Artaloytia Juan Francisco
Full IPA Member, APM, Spain.
Int J Psychoanal. 2015 Apr;96(2):319-44. doi: 10.1111/1745-8315.12267. Epub 2014 Dec 23.
The author states that psychoanalysis has much to contribute to schizophrenia. Beginning with a development of Freudian metapsychology, he addresses the in-depth psychopathological study of a session (the first on the couch) with a schizophrenic patient who hears voices and feels that he is being watched. Since the symptoms appear at the level of the heard word and the visual image - key to Freudian metapsychology - he delineates a circuit for the word and one for the image, describing a blockage in both and the consequences of these. Furthermore, with regard to the patient's progress, he demonstrates first a quantitative improvement in symptoms, and later qualitative changes in his functioning. He shows how, over a time, functioning is improved in a once-a-week on-the-couch setting after two years of face-to-face treatment.
作者指出，精神分析对精神分裂症有很大贡献。他从弗洛伊德的元心理学发展入手，深入研究了一位有幻听且感觉被监视的精神分裂症患者的一次诊疗过程（首次躺在治疗沙发上）。由于症状出现在听觉词语和视觉意象层面——这是弗洛伊德元心理学的关键——他勾勒出了词语回路和意象回路，描述了两者的阻断情况及其后果。此外，关于患者的进展，他首先展示了症状的定量改善，随后是其功能的定性变化。他说明了在经过两年面对面治疗后，在每周一次躺在治疗沙发上的治疗环境中，患者的功能是如何随着时间得到改善的。
