Feelings of fear, depression, helplessness, hopelessness, embarrassment and shame are common prior to relapse in psychosis. This paper describes a psychological treatment approach dedicated to relapse prevention and facilitation of emotional recovery.
From the start of the assessment it is vital to use the person's own terminology for their psychotic experiences. The ultimate goal of the therapist is to try to understand, rather than to try to make the person change their mind by challenging the reality of their voices and delusions.
The role of emotion in psychosis has been neglected, which has led to emotional problems been under-recognized and rendered subordinate to the psychosis symptoms. Few effective therapeutic treatments have been introduced for the management of emotional disorders in psychosis.
The origins of auditory hallucinations may be misattributed cognitions such as inner speech, disconnected memories or traumatic flashbacks. It is important to establish what can be done to help people who are distressed.
Bjørn Killingmo, Psykologisk institutt, Universitetet i Oslo
Publisert:
31. januar 2007
Karakterbegrepet fanger opp de mer stabile sidene ved personligheten, mens relasjonsbegrepet peker mot de bevegelige og dynamiske sidene. Lar de to tankeretningene seg kombinere i ett sammenhengende psykoanalytisk perspektiv?
Ved vegetativ identifisering identifiserer terapeuten seg kroppslig med pasientens kropp, og får informasjon om pasientens følelser. Denne nevrobiologisk forankrete prosessen kan være et grunnlag for terapeutisk empati.
Vitenskapelig basert kunnskap bør prege valg av behandlingstilnærming. Gjennom systematiske kasusformuleringer kan tilbudet skreddersys for barnet og familien.
