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By Paul Williams
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Extra info for A Language for Psychosis: Psychoanalysis of Psychotic States
What was curious was that my experience of them was in the immediate past tense. In other words, I didn’t actually here them at the moment they were speaking; I became aware that they had just spoken. There were many different voices, male and female. It was like seeing something out of the corner of one’s eye. If you pay direct attention, they disappear. Analyst: I think your daughter’s leaving for school, the Fall season, and the weekend break, combined with the progress you’ve felt that we have been making are threatening to your vulnerable self.
He demonstrated that the way these were maintained depended upon a rigid division between inmates and staff, each viewing the other in pejorative terms in order to protect themselves from various anxieties aroused by communicating with one another. From our knowledge of these classic studies by Goffman, Menzies Lyth and others, it might be expected that contemporary mental professionals would be aware that our institutions, professions and professionals can Psychoses and their organizational fate 33 come to be organized in such a way as to protect or defend staff from certain anxieties – at the expense of patients’ mental health.
Having perhaps been terrified by his response to separation and its consequences, and having had the therapy then labelled as unsuitable, he may never again have the chance of a properly conducted psychotherapeutic treatment. It is perfectly true that incompetent psychotherapy in the wrong setting can harm schizophrenic patients but the same holds true of all other interventions, however well intentioned. In experienced psychotherapeutic hands, in the right setting, the risk of adverse consequences is minimal.
A Language for Psychosis: Psychoanalysis of Psychotic States by Paul Williams