Manic-depressive psychosis: Psychopathology and individual psychotherapy within a psychodynamic milieu

Jackson, Murray

doi:10.1080/02668739300700091

Cited by 15 publications

(28 citation statements)

References 10 publications

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“…Thus there are reports of general benefits from individual therapies, dynamically based (Benson, 1975;Jackson, 1993), cognitively based (Jacobs, 1982) and from various group therapy interventions (reviewed by Scott (1995) and Roth and Fonagy (1996)). Only two studies, those of Cochran (1984) using a brief, cognitively-based intervention in an out-patient lithium clinic setting and a ward-based family intervention (Clarkin et al, 1990) appear to have included control groups and these were limited by small sample size and imperfect randomization.…”

Section: Kerrmentioning

confidence: 96%

Brief cognitive analytic therapy for post‐acute manic psychosis on a psychiatric intensive care unit

Kerr

2001

Clin Psychology and Psychoth

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A study of the efficacy of brief cognitive analytic therapy (CAT) with a series of patients (n = 4) with treatment-resistant manic psychosis on a psychiatric intensive care unit (PICU) was carried out. In one patient such an intervention proved redundant given an improved medication regime and subsequent willingness to comply with treatment. In a second, it proved impossible, in this context at least, due to fixed grandiose and paranoid delusions. In two others, however, this approach, particularly the technique of joint 'reformulation', appeared to be remarkably containing and effective with rapid subsidence of disturbed and non-compliant behaviour. Much of the 'psychotic' psychopathology of these patients became comprehensible within this model in terms of secondary, 'self-state' or narcissistic damage and enactment of maladaptive 'procedures' and 'reciprocal roles'. Additionally, discussion of these procedures and the reciprocal roles elicited from and enacted by staff produced a marked change in attitude and behaviour by them. In one of these patients, improvement was such that transfer to an open ward was possible within a week and discharge soon after. Subsequent treatment was markedly more collaborative and enabling of good social function. It appears that CAT and its collaborative use of the 'tools' of reformulation could play an important role in the treatment of psychotic disorders in this and possibly other settings.

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Section: Kerrmentioning

confidence: 96%

Brief cognitive analytic therapy for post‐acute manic psychosis on a psychiatric intensive care unit

Kerr

2001

Clin Psychology and Psychoth

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“…This is in contrast to some assumptions that psychoanalysis would only deal with internal objects. Jackson (1993) mentions such a tendency among analysts; in particular, he criticized the partial neglect of psychic traumata. This is close to Rey's (1986) view, which judges a primary disturbance of identifications as predisposing for manic-depressive illness.…”

Section: Melanie Klein and Kleiniansmentioning

confidence: 96%

Suicidality in Bipolar Disorders—Psychoanalytic Contribution

Etzersdorfer¹,

Schell²

2006

Archives of Suicide Research

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This paper gives an overview of psychoanalytic contributions to the understanding of suicidal behavior in bipolar patients. Although little specific literature is available, many authors have contributed to the understanding of these patients' psychodynamics and suicidality in various papers. Different points of emphasis are described, among these are defensive strategies, narcissistic personality structure, and dealing with intense feelings such as object loss. Using detailed case descriptions, the inner world of bipolar patients as it relates to their suicidality, along with the appropriate psychoanalytically oriented approach to treatment, are highlighted.

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“…When a psychotherapeutic attempt is undertaken, medication is used in modest amounts wherever possible. In this way understanding in depth in the hospital milieu, and sometimes formal psychotherapy, may be offered to many patients who would not be accessible without the help of such medication, and who would not be sufficiently understood with an exclusively biological approach (Oldham & Russakoff 1987;Jackson 1989).…”

Section: Integration: Neurobiology Plus Psychodynamicsmentioning

confidence: 99%