The Use of the Term ‘Schizophrenia’ Book Review ... · end of the book you will understand pre-cisely how existential phenomenology ... agents, endowed with intentionality and

—ISPS-US Newsletter: Spring, 2007, Volume 8, Issue 1—

“Innate among man’s mostpowerful strivings toward hisfellow men… is an essentiallytherapeutic striving.”

Harold F. Searles (1979)

Spring, 2007Volume #8, Issue #1

ISPS-USP.O. Box 491Narberth, PA [email protected](610) 308-4744

UNITED STATES CHAPTER

Psychotherapy as a Human Science, byDaniel Burston & Roger Frie. Publishedby Duquesne University Press, 2006.

In this admirable book, Burston andFrie provide a virtuoso overview of Conti-nental philosophy, showing how many ofthe ideas that inform recent developmentsin psychoanalytic theory and therapy areforeshadowed by this tradition, especiallyin the area of existential phenomenology.If those last two words seemed forbid-ding, there is no need to worry: Burstonand Frie write in a such a balanced andjargon-free expository style that by theend of the book you will understand pre-cisely how existential phenomenologyrelates to psychoanalytic thought (alongwith the ideas of the many philosophersrelated to or in tension with this tradition).

Central to the book, as its title sug-gests, is the concept of a “human science.”To conceive of psychotherapy a “human”science is to place it on an entirely differ-ent foundation than that of the “natural”sciences. The natural science model ofpsychology and psychotherapy is what hascome to be known as the medical model:patients are viewed on the theoretical level

(Continued on page 2)

Book Review:Psychotherapy as aHuman ScienceMatthew Morrissey([email protected])

The Use of the Term ‘Schizophrenia’Julie Kipp([email protected])

As part of the planning for our nextUS meeting to be held in New York Cityin March of 2008, there was some revisit-ing of the controversy over the use of theterm “schizophrenia,” which is seen asinaccurate at best, and downright pejora-tive at worst. Of course, in Japan the termhas actually been changed, in 2002, fromseishi buntetsu byo, or “split-mind disorder”to togo schicco sho, or “loss-of-coordinationdisorder” (Psychology Today, Sept.-Oct.2002).

I am open to using either“schizophrenia” or the more general“psychosis” in the title of our conference,or neither. However, the discussion re-minded me of the very interesting work ofValerie Sinason, a British Tavistock psy-choanalyst. She has worked with peoplewho have what we call now, in the US,developmental disability, or in the UK,mental handicap. I believe that her ideashave relevance for our own field, and Ihave been inspired by her commitment toworking psychodynamically with anotherpopulation which has been deemed notcapable of benefiting from such interven-tion.

In chapter 2 of Sinason’s book MentalHandicap and the Human Condition (FreeAssociation, 1992) she talks about thehistorical succession of words used todescribe mental retardation: cretin, dull-ard, subnormal, moron, mentally deficient,and many more. The acceptable term forthe condition has changed frequently overthe years. In the beginning, each of thesewords was not pejorative, but merely de-scriptive. Each term starts out fresh, butthe general public, e.g., the other kids inschool, quickly turn the new word into ataunt: “moron” a few years ago turns into“retard” today. When this happens, the

official term is changed again, in an at-tempt to be more specific and scientific, tomitigate the stigma, and to avoid givingpain.

Sinason does not think that “any namein itself, whether ‘handicap,’ ‘disability,’‘learning problem,’ or ‘special needs,’ isnecessarily better than any other. But it isimportant for workers to be aware thatabuse lies in the relationships betweenpeople, not in the name used... Eachworker introducing a new term hopes thatthe new word brings hope and a new pe-riod of healthy historical change. Eachtime the new word is coined, it is coinedhonorably. It is not deliberately created aseuphemism but becomes one because ofthe painfulness of the subject...” (italics mine).

“With regard to handicap, mental ill-ness, and actual damage, we are oftenscared of facing differences because ofguilt. The guilt of the worker at not beinghandicapped turns into a collusive identifi-cation with the omnipotent self of thehandicapped client. A true understandingthat we are all equal souls and all handi-capped in different ways gets transmutedinto a manic desire to erase difference. Myhandicapped patients often choose theword ‘stupid’ for themselves. The originalmeaning of ‘stupid’ is ‘numbed with grief’and I feel the original meaning of theword does shine through because a lot ofthe pain and secondary effects of handicapis to do with the grief of internal and ex-ternal trauma...”

