Tizón Jorge L
Prevención en Salud Mental, Equip d'Atenció Precoç als Pacients en risc de Psicosis (EAPPP) [Early Care Equipment for At Risk of Psychosis Patients], Institut Catalá de la Salut [Catalan Health Institute], Barcelona (Córsega 544, bajos; 08025 Barcelona), Spain.
Int J Psychoanal. 2010 Dec;91(6):1337-61. doi: 10.1111/j.1745-8315.2010.00282.x. Epub 2010 Sep 14.
The author attempts to develop some of the basic models and concepts relating to mourning processes in psychotic patients on the assumption that situations of loss and mourning are key moments for psychoanalysis, psychotherapy, and therapeutic approaches in general. Secondly, he reminds us that 'mourning processes in psychotics' are not always 'psychotic mourning processes', that is to say, that they do not necessarily occur within, or give rise to, a psychotic clinical picture. These ideas are illustrated by a number of sessions and vignettes concerning two psychotic patients in psychotherapeutic and psychoanalytic treatment. In theoretical terms, it seems vitally important in this context to combine a relationship-based approach within a framework of special psychoanalytic psychopathology with an updated view of processes of mourning and affective loss. A fundamental requirement at clinical level is to determine the role to be played by psychoanalytically based treatments in combined, integrated or global therapies when working with psychotic patients. For this purpose, the paper ends by outlining a set of principles and objectives for such treatments.
作者试图基于丧失与哀悼的情境是精神分析、心理治疗及一般治疗方法的关键时刻这一假设，来发展一些与精神病患者哀悼过程相关的基本模型和概念。其次，他提醒我们，“精神病患者的哀悼过程”并不总是“精神病性的哀悼过程”，也就是说，它们不一定发生在精神病性临床表现之中，也不一定会引发这种临床表现。关于两名接受心理治疗和精神分析治疗的精神病患者的若干治疗过程及案例说明了这些观点。从理论角度来看，在这种情况下，将基于特殊精神分析心理病理学框架内的关系取向方法与对哀悼过程和情感丧失的最新观点相结合似乎至关重要。临床层面的一项基本要求是，在治疗精神病患者时，确定基于精神分析的治疗在联合、整合或整体治疗中所应发挥的作用。为此，本文最后概述了此类治疗的一系列原则和目标。
