Psychodynamic perspectives on psychosis and psychotherapy I: Theory

Journal/Book: Brit J Med Psychol. 1997; 70: St Andrews House, 48 Princess Rd East, Leicester, Leics, England LE1 7DR. British Psychological Soc. 301-312.

Abstract: Psychotherapy with sufferers of psychosis may usefully draw on both cognitive-behavioural and psychodynamic theory. The latter has a long history with fluctuating popularity, whilst cognitive-behavioural approaches are currently attracting the attention of clinicians. Some of the factors which may reduce interest in psychodynamic approaches are reviewed, followed by an overview of core psychodynamic theories of psychosis under the major headings of vulnerability of defence and vulnerability of the ego. A vulnerability-stress formulation of psychodynamic theory is then considered together with implications for intervention.

Note: Article Hingley SM, Univ Newcastle upon Tyne, Dept Clin Psychol, Ridley Bldg, Newcastle Tyne NE1 7RU, Tyne & Wear, ENGLAND

Keyword(s): PERSECUTORY DELUSIONS; SCHIZOPHRENIA; HALLUCINATIONS; INTEGRATION; SELF; CONSCIOUSNESS; VULNERABILITY; THINKING; REALITY; THERAPY

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