So in our field, we are thinking that weneed to change the term schizophreniapartly because the word has become sodebased, so associated with despair andincurability. However, the grief is not onlyin the connotations of the word, but in the

(Continued on page 2)

2


Table of ContentsRegular FeaturesMind / Brain / Culture: Social Neuroscience and Relationships................... 6ISPS-US Branch Reports ............................................................................ 9Special FeaturesThe Use of the Term ‘Schizophrenia’ ............................................................ 1Book Review: Psychotherapy as a Human Science ......................................... 1Is Psychosis a Type of Regression?................................................................. 4Psychodynamic Psychotherapy and Medication for Treating Schizophrenia...... 5

condition itself, and its severe alienationfrom the rest of human society. We mayapproach our patients with a great deal ofhope and optimism, but there are no guar-antees that people with schizophrenicconditions will be healed by our efforts. Itis a very sad and serious illness and noteveryone recovers.

(Continued from page 1)

“...we are thinking that weneed to change the termschizophrenia partly be-cause the word has becomeso debased, so associatedwith despair and incura-bility. However, the grief isnot only in the connota-tions of the word, but inthe condition itself...”

Psychosis:Psychological Approaches and Their Effectiveness

— Putting Psychotherapies at the Centre of Treatment —

Edited by Brian Martindale, Anthony Bateman, Michael Crowe, & Frank Margison

Psychosis: Psychological Approaches and Their Effectiveness updates psychiatrists, psychologistsand nurses on a range of psychological therapies for psychosis. The authors describein clear language the differing contexts, aims and methods of various psychologicaltreatment interventions and describes the integration of a range of these approachesused in early intervention, designed to improve the chances of full recovery in thecommunity and minimize chronic disability. 306 pages

To order, visit www.isps-us.org.

as being ruled by genetics, neurochemis-try, and psychological laws. On the clinicallevel, the aim of the medical model israpid symptom reduction. From the hu-man science perspective, those labeledwith mental disorders are seen as activeagents, endowed with intentionality andembedded in particular social, cultural,and historical contexts. Clinically, symp-toms are seen as communicative and theaim of treatment is to help the persondevelop new ways of being in the world.

No doubt the majority of clinicians inISPS-US already think about and practicepsychotherapy as a human science. How-ever, I think the merit of this book is in itsability to help us link up our thought andpractice to a rich and broad dialogue thathas been occurring in philosophy since atleast the late 18th century. Not many peo-ple appreciate the relevance of philoso-phers such as Blaise Pascal and SørenKierkegaard to their psychotherapeuticoutlook, not to mention more recent fig-ures such as Wilhelm Dilthey and Max

(Continued from page 1) Scheler. In addition, readers receive anadditional gem in the form of the closingchapter, entitled “Psychotherapy and Post-modernism.” This chapter provides an up-to-date synopsis of such notions asagency, embodiment, gender, race, insight,authenticity, and alienation by drawing onideas that have been fully explicated inprevious chapters—so the reader is able tothink along with Frie and Burston as theyjuggle an array of considerations.

It is easy to recognize the timeliness ofthis kind of a project. It’s not that thehuman and natural science models don’tat times complement each other (as Frieand Burston freely accede), it’s the factthat the human science model—whichshould rightly take precedence to the ex-tent that psychology and psychiatry dealwith live human subjects—is rapidly dis-appearing from the field of mental health.Despair, indignation, and cynicism arefashionable reactions to our times; less sois a dedicated return to the pulse of life, tothe invisible, to what a human face means.Thither are we invited.

Sinason again: “Differences in gender,race, size, shape, ability, appearance, cul-ture, voice are intrinsic to a rich experi-ence. Otherwise we would all live in aworld of autistic sameness. However, dif-ference evokes envy (when we perceiveourselves to be lacking) or guilt (when weperceive someone else to be lacking). InSonnet 29 Shakespeare understands the‘outcast state’ where the poet enviouslywishes he was someone else and loses allcontentment with his own lot. Then thethought of his love retrieves him from thatstate…” (my italics).

Perhaps there will come a day whenwe are able to differentiate better theprobably several illnesses which are cur-rently sloshing around together in thekettle called “schizophrenia,” and then itwill make sense to call them by differentnames. However, I would not change theword because of the stigma, but ratherwork to reduce the stigma, and to increasethe understanding that schizophrenia,while a heartbreaking and awful illness,can be treated, and mitigated, and evencured, through relationships. It is the cru-cial contribution of ISPS: that we can ex-plain and demonstrate how relationshipscan be created and used to help in recov-ery from schizophrenia.

Book Review, continued

Schizophrenia, cont.

