psychotherapy with psychotic individuals

this is an excerpt from Karlsson explaining neo-Klienien theories of psychosis in therapy

it was a very interesting read for me!! it resonated greatly for me and my procress

Sharing in case anyone else would like to read. it's relatively short
KarlssonChapter62016(1).pdf

here are screenshots I don't think the file worked

also jk. it's not that short

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The file worked for me. Thanks, this chapter looks very interesting and also relevant as my current work in psychotherapy (actually for some time already) features some psychotic elements.

oh cool I'm glad it worked

The file worked for me. I agree it looks interesting. Thanks for sharing.

Thanks for sharing, I'm going to read it. I'm not psychotic but I have some tendencies that can manifest in "visons" or "half dreams" that I can have when processing trauma or being very stressed. I'm always in control of my behaviour and reactions, but I know that sometimes my brain produces weird experiences. So the chapter you posted will probably be helpful to me.

Thanks for sharing, I haven't read it yet...headache, but I plan to. I have depression with psychotic features so it may be a good read for me. Kit

I enjoyed reading this. Bion 's work convinces me, and I liked here the elaboration on the container/ contained. Good reading.

Guntrip did some work in this area also. Thanks for posting this. Your so smart.

yes Bions theories really struck me!! it explained things so well, so broken down. I truly understand now

also the frame analogy really struck me as well

Thanks for posting this. My T, who discloses pretty much nothing, recently told me that his therapist’s therapist was Bion. I had never even heard of Bion, and now his name is popping up everywhere. I personally find his writings sort of dense and hard to understand, although the topics are interesting to me (like containment and the frame, etc).

I only skimmed the article, but I don't see how it is ethical to use psychotherapy to "treat" psychosis unless someone has done differential diagnosis to rule out biological and environmental factors. The discussion of etiology in the article seems to cover only psych/existential causes, and much of it is the typical speculative, convoluted madness favored by the psych industry.

Sleep disorders can apparently lead to psychotic symptoms. And the orthomolecular psychiatry guys have shown that mineral therapies with things like zinc and manganese can erase psychosis. Microwave radiation, now pervasive, can also have neuro-psych effects.

As someone said, "thinking is as biologic as digestion".

God help someone in such a state who is run thru the MH maze by a bunch of people wielding these extravagant almost delusional narratives and concepts. Shudder...

Also my sense from that article is that the patient is mainly viewed as an object of curiosity or play thing, whose primary role is as fodder for the pipe-smokers' self-involved insane ramblings.

Well, microwave wasnt even invented yet at the time of many of these writings, and nobody else was really even trying or willing to do talk therapy with people labeled psychotic.

Thanks for the article. If it resonates with you and you find it helpful, that's great. I think most clinicians these days that psychosis is a physiological/biological condition primarily, but that does not mean that an individual's own life experiences and environment don't play a role - those have an effect via influencing biological processes as well. Therapy is also a life experience.

There was also Hyman Spotnitz, a psychoanalyst that invented what is known as "Modern Psychoanalysis". He apparently worked with many psychotic people and claims that the therapy alone eliminated the symptoms of some. He wrote a book called Modern Psychoanalysis of the Schizophrenic Patient - it is not an easy read and I don't agree with the simplicity of what he proposes, but interesting. It's a method working primarily with anger/aggression in therapy and they claim it would work for everyone/most people because the root of most psych problems is related to repressed or misdirected aggression as a response to not being able to express it in childhood. My first T practices this method. I personally did not find it useful and I don't think my issues have much to do with aggression, but I can easily see how it is relevant to many people. I just doubt that many Ts are able to work with aggression from clients in a truly respectful, constructive way, it definitely takes a certain personality and hardcore discipline IMO.

there's no definitive answer as to what causes psychosis. yes certain things alleviate symptoms for some individuals, such as diet changes. as far as me, I've done diet eliminations and have also had other things ruled out via MRIs and cat scans.

it's important to keep in mind these are THEORIES much like everything else in this world. you don't have to subscribe to anything bud fox. no one is forcing you to do anything

I understand you are bitter about psychotherapy. but I don't find your attempts to project your bitterness onto those of us who find psychotherapy helpful.

to each their own though!

The evidence for some bio/enviro causes is solid. Sleep disorder for one. Also, some parasitic and infectious organisms. And zinc deficiency.

These are straightforward disease models that help put the rube goldberg theories of psychologists in context.

I think that paper badly needs reality testing from people outside the MH system bubble.

If you only want comments that support your beliefs, maybe you should specify that.