scholarly journals Schiffian Reparenting Theory Reexamined Through Contemporary Lenses: Comprehending the Meanings of Psychotic Experience

Author(s):  
William F. Cornell
Keyword(s):  
2021 ◽  
pp. 1-15
Author(s):  
Isabel Wießner ◽  
Marcelo Falchi ◽  
Fernanda Palhano-Fontes ◽  
Amanda Feilding ◽  
Sidarta Ribeiro ◽  
...  

Abstract Background For a century, psychedelics have been investigated as models of psychosis for demonstrating phenomenological similarities with psychotic experiences and as therapeutic models for treating depression, anxiety, and substance use disorders. This study sought to explore this paradoxical relationship connecting key parameters of the psychotic experience, psychotherapy, and psychedelic experience. Methods In a randomized, double-blind, placebo-controlled, crossover design, 24 healthy volunteers received 50 μg d-lysergic acid diethylamide (LSD) or inactive placebo. Psychotic experience was assessed by aberrant salience (Aberrant Salience Inventory, ASI), therapeutic potential by suggestibility (Creative Imagination Scale, CIS) and mindfulness (Five Facet Mindfulness Questionnaire, FFMQ; Mindful Attention Awareness Scale, MAAS; Experiences Questionnaire, EQ), and psychedelic experience by four questionnaires (Altered State of Consciousness Questionnaire, ASC; Mystical Experiences Questionnaire, MEQ; Challenging Experiences Questionnaire, CEQ; Ego-Dissolution Inventory, EDI). Relationships between LSD-induced effects were examined. Results LSD induced psychedelic experiences, including alteration of consciousness, mystical experiences, ego-dissolution, and mildly challenging experiences, increased aberrant salience and suggestibility, but not mindfulness. LSD-induced aberrant salience correlated highly with complex imagery, mystical experiences, and ego-dissolution. LSD-induced suggestibility correlated with no other effects. Individual mindfulness changes correlated with aspects of aberrant salience and psychedelic experience. Conclusions The LSD state resembles a psychotic experience and offers a tool for healing. The link between psychosis model and therapeutic model seems to lie in mystical experiences. The results point to the importance of meaning attribution for the LSD psychosis model and indicate that psychedelic-assisted therapy might benefit from therapeutic suggestions fostering mystical experiences.


1967 ◽  
Vol 12 (2) ◽  
pp. 105-124
Author(s):  
Peter Brawley ◽  
Robert Pos

To summarize briefly: Converging data from many disciplines — psychology, psychiatry, social theory, biochemistry, neuropharmacology, neurophysiology — point to the sensory input regulating mechanism of the central nervous system as a critical factor in the production of hallucinoses and psychotic experience. There is good evidence that what we have called the informational underload model ‘holds considerable promise for improving our understanding of many clinical and non-clinical phenomena of interest to psychiatry. The evidence suggests that a neurophysiological, internal informational underload syndrome may be a final common pathway of psychotic experience. The question as to where such a syndrome might occur in the brain, together with the question of whether such an informational underload syndrome might be due to toxins, genetic factors, conditioning processes, anxiety or dissociation, or other causes, has to be left open. What is needed now, is research directed at these two questions: 1) does such an internal informational underload syndrome occur in the brain, 2) when, where, and under what circumstances does it occur?


2016 ◽  
Vol 33 (S1) ◽  
pp. S529-S530
Author(s):  
M.Á. Soriano ◽  
C. Garcia

The shared madness or Folie à deux was described in France in the nineteenth century by Charles Lasage and Pierre Falret, as a condition where a person (the primary) builds a delusional system, sharing it with another (the secondary), who must be very close to the first affected, becoming delirious with the same subject. Several theories attempt to explain the phenomenon that challenges theories of personality structures, rooted in relational and/or environmental features of psychosis. Theoretically, there are many attempts to classify this psychotic experien in some manuals they distinguish various types of partners: the simultaneous psychosis, where the two people start to became delirious at once; imposed psychosis, in which the disorder arises first with one, then going on to “healthy” individual and symptomatology disappears after being separated; and communicated psychosis, where the first transmitted the psychotic experience to the second, and he or she develops his or her own delusion not interrupted even while separated. Other classifications about shared madness not only between two people, but three, and four, even a whole family show us how complicated the delirium systems can become. In our paper, we will discuss the different theories explaining this rare psychiatric condition based on a case about two brothers of 35 and 37, who live together with the rest of the family, and also come together to the same mental health center, although with different psychiatrists.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
George Drazenovich ◽  
Celia Kourie