3


4


Is Psychosis a Type of Regression?Kevin Krummer([email protected] / www.auspiciousappearance.com)

I can't speak for other people, but Ican talk about my experience of the psy-chotic state. It took me to a world I hadn'tseen for quite some time, a place withvividness that I had yearned for and al-most forgotten. It seemed to have broughtme back to my childhood in a way, exceptit was different; I was an adult and I mayhave been a bit paranoid.

I felt I had special powers. It's truethat there weren't people after me, butwhat was I communicating? It wasn'tregular social anxiety that I was experienc-ing; there was a battle going on. It wasaggressive. I called my antagonist Jimmyor James. It was more like a team of peo-ple lead by a Man. He just followed mearound trying to prove that he was thespecial person, not me. He was riding myfame in a way.

No matter where I went, James was afew steps away. He was often successful inhis plots against my gaining friends andfollowers, but he could never do me in,his ultimate goal. This is why I could notbe shaken by fear. I knew that James wasonly creating trouble for himself when hewould organize schemes against me. It justmade me angry. I wouldn't say it waspleasant being angry at James for his har-assment, but it wasn't blood boiling angerI experienced. It seemed as if his plotsagainst me were mindless and redundant.

Another thing about James and histeam was their culture. There was some-thing foreign and primordial about James.I didn't understand his antics and eventu-ally dehumanized him into a robot.

When I wasn't thinking about James, Iwas thinking about Jessica. Like James,she was a team of people who interactedwith me. Instead of aggression they weretrying to communicate Jessica's love forme. They would act in strange ways,sometimes teaming up with James if Iwasn't behaving the way she wanted meto. I felt very in love with Jessica and hermanifestations. Jessica was much moreblissful than James.

When I experienced my last episodethree years ago, I had gotten to the pointwhere I would just stare at people. I wouldcrazily stare at men that I thought wereJames and I would blissfully stare atwomen I thought were Jessica. This obvi-ously made people feel uncomfortable!

But surprisingly I never got into troublewith the men and I was even called“sunshine” by some of the women. Afterthe fact, I was embarrassed, but I noticethat there is someone else who makesfaces at people and sometimes stares. It ismy two-year-old nephew.

It seems like my psychotic experiencewas somewhere in the enchanting realm ofchildhood. I couldn't believe that I wasstill capable of feeling that way. As Istarted recovering and learning to live asane life, I became interested in Buddhismfor strength. A practical philosophy, Ithought, but a little silly and mythological.As I became more enmeshed in Bud-dhism, I started seriously thinking aboutrebirth and the meaning of life. Duringpsychosis I thought I was death itself.

It is interesting to note that although Iwas “delusional” during my psychoticepisode, I was incredibly inactive. If a saneperson had thought that somebody wasplaying tricks on them and out to getthem, they probably wouldn't have gone aday without punching a hole in the wall orsomething. I went an entire year keepingmy mouth shut about the situation. Inpsychosis, the bliss comes to you. Thewrath comes to you. You don't have topursue it externally.

Psychosis is a glimpse of death. Whydoes the psychotic go back to a death-likestate? Because life doesn't work for them.His or her state of mind has gotten sopainful and tangled that the mind ceasesto function. Although I experienced thisdeath-like state, I didn't know what it was.It was a spiritually profound state, but Iwas spiritually inept. It has certainlychanged my life; I want to become spiritu-ally adept. I understand that there is some-thing more to our lives than the mundanebut, like a psychotic wanting a cigarette, itcan be so difficult to forget about themundane. I hope that one day I will un-derstand this better.

“...I notice that there is some-one else who makes faces atpeople and sometimes stares.It is my two-year-oldnephew.”

The 9th Annual

ISPS-US Meeting

will be held on

March 14th and 15th, 2008

at New York University

in New York.

NYU’s

Postdoctoral Program,

School of Social Work,

and

Lifespan Learning Institute

will co-sponsor

the meeting.

The latter will provide

comprehensive CE credits.

Our theme for this year is

"Recovery

from Psychosis:

Healing

Through Relationship."

Aaron T. Beck, M.D.,

psychoanalyst and founder

of cognitive therapy,

will be

the Keynote Speaker.

5


Psychodynamic Psychotherapy andMedication for Treating SchizophreniaEric Peters([email protected])

In September, 2007, Eric Peters will begin hisone-year psychology pre-doctoral internship at theBronx Psychiatric Center in New York City.Eric completed his doctoral studies at the Univer-sity of Tennessee in Knoxville. His primary inter-ests include psychodynamic psychotherapy andresearch related to severely disturbed patients,psychodynamic theory, dissociative processes, theNew York Yankees, and his love of dogs.

