Om psykoterapi af psykotiske

Abstract

The psychotherapy of psychotics expresses in a eksemplary way the epistemological problems in the psychotherapeutic setting. It has been attempted from a psychotherapeutic point of view to delineate the nature of psychosis and psychotherapy. The starting point is tak en from some central concepts (splitting and projective identification) formulated by the socalled English school in psychoanalysis, represented by M. Klein and Wilfred. R. Bion and the transition from thinking in development faces to thinking in position is stressed as especially important. The article calls attention to decisive steps of acceptance in the development of the individual on the basis of so-called a priori assumptions. These steps are identified as coherent with a succession of necessary transformations in the transition from an omnipotent objectrelating to a social object use. The transformations are designated the Beta-alfa-transformation. The importance of the so-called containerfunction for these transformations is stressed. In the light of this the development of thoughts and concepts are discussed. Their relationship is seen as defining the epistemological problems of the individual as it is the epistemological problem of psychotherapy. The problems are illustrated by clinical material.