Emergency Interventions and Direct Interventions in Psychotic Crisis During Psychotherapy

  • The term psychotic crisis should be understood not only as an acute psychopathological syndrome occurring in the whole spectrum of psychoses, but also as a crisis that may occur in a healed patient facing difficulties in everyday life, or as a sudden change in a long and monotonous psychotherapy. The therapeutical duty often consists in >teaching<the patient to forget the urgency of the situation, as a condition for a serious work on himself. >Urgent intervention<by the therapist should be differentiated from >direct intervention<. The former requires abandoning of the classical setting of verbal encounter, whereas >direct interventions< even if urgent and different from the usual psychoanalytic interventions, do not imply a change in the setting. I use this method only with psychotic patients in a situation of crisis. It implies >progressive overturnings< i.e. changing the situation of the patient in a positive direction by images arising from our therapeutic unconscious as a >projection< of the therapeutical imago. Usually they are verbal, but here I will show graphic and what I call >transforming< images. The >overturnings< are here summarized as 1. The overturning of autism into a one-to-one relationship 2. the overturning of repression into integration 3. the overturning of the destructive splitting into individuation.

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Metadaten
Author:Gajetano Benedetti
Parent Title (English):International Forum of Psychoanalysis Oslo (Scandinavian University Press), Vol. 2 (No. 4, December 1993), pp. 226-236.
Document Type:Articles
Language:English
Year of first Publication:1993
Release Date:2012/12/13
Format:PDF-scan upon request / PDF-Scan auf Anfrage
IdNo:Benedetti_G_1993
Erich Fromm's Library and Erich Fromm Archive:Articles / Artikel
Licence (German):
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