In May, 2007, I defended my disserta-tion project entitled, A Theoretical and Em-pirical Investigation of Psychodynamic Psychother-apy and Neuroleptic Medication for the Treat-ment of Schizophrenia. My interest in clinicaland empirical work with psychosis beganwhile working as a case manager in agroup home for people suffering withschizophrenia. During my two years atthis job I became increasingly disillusionedand frustrated as a result of what appearedto be a blind allegiance to neurolepticmedications that seemed to do little morethan numb my clients. I was flooded withdrug-company pamphlets that touted theeffectiveness of their products andclaimed that psychotherapy was uselessfor working with psychosis. In contrast, atthis time I was fortunate to read twobooks that reflect the diversity of solu-tions – for varying levels of psychopa-thology – that people might use to protectthemselves from further assaults on theirsense of self and place in the world. Thefirst book, Gail Hornstein’s autobiographyof Frieda Fromm-Reicmann, To RedeemOne Person is to Redeem the World, is an un-forgettable account of this brave pioneerthat has taught many of us how to engagepsychotic processes not only in our pa-tients but in ourselves as well. The secondbook, Bertram Karon’s and Gary Vanden-Bos’ Psychotherapy of Schizophrenia: The Treat-ment of Choice, provided the inspiration andthe data for my dissertation.

By taking seriously the disconnect be-tween how little is known about the etiol-ogy of schizophrenia and the rigid cer-tainty with which medical treatments areoffered, it was the stated intention of myrecently defended dissertation project toarrive at an empirically and theoreticallysound understanding of current psycho-therapeutic and psychopharmacologicaltreatment practices.

Section I: Emil Kraeplin, DegenerationTheory, and Philosophical Realism. Since neu-roleptic treatments overwhelmingly domi-nate the modern treatment approach forschizophrenia, it is helpful to understandthe epistemology of the schizophreniaconstruct that continues to impact biologi-cal conceptualizations and treatment deci-sions. This section focused on two of thenon-epistemic philosophical underpin-nings of the schizophrenia construct origi-nally developed by the founding father ofmodern psychiatry Emil Kraeplin: degen-eration theory and philosophical realism.

Section II: The Empirical Validity of theDegenerative Disease Construct. Philosophicaldeconstruction of a prevailing constructdoes not invalidate its core assumptions.That is, simply because modern biopsy-chiatric conceptions of schizophrenia aresubstantially influenced by a multitude ofnon-epistemic factors does not necessarilymean that the illness is not biologically-based and degenerative. That being said, ifthe biopsychiatric notion that schizophre-nia is a chronic degenerative brain diseaseis accurate, then naturally most if not allcases of schizophrenia would ultimatelyleave a person significantly incapacitatedor dead. After all, biological medicationtreatments are only designed to slow thisallegedly inevitable process and maskrather than cure the most striking featuresof the illness. To determine the validity ofthe degenerative assumptions of biopsy-chiatry I reviewed two interrelated empiri-cal questions: 1) does the duration of un-treated schizophrenia predict greater se-verity of illness, poorer overall outcome,and/or psychotoxic brain damage; and 2)are there longitudinal studies that reportany degree of significant improvement orrecovery for persons diagnosed withschizophrenia?

Section III: The Effectiveness and Safety ofNeuroleptic Medications. Because neurolepticmedications are used as the frontline - andusually only - treatment of schizophrenia,it was imperative to summarize the em-pirical literature that has investigated theeffectiveness and safety of these medica-tions. The effectiveness of neurolepetcmedications was evaluated on four frontsby: 1) presenting data regarding the effec-tiveness of typical and atypical neurolep-

tics; 2) presenting a critique of the meth-odological limitations inherent in the FDAand non-FDA randomized control medi-cation trials specific to schizophrenia re-search; 3) summarizing the most recent,large-scale, naturalistic study investigatingthe comparative effectiveness and safetyof the newer versus older neuroleptics;and 4) presenting the variety of side-effects resulting from exposure to typicaland atypical neuroleptic medications.

Section IV: The Effectiveness of Psycho-dynamic Psychotherapy of Schizophrenia. Thissection explored the empirical effective-ness of the psychodynamic treatment ofschizophrenia by summarizing previouslyconducted outcome studies.

Section V: Pre- to Post-Treatment Changein the Object Relations of Schizophrenic Patients.Data for this project were provided byBertram Karon and the Michigan StatePsychotherapy Project archives. The em-pirical section of this dissertation projectapplied a modern measure of object rela-tions to pre- and post-treatment ThematicApperception Test narratives of schizo-phrenic patients divided into two groups:individual psychodynamic psychotherapywithout medication (Psychotherapy; n =9); and routine medication-only (typicalneuroleptics only) treatment (Medication;n =12) to determine clinically significanttreatment effects. That is, it was the pri-mary purpose of this study to investigatetwo particular research questions: 1) Canindividual psychodynamic psychotherapyfor schizophrenia - without any medication -result in positive outcome in terms ofobject relations; and 2) What is the com-parative effectiveness of medication-onlyversus individual psychodynamic psycho-therapy-only treatment of schizophrenia?

