By Richard Lucas
The Psychotic Wavelength offers a psychoanalytical framework for clinicians to exploit in daily common psychiatric perform and discusses how psychoanalytic rules might be of significant price whilst utilized in the therapy of heavily disturbed and worrying psychiatric sufferers with psychoses, together with either schizophrenia and the affective issues.
In this booklet Richard Lucas means that whilst clinicians are confronted with psychotic sufferers, the first crisis will be to make feel of what's occurring in the course of their breakdown. He refers to this as tuning into the psychotic wavelength, a method that permits clinicians to differentiate among, and properly tackle, the psychotic and non-psychotic components of the character. He argues that if clinicians can locate and determine the psychotic wavelength, they can extra successfully support the sufferer to return to phrases with the realities of residing with a psychotic disorder.
Divided into 5 components and illustrated all through with illuminating scientific vignettes, case examples and theoretical and medical discussions, this ebook covers:
- the case for a psychoanalytical standpoint on psychosis
- a old evaluation of psychoanalytical theories for psychosis
- clinical facts aiding the idea that of a psychotic wavelength
- the psychotic wavelength in affective disorders
- implications for administration and education.
The Psychotic Wavelength is a vital source for somebody operating with disturbed psychiatric sufferers. will probably be of specific curiosity to junior psychiatrists and nursing employees and may be precious in aiding to take care of therapy goals and employees morale. it's going to even be beneficial for more matured psychiatrists and psychoanalysts.
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Additional resources for The Psychotic Wavelength: A Psychoanalytic Perspective for Psychiatry
Sample text
My junior doctor saw him and said that the persecutory voices had all gone apart from one: he was still troubled by hearing his father’s critical voice. The doctor asked whether he should increase the patient’s medication further prior to his return to an open ward, as it seemed that his psychosis had not yet quite resolved. I replied in the negative, pointing out that his father’s voice represented his sanity, the only part in his mind standing up to his disruptive lifestyle. When I saw him the patient also complained about hearing his father’s voice and said that he wanted it removed.
When I moved out from the asylum to a district setting, the introduction of a sector team afforded the opportunity to make this sort of integrated approach available to a local area. The community workers, the day hospital and the inpatient unit were now able to function together as parts of one cohesive service. The sector ward was designed by the ward manager to maximise the size of a centrally supervised area for day activities, while allowing for separate-sex sleeping quarters. Regular ward reviews three times a week, availability of access to move out easily to the day hospital and other community support were vital ingredients.
35 A psychoanalytic perspective on psychosis Nowadays, there is less emphasis on developing a seamless service that incorporates inpatients, day hospital outpatients and community services, and admission to hospital is often viewed in negative terms. The closure of the asylums resulted in a drastic reduction of inpatient beds and the acute wards became overburdened, leaving the nurses little time to relate therapeutically to their patients. The wards became depressing, unsafe places, with easy access to drugs (Fagin 2001, 2007; Mind 2000).