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Identification with the Therapist's Functions and Ego-Building in the Treatment of Schizophrenia

Published online by Cambridge University Press:  06 August 2018

Vamik D. Volkan
Vamik D. Volkan*
Affiliation:
Blue Ridge Hospital, University of Virginia, Health Sciences Center, Charlottesville, VA 22901, USA
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Abstract

People with schizophrenia lack the ability to develop – to differentiate and integrate – their self- and object-representations, and suffer from primitive ‘object-relations’ conflicts, which occur when they try to develop (to differentiate and integrate) their self- and object-world. When a therapist interacts beneficially with a schizophrenic patient and enables him/her to identify with the ego functions involved in this interaction, the patient's frail psychic structure receives nourishment that will strengthen it: this process is similar to human development, where a child attains psychic organisation by interacting with the one who nurtures him/her. The recommended approach in the psychoanalytic psychotherapy of schizophrenia is to ‘allow’ the natural evolution of the fusion–defusion and introjection–projection processes to appear in the experiences of transference and counter-transference.

Type
II. The Treatment of Schizophrenia
Information
The British Journal of Psychiatry , Volume 164 , Issue S23: Integrated Approach to Schizophrenia , April 1994 , pp. 77 - 82
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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References

Abse, D. W. & Ewing, J. (1960) Some problems in psychotherapy with schizophrenic patients. American Journal of Psychotherapy, 14, 505–519.Google Scholar
Boyer, L. B. (1990) Countertransference and technique. In Master Clinicians on Treating the Regressed Patient (eds Boyer, L. B. & Giovacchini, P.), pp. 303–324. Northvale, NJ: Jason Aronson.Google Scholar
Bullard, D. M. (ed.) (1959) Psychoanalysis and Psychotherapy: Selected Papers of Frieda Fromm-Reichmann. Chicago: University of Chicago Press.Google Scholar
Dorpat, T. L. (1976) Structural conflict and object relations conflict. Journal of the American Psychoanalytic Association, 24, 855–874.Google Scholar
Erikson, E. H. (1956) The problem of ego identity. Journal of the American Psychoanalytic Association, 4, 56–121.CrossRefGoogle ScholarPubMed
Fenichel, O. (1945) The Psychoanalytic Theory of Neurosis. New York: Norton.Google Scholar
Freud, S. (1911) Psychoanalytic notes on an autobiographical account of a case of paranoia. Standard Edition, Vol. 12, pp. 3–84. London: Hogarth Press.Google Scholar
Fuchs, S. H. (1937) On introjection. International Journal of Psycho-Analysis, 18, 269–293.Google Scholar
Greenspan, S. I. (1989) The Development of the Ego: Implications for Personality Theory, Psychopathology, and the Psychotherapeutic Process. Madison: International Universities Press.Google Scholar
Hartmann, H. & Loewenstein, R. (1962) Notes on the superego. Psychoanalytic Study of the Child, 17, 42–81.Google Scholar
Hendrick, I. (1951) Early development of the ego: identification in infancy. Psychoanalytic Quarterly, 20, 44–61.CrossRefGoogle ScholarPubMed
Katan, M. (1954) The importance of the non-psychotic part of the personality in schizophrenia. International Journal of Psycho- Analysis, 35, 119–128.Google Scholar
Klein, M. (1946) Notes on some schizoid mechanisms. International Journal of Psycho-Analysis, 27, 99–110.Google Scholar
Loewald, H. (1960) On the therapeutic action of psychoanalysis. International Journal of Psycho-Analysis, 41, 16–33.Google Scholar
Novick, J. & Kelly, K. (1970) Projection and externalization. Psychoanalytic Study of the Child, 25, 69–95.CrossRefGoogle ScholarPubMed
Rapaport, D. (1952) Projective techniques and the theory of thinking. In Collected papers of David Rapaport (ed. Gill, M. M.), pp. 461–469. New York: Basic Books.Google Scholar
Salonen, S. (1979) On the metapsychology of schizophrenia. International Journal of Psycho-Analysis, 60, 73–81.Google Scholar
Schafer, R. (1968) Aspects of Internalization. New York: International Universities Press.Google Scholar
Searles, H. F. (1951) Data concerning certain manifestations of incorporation. Psychiatry, 14, 397–413.CrossRefGoogle ScholarPubMed
Searles, H. F. (1979) Countertransference and Related Subjects. New York: International Universities Press.Google Scholar
Sechehaye, M. A. (1951) Symbolic Realization. New York: International Universities Press.Google Scholar
Strachey, J. (1934) The nature of the therapeutic action of psychoanalysis. International Journal of Psycho-Analysis, 15, 127–159.Google Scholar
Suslick, A. (1963) Pathology of identity as related to the borderline ego. Archives of General Psychiatry, 8, 252–262.Google Scholar
Tähkä, V. (1988) On the early formation of the mind: II. From differentiation to self and object constancy. Psychoanalytic Study of the Child, 43, 101–134.CrossRefGoogle ScholarPubMed
Volkan, V. D. (1968) The introjection of and identification with the therapist as an ego-building aspect in the treatment of schizophrenia. British Journal of Medical Psychology, 41, 369–380.Google Scholar
Volkan, V. D. (1976) Primitive Internalized Object Relations. New York: International Universities Press.Google Scholar
Volkan, V. D. (1981) Linking Objects and Linking Phenomena. New York: International Universities Press.Google Scholar
Volkan, V. D. (1982) Identification and related psychic events: their appearance in therapy and their curative value. In Curative Factors in Dynamic Psychotherapy (ed. Slipp, S.), pp. 153–176. New York: McGraw-Hill.Google Scholar
Volkan, V. D. (1990) The psychoanalytic psychotherapy of schizophrenia. In Master Clinicians on Treating the Regressed Patient (eds Boyer, I. B. & Giovacchini, P.), pp. 245–270. Northvale, NJ: Jason Aronson.Google Scholar
Volkan, V. D. & Ahktar, S. (1979) The symptoms of schizophrenia: contribution of the structural theory and object relations theory. In Integrating Ego Psychology and Object Relations Theory (eds Saretsky, L., Goldman, G. D. & Milman, D. S.), pp. 270–285. Dubuque, Iowa: Kendall/Hunt.Google Scholar
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