A truncated version of this dissertationwill be submitted for publication in thecoming months. Due to restrictionsplaced on authors seeking peer-reviewedpublication, I unfortunately cannot discussresults here. However, at some point inthe next few months I can provide elec-tronic copies of the full dissertation fol-lowing completion of the university copy-righting process. Briefly, I can state thatthe results of this dissertation project fa-vored the psychotherapy patients. Patientsin this group exhibited more consistentand greater degrees of improvementacross an array of object relations con-structs relative to their counterparts re-ceiving only neuroleptics.

6


opment and reduce stress reactivity. Thepresence of social bonds is most dramati-cally documented by the intense emotionalreactions to separation from or the loss ofattachment figures. Oxytocin (OT), a hy-pothalamic neuropeptide, is released bothby loss of social bonds as well as socialconnection. Its loss during social discon-nection can be viewed as a form of socialhomeostat in which the organism is moti-vated to seek affiliative connection. It maybe that OT initially signals distress andthen induces affiliative efforts-if thoseaffiliative contacts are supportive, and notcritical or antagonistic, then affiliationwould result in positive feelings and lessstress. OT has anxiolytic and analgesicproperties; it reduces the release of stresshormones, e.g., cortisol, and the reactivityof the autonomic nervous system, includ-ing reductions in heart rate and bloodpressure. The biological components ofstress/anxiety depends significantly ontwo interacting stress systems, the sympa-thetic-adrenomedullary (SAM) system andthe hypothalamic-adrenocortical (HPA)axis.OT expression downregulates theactivity of the limbic-hypothalamic-pituitary-adrenal axis and the SAM system.There is an affiliative neurocircuitry whichpromotes affiliation, especially in responseto threat and stress. Social contacts pro-tect against the adverse effects of stressthrough a process which implicates OT-induced suppression of the HPA axis. TheOT-opioid-dopaminergic system regulatessocial approach behavior. OT is releasedby touch (hence the importance of“keeping in touch”) and during positivesocial interactions. It is released in breast-feeding mothers and reduces anxiety inthe latter compared to bottle-feedingmothers. OT is present in human breastmilk and may serve as a anxiolytic for in-fants. Dopamine and endogenous opioidsplay a significant role in social bonding.Dopami ne -oxy t oc in , d opami ne -vasopressin interactions and dopaminemay be essential in the formation of socialbonds. Dopamine antagonists which satu-rate dopaminergic receptors, therefore,may run interference with social bondformation, e.g., between patients andtherapists. One essential question iswhether antipsychotic agents interferewith the formation of social bonds more

rocircuitry for physical pain. Social pain,e.g., social exclusion, is equivalent neuro-biologically, i.e., through activation of thedorsal anterior cingulate cortex (dACC), toactual physical pain-words and social isola-tion are painful. Social status influencesthe actual structure of certain neural re-gions, e.g., “high-status” animals actuallyhave greater degrees of neurogenesis, andmore neurons, in the hippocampus, a neu-ral region important in learning and mem-ory. Mirror neurons help us to replicateand simulate within our own brains andminds the experience, goals and motiva-tions/intentions of the other.Simulatedembodiment, a prereflective grasping ofthe experience of the other, helps us to beaffectively attuned to other persons.Marco Iacoboni, neurologist and mirrorneuron researcher, has formulatedan“existential neuroscience,” in which theinherent relationality of the human beingis highlighted. The split between self andother is called into question at the level of

neuroscience.Social support andsocial bonds are nega-tively correlated withvarious ‘physical’ and‘mental’ illnesses fromcardiovascular diseaseto the schizophrenias.Social isolation is tiedto a significantly en-hanced risk of mortal-ity and a heightenedrisk of both chronicand acute health disor-ders-one key factormediating these asso-ciations may be stress.When people are so-cially isolated theirSNS (sympatheticnervous system) andL H P A ( l i m b i c -hypothalamic-pituitary-adrenal axis) responseto stress may continueunabated, leading to astate of immunologicalvulnerability. Socialbonds promote repro-duction, survival in theorganism and its off-spring, healthy devel-

Mind / Brain / Culture: Social Neuroscience and RelationshipsBrian Koehler([email protected])

