Italian Psychoanalytic Society, Rome, Italy.
Int J Psychoanal. 2020 Feb;101(1):152-168. doi: 10.1080/00207578.2020.1716626.
In this paper I try to summarise the contributions of some analysts who have been engaged in the therapy of psychotic patients. I have divided them into two categories: one following intuitive-non-systematic models, and the other theoretical-systematic models. My hypothesis is that the psychotic process is formed and nourished in childhood withdrawal, where the child constructs an alternative world that is dissociated from psychic reality. The patient no longer uses his mind as a thinking organ but as a tool to produce sensations that make psychic and emotional reality incomprehensible; this state of mind produces hallucinations and delusions. There is no doubt that psychoanalysis is faced with an important task as regards theoretical and clinical research in the field of psychosis. No therapeutic method possesses such a useful and effective observational tool as clinical psychoanalysis, which allows daily contact with the patient and continuous reflection on his transformations.
在本文中，我试图总结一些从事精神病患者治疗的分析师的贡献。我将他们分为两类：一类遵循直觉-非系统模型，另一类是理论-系统模型。我的假设是，精神病过程是在儿童退缩中形成和滋养的，在这种退缩中，儿童构建了一个与心理现实相分离的替代世界。患者不再将他的头脑用作思维器官，而是用作产生使心理和情感现实变得不可理解的感觉的工具；这种心态会产生幻觉和妄想。毫无疑问，精神分析在精神病学领域的理论和临床研究方面面临着一项重要任务。没有任何治疗方法像临床精神分析那样拥有如此有用和有效的观察工具，它可以使我们每天与患者接触，并对他的变化进行持续的思考。
