Self Psychology and Psychosis

David Garfield is Professor, Associate Chair for Psychotherapy and Director of Psychiatry Residency Training in the Department of Psychiatry and Behavioural Sciences at Rosalind Franklin University of Medicine and Science, Chicago Medical School. He graduated from UCSF School of Medicine and completed his psychiatry training at Harvard's Massachusetts Mental Health Center. He also finished his psychoanalytic training in 2006 at Chicago's Institute for Psychoanalysis and he is on their voluntary teaching faculty. He has written dozens of articles on psychotherapy and his book, 'Unbearable Affect: A Guide to the Psychotherapy of Psychosis' is in its second edition (Karnac Books, 2009). He has co-edited the book 'Beyond Medication' and he lectures internationally on psychosis. Ira Steinman has focused on schizophrenia for 45 years; his early training ranged from studying with R.D. Laing to working at the National Academy of Sciences' Drug Efficacy Study, which evaluated all the antipsychotic medications available at that time. For more than 35 years, he has pursued an out-patient psychiatric practice where he has been able to demonstrate that an intensive psychoanalytic psychotherapy, in conjunction with the judicious use of antipsychotic medication, can help even the most lost and disturbed schizophrenic and delusional patients recover, heal and, at times, achieve a cure. With such an approach, some allegedly "untreatable" schizophrenics have been able to work their way off of antipsychotic medication. He has spoken on this subject at length on a local, statewide, national and international level for more than twenty five years. He is a member of the ISPS (International Society for the Psychological Treatments of the Schizophrenias and other Psychoses); the American Psychiatric Association; and the Northern California Psychiatric Association

• ACKNOWLEDGEMENTS ABOUT THE AUTHORS PREFACE Coming to self psychologyINTRODUCTION Self psychology and psychosisPRELUDE AND ENTRE Cross modal attunement and revitalization of the selfPART I: MIRRORING CHAPTER ONE The opening phase - the case of Judith CHAPTER TWO Judith - the middle phase CHAPTER THREE Repair of the self - Judith CHAPTER FOUR The infrastructure of the vertical splitPART II: IDEALIZING CHAPTER FIVE Rachel - in need of an internal safe haven CHAPTER SIX Three rats and the extraterrestrial PART III: ALIKENESS (TWINSHIP) CHAPTER SEVEN Jonathan and the twinship transference CHAPTER EIGHT Selfobjects in psychosis - the twinship compensation CHAPTER NINE The widening scope of psychoanalysis: self psychology and psychosis REFERENCES INDEX

'At the end of a very moving tale of the treatment of a psychotic woman, the patient tells the therapist, "You've given me my life." The therapist, one of the authors of this book, replies, "Thanks. It's been a gift to both of us." So, too, one must thank the authors of Self Psychology and Psychosis for the gift given to readers of this volume that employs the theory of self psychology to guide and to better understand the psychotherapy of psychoses.'- Arnold Goldberg, MD, Professor of Psychiatry, Rush Medical College; training and supervising analyst, the Chicago Institute for Psychoanalysis; author of The Brain, the Mind, and the Self: A Psychoanalytic Roadmap'This book should be fi rmly recommended to all teams of mental health professionals who come into contact with the more severely mentally ill, especially those who experience psychosis. Through a number of examples, the text demonstrates clearly how substantive numbers of those who are currently readily regarded as suffering from chronic disorders, especially schizophrenia, can in fact be helped to substantially recover and live satisfying lives through modern forms of skilled psychodynamic psychotherapy. The book focuses on the damage to the self and how this can be repaired in psychosis, especially using concepts from self psychology.'- Dr Brian Martindale, Chair of the International Society for Psychological and Social Approaches to Psychosis'In an era of somatic and medication treatments, David Garfield and Ira Steinman have reminded us of the importance of listening to our patients with empathy and understanding, even those patients who are psychotic and disorganized. They remind us to see our patients as whole persons. Inside this volume, you will read how these experienced authors and clinicians empathize, query, interpret, and confront the whole patient. These skilled therapists demonstrate with captivating stories how, by making them feel understood, patients can make huge advances in their recovery and healing. I highly recommend Self Psychology and Psychosis.'- Renee Binder, MD, Professor and Director, Psychiatry and Law Program, Associate Dean of Academic Affairs, School of Medicine, University of California San Francisco, President-Elect, American Psychiatric Association 'David Garfield and Ira Steinman use a series of evocative and compelling case examples to illustrate how the principles of self psychology can be effectively applied in intensive psychotherapy with psychotic patients. Their fascinating and instructive presentation is an invaluable guide to productive clinical work with disturbed patients who too often are mistakenly judged to be beyond the reach of talking therapies.'- Owen Renik, MD, former Editor, Psychoanalytic Quarterly; training and supervising analyst, San Francisco Psychoanalytic Center'As far as I am aware, there is no other book like this out there. No one else has so thoroughly described the psychological treatment of psychotic patients when concepts of self psychology are utilized to apprehend the therapist's work and its efficacy. Of particular merit is the authors' extensive description of clinical process, which vividly depicts how they struggled with the challenges they encountered in their work with these patients and how remarkably effective they were. The authors' extensive clinical illustrations-often including verbatim dialogue-merit close attention.-Howard Bacal, The Psychoanalytic Quarterly (2016)