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The Swiss member societies of the International Federation of Psychoanalytic Societies, namely the two existential analytic societies and the Institute of Psychoanalysis in Kreuzlingen, have always stressed the philosophical foundation of psychoanalysis as psychoanalytic approaches with severely disturbed and psychotic patients. The colleagues working in these institutes have often cooperated very closely with analysts from the International Psychoanalytical Association. This paper stresses the important contributions for inpatient psychoanalytic approaches.
This paper presents the four-year forensic outpatient treatment of a male patient in his mid-30s who was diagnosed with a schizoaffective disorder and had previously been held on unlimited detention due to several assaults. At the beginning, several coercive measures had to be taken. Over time, both the therapeutic alliance and the patient's psychic structure improved remarkably. The patient explained at the end of therapy that, despite being forced into treatment, he also felt recognized and held while he had been in deep distress. Several explanations of how coercion and the therapeutic process may correlate are discussed: essentially, the complex and dialectical relationships between inner and outer reality, therapeutic space, and social structures are reflected. Cautiously but consistently introducing outer reality as well as validating the patient's realistic perceptions contributed to strengthening his ego functions.
Editorial: Psychoanalysis and forensics – identifications with the oppressor and with the oppressed
(2009)
Frieda Fromm-Reichmann became famous with her intensive psychotherapy of psychotic patients which she developed in Chestnut Lodge where she worked, after having left Nazi Germany, from 1935 until her death in 1957. The paper outlines her life and work in Germany. Studying medicine in Königsberg (East Prussia), she wrote her dissertation about pupillary changes in schizophrenia and worked during World War 1 under the famous neurologist Kurt Goldstein with brain injured soldiers. They both differentiated between somatic and psychic factors in neurologic patients and published articles about neurotraumatology including aphasia. Between 1920 and 1923, she worked in the psychotherapeutic sanatorium Weisser Hirsch in Dresden under J.H. Schultz where she treated neurotic and psychotic patients. In these years, she started her training analysis and her psychoanalytic teaching and publishing. From 1924 to 1933 she led a kosher psychoanalytic sanatorium in Heidelberg, co-founded the Frankfurt Psychoanalytic Society and gave university lectures in psychoanalysis in Frankfurt and Heidelberg. She became a close friend of Georg Groddeck who treated also somatically ill patients with psychoanalysis. — Her great promoters furthered different important attitudes which got very important for Fromm-Reichmann later: Goldstein the natural scientific discipline, Fromm the political view, Groddeck the therapeutic optimism.