Contemporary research suggests that a path is now open for critical dialogue between mysticism and mental health. Data are accumulating regarding the frequency with which mystical experience occurs in the general population. Social science researchers are undertaking studies to determine whether people can knowledgably differentiate between the presence of a mystical experience and other types of experience that occur in their lives. Psychologists are developing clinical criteria by which the mystical and psychotic experience can be differentiated. Neuropsychiatric researchers are exploring the effect of the mystical experience by way of enhanced brain imagery. Theologians are opening up the received wisdom of the mystical tradition and applying it to the present historical context. This paper drew these diverse disciplines together to demonstrate an emerging consensus with respect to the efficacy of mysticism in the field of mental health.


2019 ◽  
Vol 52 (4) ◽  
pp. 475-490
Author(s):  
Anneli Bittner

This article presents the development of a clinical outpatient analytic group and advances a view on twin phenomena in dreams. The influence of real and transferential twin experiences on the dynamic matrix is also shown. The way diffuse ego-boundaries and narcissistic injuries in the group lead to self-exclusion is discussed. The group’s struggle with autonomy–dependency conflicts is reflected upon with reference to lack of differentiation between self- and object-representations as they are also known in twin psychodynamics. It is demonstrated how the group intersubjectively connects with the psychotic experience of one participant. This leads to the group eventually being able to serve as a transitional space and deal with deep issues by managing projective and splitting mechanisms in both psychotic and non-psychotic transference and countertransference. Foulkes’ concept of the transpersonal is used to define how these intense occurrences lead to a beneficial outcome in the treatment of severe psychic disorders.


1993 ◽  
Vol 10 (1) ◽  
pp. 37-39 ◽  
Author(s):  
Hazim Obaydi

AbstractThree cases of schizophrenia (DSM-III-R) (l), whilst responding to treatment, exhibit a group of symptoms which had the essential features of “flashbacks”, as described in relation to psychedelic drugs, though there was no evidence of psychedelic drug misuse. Symptoms were characterised by memory flashes of the original psychotic experience, followed immediately by very brief re-experiencing of earlier symptoms, including visual perceptual changes in clear consciousness and full insight. Symptoms were less clear, less severe, but more distressing, than the original episodes. Symptoms were triggered by stress/anxiety, and relieved by an anxiolytic. The association of flashbacks with schizophrenia is discussed.


2003 ◽  
Vol 11 (1) ◽  
pp. 71-73
Author(s):  
John Parkinson

Objective: When too many psychiatrists have been behaving like prostitutes, it is instructive to compare and contrast that ancient profession with our own. The present paper sets out to do that. Methods: Codes of conduct are compared and clinical anecdotes discussed. Results: Both professions give time and services in exchange for money. Guidelines for each highlight limits and boundaries. A danger is ‘falling in love’, a quasi-psychotic experience that facilitates some phases of development but which can be destructive when uncontained. Since the advent of cognitive behavioural therapy (CBT), transference and countertransference are concepts no longer widely used. However, many behaviourists know the importance of a therapeutic alliance and see the therapist as a figure who can invoke idealization and dependence. All psychiatric treatment has a developmental aspect because it seeks to replace primitive feelings and impulsivity with mature behaviour. Adolescence brings not only sexual development but emotional change from the dependent child to the adult capable of care and bonding. Sexual attraction is more mature the more the element of neediness is modified by care and concern. Conclusions: Peer groups are commended for both professions. In psychiatric training, human development should be learnt not just as theoretical background but as lively reality in clinical work, alerting psychiatrists to monitor their own maturity in the doctor-patient setting. The value of personal therapy or analysis is discussed, together with possible adverse sideeffects.


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