York: Basic Books.
Arieti, S. (1978). From schizophrenia to creativity. In E. G. Witenberg (Ed.), Interpersonal psychoanalysis. New directions (pp. 13–31). New York: Gardner.
Arieti, S. (2015). What is effective in the therapeutic process? A roundtable discussion. In R. M. Prince (Ed.), What is effective in psychoanalytical psychotherapy? A historical reprise. Special Issue, American Journal of Psychoanalysis, 75(2), 217–222.
Bacciagaluppi, M. (1999). Evolutionary aspects of Silvano Arieti´s work. Journal of the American Academy of Psychoanalysis, 27(4), 575–578.
Bacciagaluppi, M. (2012). Paradigms in psychoanalysis. An integration. London: Karnac.
Bacciagaluppi, M. (2015a). Book review: Psychosis, psychoanalysis and psychiatry in postwar USA: On the borderland of madness. O. Ophir (Ed.), London: Routledge,. American Journal of Psychoanalysis, 75, 458–460.
Bacciagaluppi, M. (2015b). Arieti and Bowlby: Convergence and direct influence. American Journal of Psychoanalysis, 75, 320–332.
Bateson, G., Jackson, D. D., Haley, J., & Weakland, J. (1956). Towards a theory of Schizophrenia. Behavioral Science, 1, 251–264.
Bemporad, J. (1983). Silvano Arieti: An appreciation. Journal of the American Academy of Psychoanalysis, 11, 1–13.
Benedetti, G. (1999). Interpretation of schizophrenia. Journal of the American Academy of Psychoanalysis, 27, 551–562.
Burnham, D. L., Gladstone, A. I., & Gibson, R. W. (1969). Schizophrenia and the need-fear dilemma. New York: IUP.
Davidson, L., Rakfeldt, J., & Strauss, J. (2010). The roots of the recovery movement in psychiatry. Lessons learned. Chichester: Wiley.
Fowler, D., Garety, P., & Kuipers, E. (1995). Cognitive behaviour therapy for people with psychosis: A clinical handbook. Chichester: Wiley.
Fromm-Reichmann, F. (1947). Problems of therapeutic management in a psychoanalytic hospital. Psychoanalytic Quarterly, 16, 325–356.
Frosch, J. (1983). The psychotic process. New York: International Universities Press Inc.
Goldstein, K. (1939). The organism. New York: American Book.
Goldstein, K. (1943). The significance of psychological research in schizophrenia. Journal of Nervous and Mental Disease, 97, 261–279.
Horney, K. (1950). Neurosis and human growth: The struggle toward self-realization. New York: W. W. Norton & Co.
Jackson, J. H. (1932). Selected writings. London: Hodder & Stoughton. (Reprinted by New York: Basic Books, 1958.
Kelman, H. (1969) (Moderator). Dynamic possibilities in the therapy of psychosis: A symposium. Special Issue of the American Journal of Psychoanalysis, 29, 10–11.
Kennard, D. (2009). Great Britain. Part 2: Psychological therapies for schizophrenic psychoses in the UK. In Y. O. Alanen, M. González de Chávez, A.-L. Silver, & B. Martindale (Eds.), Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future (pp. 93–107). London: Routledge.
Koehler, B. (2007). The schizophrenias: brain, mind and culture. Paper presented at ISPS [The International Society for Psychological and Social Approaches to Psychosis] Norway, Hamar, Norway, February 8, 2007.
Koehler, B., & Silver, A-L. (2009). Psychodynamic treatment of psychosis in the USA: Promoting development beyond biological reductionism. In Y. O. Alanen, M. González de Chávez, A.-L. Silver, & B. Martindale (Eds.), Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future (pp. 217–232). London: Routledge.
Koritar, E. (2015). In Y. O. Alanen, M. González de Chávez, A.-L. Silver, & B. Martindale (Eds.), Book review of Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future. London: Routledge, 2009. Canadian Journal of Psychoanalysis, 23, 249–253.
Lévy-Bruhl, L. (1910). Les Functions mentales dans les sociétés inférieures. Paris: Alcan.
Lévy-Bruhl, L. (1922). La mentalité primitive. Paris: Alcan.
Luhrmann, T. M. (2000). Of two minds: An anthropologist looks at American psychiatry. New York: Vintage.
Ophir, O. (2015). Psychosis, psychoanalysis and psychiatry in postwar USA: On the borderland of madness. New York: Routledge.
Parks, J., Svendsen, D., Singer, P., & Foti, M. E. (Eds.) (2006). [Technical Writer: Barbara Mauer]. Morbidity and mortality in people with serious mental illness. Alexandria, VA: National Association of State Mental Health Program Directors (NASMHPD) Medical Directors Council.
Rubins, J. L. (1969). A holistic (Horney) approach to the psychoses: The schizophrenias. American Journal of Psychoanalysis, 29, 131–146.
Sheiner, S. B. (1957). Schizophrenia: A panel. American Journal of Psychoanlysis, 17, 110–114.
Sheiner, S. B. (1964). On the therapy of schizophrenia. American Journal of Psychoanalysis, 24, 167–174.
Silver, A.-L. (2005). Silvano Arieti: Remembering his message. Psilogos. Revista do Servico de Psiquiatria do Hospital Fernando Fonseca, 2, 23–38.
Silver, A.-L., & Stedman, L. (2009). United States of America. Psychodynamic developments, 1940s to the Present. In Y. O. Alanen, M. González de Chávez, A.-L. Silver, & B. Martindale, (Eds.), Psychotherapeutic approaches to schizophrenic psychoses: Past, present and future (pp. 67–77). London: Routledge.
Stone, M. H. (1991). The psychodynamics of schizophrenia I: Introduction and psychoanalysis. In J. G. Howells (Ed.), The concept of schizophrenia: Historical Perspectives (pp. 125–151). Washington, DC: American Psychiatric Press Inc.
Sullivan, H. S. (1962). Schizophrenia as a human process. New York: Norton.
Vollmerhausen, J. W. (1966). The psychoanalytic approach to the psychoses. American Journal of Psychoanalysis, 26, 66–69.
Von Domarus, E. (1925). Uber die Besiehung des Normalen zum Schizophrenen Denken. Archiv für Psychiatrie und Nervenkrankheiten, 74, 641–646.
Von Domarus, E. (1944). The specific laws of logic in schizophrenia. In J. S. Kasasin (Ed.), Language and thought in schizophrenia: Collected papers (pp. 104–114). Berkeley: University of California Press.
Zaretsky, E. (2004). Secrets of the soul. A social and cultural history of psychoanalysis. New York: Alfred A. Knopf.
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Address correspondence to: Prof. Francisco Balbuena Rivera, C/ Gólgota, nº 8; 2-D, 41007-Seville (Spain).
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Balbuena Rivera, F. The Relevance of Arieti’s Work in the Age of Medication. Am J Psychoanal 76, 266–280 (2016). https://doi.org/10.1057/s11231-016-9044-7
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DOI: https://doi.org/10.1057/s11231-016-9044-7