The primacy of psychoanalytic intervention in recovery from the psychoses and schizophrenias
Language: 
English
Abstract: 

Functional capacities, such as attachment and affect regulation, object relations capacity, symbolic function and language development, now documented by neuroscientific research and epigenetics, are reviewed. Results from this research, together with other factors, are posited to have contributed to effective contemporary psychoanalytic and psychotherapeutic treatments for the psychoses and schizophrenias. Etiological factors involving the schizophrenias and other psychoses are considered both in terms of an epigenetic model, and in terms of how etiology may, or may not, affect clinical treatment. The Lacanian 388 program is reviewed in some detail, as are several psychoanalytic and psychotherapeutic clinical approaches used with this population over the last six decades. All treatments focus on the primacy of psychotherapeutic intervention, and use medications minimally, not at all, or only as informed by an over-arching psychodynamic model of treatment. The author argues that there is now substantial research and outcome data suggesting that the psychoses and schizophrenias are not chronic deteriorating conditions. Recovery is observed in many psychotic and schizophrenic patients treated with approaches that focus on the primacy of psychotherapeutic intervention.

Author(s): 
Gibbs, Patricia L.
Item Type: 
Journal Article
Publication Title: 
The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry
Journal Abbreviation: 
J Am Acad Psychoanal Dyn Psychiatry
Publication Date: 
2007
Publication Year: 
2007
Pages: 
287-312
Volume: 
35
Issue: 
2
ISSN: 
1546-0371
DOI: 
10.1521/jaap.2007.35.2.287
Library Catalog: 
PubMed
Extra: 
PMID: 17650980

Turabian/Chicago Citation

Patricia L. Gibbs. 2007. "The primacy of psychoanalytic intervention in recovery from the psychoses and schizophrenias." The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry 35: 2: 287-312. 10.1521/jaap.2007.35.2.287.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1521/jaap.2007.35.2.287 | issn = 1546-0371 | volume = 35 | pages = 287-312 | last = Gibbs | first = Patricia L. | coauthors = | title = The primacy of psychoanalytic intervention in recovery from the psychoses and schizophrenias | journal = The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry | date = 2007 | pmid = | pmc = }} </ref>