We are continuously learning aboutthe impact relational and social experiencehas on the developing person, includingthe CNS, gene expression (epigenetics),etc. Persons could usefully, according toErnest G. Schachtel in his classic volume“Metamorphosis,” be viewed as“embedduals,” i.e., embedded in variousrelational and sociocultural frameworks .There is emergent research demonstratingthat fetal cells in the rat could transforminto neurons, astrocytes, oligodendrocytes,and macrophages-crossing the maternalblood brain barrier and responding tomolecular distress signals if the mother'sbrain is injured (Choi 2005).The humanmother's brain regulates to a significantdegree, e.g., through the maternal-placental-fetal neuroendocrine system, thedeveloping fetal brain, creating long-termpredispositions towards stress reactivity,e.g., placental corticotropin releasing hor-mone/factor (Wadhwa 2005). The neuro-circuitry for social pain draws on the neu-

7


than the interference arising from the un-medicated psychotic state.

Social relationships and pair bondformation play powerful roles in neuraldevelopment, especially under conditionsof challenge and stress. Evidence support-ing intergenerational transmission of socialexperiences via changes in such neuropep-tides as oxytocin also comes from recentresearch on maternal behavior in rats. Thecapacity of these neuroendocrine systems,e.g., corticotropin-releasing factor (CRF),to experience long-lasting functionalmodifications may help to explain theorigins of what we call “temperment” and“gender.” Understanding these psychobi-ological systems and how deeply they aretied to social experience will offer poten-tial insights into the development of whatwe call pathological or maladaptive behav-iors.

I highly recommend the followingvolumes on the above subjects:

Harmon-Jones, E. & Winkielman, P.(Eds.) (2007). Social Neuroscience: IntegratingBiological and Psychological Explanations ofSocial Behavior. NY: The Guilford Press.

Farrow, T. & Woodruff, P. (Eds.) (2007).Empathy in Mental Illness. NY: CambridgeUniversity Press.

ISPS-US is proud to offer copies ofThe Journal of the American Academy

of Psychoanalysis and Dynamic Psychiatry’s special issue:

“The Schizophrenic Person and the Benefitsof the Psychotherapies: Seeking a PORT in the Storm”

Volume 31, Number 1, Spring 2003Guest-edited by ISPS-US president, Ann-Louise S. Silver, M.D.

and Tor K. Larsen, M.D. of Norway

Issue price: $10

Contact:Ann-Louise S. Silver, M.D. Phone: (410) 997-17514966 Reedy Brook Lane Fax: (410) 730-0507Columbia, MD 21044-1514 www.CAPsy.ws

[email protected]

The NZ Branch of the International Society for the Psychological Treatments of Schizophrenia (ISPS-NZ)and the Psychology Department of the University of Auckland invite you to:

The 5th AnnualMAKING SENSE OF PSYCHOSIS

ConferenceNovember 14 (workshops), 15 & 16 (conference), 2007

Keynote Speakers include:Paul Hammersley M.Sc., R.M.N.

School of Nursing Midwifery and Social Work, University of Manchester, EnglandCoordinator of the Campaign for the Abolition of Schizophrenia as a Label (CASL)

“A Future Without Schizophrenia?”

Dr. John ReadPsychology Department, The University of Auckland

“What the Public Thinks about Schizophrenia: Does It Matter?”

If you would like to give a talk about your work, personal experiences with psychosis, research, etc.,send an abstract of about 100 words by September 30th to [email protected].

Registration form at www.isps.org

8


THE INTERNATIONAL SOCIETY FOR THE PSYCHOLOGICAL TREATMENTSOF THE SCHIZOPHRENIAS AND OTHER PSYCHOSES BOOK SERIES

Series Editor: Brian MartindalePublished by Routledge

www.routledgementalhealth.com/isps

MODELS OF MADNESSPsychological, Social and Biological Approaches to Schizophrenia

Edited by JOHN READ, LOREN MOSHER & RICHARD BENTALL

Models of Madness promotes a more humane and effective response to treating severely distressed people that will prove essentialreading for psychiatrists and clinical psychologists and of great interest to all those who work in the mental health service.

PSYCHOSESAn Integrative Perspective

JOHAN CULLBERGForeword by Patrick McGorry

Psychoses provides a unique perspective on the challenges associated with understanding and treating psychoses,bringing together insights and developments from medicine and psychology to give a full and balanced overviewof the subject.

EVOLVING PSYCHOSISDifferent Stages, Different Treatments

Edited by JAN OLAV JOHANNESSEN, BRIAN V. MARTINDALE & JOHAN CULLBERGForeword by Norman Sartorius

Evolving Psychosis explores the success of psycho-social treatments for psychosis in helping patients recover more quickly andstay well longer. This book incorporates new and controversial ideas which will stimulate discussion regarding the benefits ofearly, need-adapted treatment.

