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Treating the 'Untreatable' - Healing in the Realms of Madness (Paperback)
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Treating the 'Untreatable' - Healing in the Realms of Madness (Paperback)
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In this era of treating schizophrenic and delusional patients with
a primarily antipsychotic drug oriented approach, a more thorough
exploration of the meaning to the patient of his psychosis-with
judicious antipsychotic use, when indicated-leads to internal
character and external behavioral change that is far more lasting
than with antipsychotic use alone. With such a psychodynamic
approach, some of these previously chaotic, disturbed and heavily
medicated people were able to understand the symbolism and the
origin of their psychotic productions and go off antipsychotic
medication altogether."Treating the 'Untreatable'" provides an
overview of the chaotic world of the schizophrenic or delusional
patient, a history of intensive psychotherapy with such patients,
and thirteen case histories demonstrating varying degrees of
recovery, healing and cure. Some of the patients were able to
integrate delusional systems that had persisted for many years and
give up previous extensive antipsychotic medication, as they
understood and worked through psychological issues underlying their
psychotic orientation."Treating the'Untreatable'" offers compelling
stories for the general reader and teaching tales for students and
mental health practitioners who want to work in the realm of
madness. These clinical cases demonstrate the efficacy of an
intensive psychotherapy of schizophrenia and delusional states,
combined with the judicious use of antipsychotics. These tales show
that even seemingly "untreatable" and "hopeless" psychotic patients
may recover and heal in the course of an inquiring psychodynamic
psychotherapy aimed at understanding and working through the
symbolic meaning of his or her hallucinations, delusions and
bizarre thoughts and actions. Such an approach has led to some
maintaining their gains for decades."Treating the 'Untreatable'"
ultimately questions why patients who responded to an insight
oriented psychotherapy were previously viewed as 'untreatable' and
given high doses of antipsychotic medication. In addition, the book
talks about some of the factors that have led the field of
psychiatry to pursue a primarily antipsychotic medication approach
in patients so disturbed, rather than integrating a potentially
healing dynamic psychotherapy into one's therapeutic armamentarium.
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