Når virkeligheden svigter

- om udforskningen af reparative foranstaltninger ved psykotiske tilstande

Abstract

The psychotherapeutic interactions with psychotic persons, especially individuals with schizophrenic disorders, challenge to a maximal degree the competence and countertransference of the psychotherapist. In the research of the psychotherapeutic process many scientific problems are pushed to their extremes. Some of these problems are adumbrated. The theoretical formulation of this paper is coherent with psychoanalytic thinking. The formulations are based on my own experience with schizophrenic patients in psychotherapy and, furthermore, a Danish project concerning psychotherapy with schizophrenic persons. The Danish project is part of a Nordic multicenter investigation. The paper discusses the ethics of treatment, problems of establishing a treatment alliance
with patients dominated by an initial state of non-experience, the meaning of metaphors in psychotherapy, and the significance of the in-exact interpretation.