FAMILY AND MULTI-FAMILY WORK WITH PSYCHOSISA Guide for Professionals

GERD-RAGNA BLOCH THORSEN, TROND GRØNNESTAD & ANNE LISE ØXNEVADForeword by Julian Leff

This accessible, jargon-free guide will be of great interest to anyone interested in investigating the potential forusing family work to treat those with psychosis.

EXPERIENCES OF MENTAL HEALTH IN-PATIENT CARENarratives from Service Users, Carers, and Professionals

Edited by MARK HARDCASTLE, DAVID KENNARD, SHEILA GRANDISON, & LEONARD FAGINForeword by Rachel Perkins

Experiences of Mental Health In-patient Care offers insight into the experience of psychiatric in-patient care,both from a professional and a user perspective. The editors highlight the problems in creating therapeutic envi-ronments within settings which are often poorly resourced, crisis driven and risk aversive.

9


OfficersPresident: Ann-Louise S. Silver, MD

President@isps -us.orgSecretary: Julie Kipp, PhD, LCSW

[email protected]: Julie Wolter, PsyD

[email protected] Co-Editors: Warren Schwartz,

PsyD, and Ayme Turnbull, [email protected]

Bulletin Editor: Brian Koehler, PhDBulletin@isps -us.org

Research Chair: (open)Listserv Moderator: Daniel Mackler, LCSW

[email protected] Editor: Martin Cosgro, PhD

[email protected] Chair: Jessica Arenella, PhD

[email protected] Chair: (open)U.S. Member, ISPS Executive Committee:

Ann-Louise S. Silver, MD

ISPS-US Executive CouncilHeads of Local BranchesBaltimore-DC: Brooke Morrigan, LGSW

[email protected] (in formation): Marilyn Charles, MD

[email protected]: Sheila Curren, PhD

[email protected]: Patricia L. Gibbs, PhD

[email protected] England: Ronald Abramson, MD

[email protected] York City: Brian Koehler, PhD

[email protected] California: Matthew Morrissey

[email protected] California: Martin Cosgro, PhD,

and Mary [email protected]

Honorary MembersGeorge Atwood, PhD; Gaetano Benedetti, MD;Anni Bergman, PhD; Maurice Green, MD;Joanne Greenberg, DHL; Leston Havens, MD;Bertram P. Karon, PhD; Dori Laub, MD:Harold F. Searles, MD; John Strauss, MD

Northern CaliforniaBranch ReportMatthew Morrissey([email protected])

The Northern California branch ex-perienced a lull in its organizing effortsthis past quarter due to the closing of FullSpectrum, which had been the base ofoperations as well as the meeting place forthe group. We hope to reorganize and tofind a new home soon, so stay tuned.

New York CityBranch ReportBrian Koehler([email protected])

New EnglandBranch ReportRonald Abramson([email protected])

The New England Branch of ISPS-US(ISPS-US-New England) has been meet-ing monthly at the home and with thekind hospitality of Max Day. Lately, themeetings have focused on the ideas of thecelebrated teacher and clinician, ElvinSemrad. Max Day has led the discussionswith readings that explain Semrad’s ideas,and there have been illustrative clinicalvignettes.

Following this, we have had Dr. PierreJohennet introduce us to thinking of La-can. Dr. Johennet plans to return in thenear future. Also, Dr. Mark Schechter hasintroduced our group to his ideas aboutvalidation in psychotherapy. These arederived partially from the psychoanalyticfield and partially from Dr. Marcia Line-han, who also founded Dialectal Behav-ioral Therapy. We are looking for expertsto help us understand the utilization ofCognitive Behavioral Therapy in the treat-ment of people who have major mentalillnesses.

Several new members and guests havejoined this group, and this regional branchcontinues its growth. We welcome variouspoints of view and different theoreticalsystems that contribute to understandingof the psychotherapy of psychoses and wehope to attract members from variedschools of thought and understanding.

The New York Branch of ISPS-UShas just completed its 12th year ofmonthly meetings. We continue to be co-sponsored by the Postdoctoral Program atNew York University. Recently, the latterdepartment moved to a new location sowe are also moving to a new location onFourth Street near Washington SquarePark in the East Village. Our meetings willresume in the Fall 2007 with poet KarenChase (author of "Land of Stone: Break-ing Silence Through Poetry") presentingon her work with psychiatric inpatients.Our group is open to all persons inter-ested in the subject of psychosis. Pleasecontact Brian Koehler [email protected] or212.533.5687 for further information onthe group.

Please consider a

submission to the

upcoming issue of

the ISPS-US

quarterly newsletter.

We seek submissions

on a variety of topics

related to the

experience

and treatment

of psychosis.

For information,

e-mail the editors at:[email protected]

10


ISPS-US would like to thank the following people fortheir generous donations (beyond dues) in 2007:

Jessica Arenella, PhD In memory of Alex R.Kenneth Blatt, MDThomas E. Fink, PhDJuliana D. Franz, MDPatricia L. Gibbs, PhDMaurice Green, MD In memory of Harry Stack SullivanMarvin Hurvich, PhD In memory of Elaine Schwager-HurvichMaurine Kelber Kelly, PhDRobert I. Kurtz, MDK. Ellen Lowenthal, Esq.Gertrude Mack, MSW, LCSW, CRSRoger Peele, MDCatherine L. Penney, RNWarren E. Schwartz, PsyDJean Silver-Isenstadt, MD, PhD On behalf of Ann SilverDaniel D. Storch, MDCharles Turk, MD

We count on your donations. To make a tax-deductible contribution to ISPS-US,please use the membership form in this issue or click the donation button on ourwebsite, www.isps-us.org. Thanks so much!

Note: If you made a donation but your name is not included, it’s because you didnot give us permission to print your name. Please let us know if we may thank youpublicly!

ISPS-US is a 501(c)(3) nonprofit organization.

Associated Psychological Health Services2808 Kohler Memorial Dr.Sheboygan, WI 53081Hours by Appt: Mon.-Sat. 9am-8pm________________________________________________________________________

We are a community-based psychological treatment center offering a broad range of psychological servicesincluding a comprehensive three hour per day and five hour per day enhanced group treatment program, featur-ing traditional and innovative individual and group therapies. Our specialized program offers an alternative tode-humanizing and coercive institutions that are ineffective in eliminating problems over the lifespan. Associ-ated Psychological Health Services is one of the only treatment centers supporting a patient’s choice to lowerand eliminate their use of and or need for drugs.

To find out more about APHS, please visit our website at www.abcmedsfree.com or call Dr. Toby Tyler Wat-son, Psy.D. at 920-457-9192. Dr. Watson can also be reached by email at: [email protected]

11


Combined ISPS and ISPS-US Membership ApplicationJoin/Renew your membership/Pass this on to a colleague/Have your institution join

(Please note: Local branches may assess additional dues.)

Name, degree(s) (as should appear in listing)___________________________________________________

Address________________________________________________________________________________

City_____________________State_____Zip___________Country (if not U.S.)______________________

Preferred phone number______________________ work / home / cell?Fax________________________

E-mail address_____________________________________

Web address___________________________

Institutional affiliation(s)__________________________________________________________________

Professional interests_____________________________________________________________________

Do you wish to join our e-mail discussion list? Yes / No

Do you wish to be listed in our member directory? Yes / No

Do you wish to be listed in our public web directory? Yes / No

Annual Dues:All professionals $75Institutional (Please include contact name and a 100-word description of organization): $125All others: $40NEW! Lifetime individual membership: $1,000

Additional tax-deductible contribution$10 / $25 / $50 / $100 / $250 / $500 / $1,000 / Other:_____

This donation is in memory of:This donation is on behalf of:

I'd like to earmark my donation for: (optional):__A scholarship for consumers, students and mental health workers to attend our meetings__Sponsorship for a low-income member__Upgrade our website to include video clips__Launching ISPS-US into self-publishing__Other_________________________________________________________________________

Do you wish to have your name listed as a donor in our newsletter? Yes/No

Total amount enclosed: $__________

Please make check payable to ISPS-US.Send to: ISPS-US Or join on the Web at www.isps-us.org

P.O. Box 491 E-mail: [email protected], PA 19072 Voicemail: 610-308-4744

ISPS-US is a 501(c)(3) nonprofit organization.

12


ISPS-USP.O. Box 491Narberth, PA 19072

NONPROFIT ORGU.S. POSTAGE

PAIDNARBERTH, PAPERMIT NO. 5

Place Your Ad in the ISPS-US Newsletter

Advertise your organization, private practice, conference, bookor journal in the quarterly ISPS-US Newsletter

Your ad will reach 300+ like-minded colleaguesfor one year (four issues)

Deadline: RollingWhen your ad and payment are received,

your ad will be placed in the subsequent four issuesof the ISPS-US Newsletter

For advertising rates and specifications, please e-mail Karen Sternat [email protected] or call her at (610) 308-4744

Documents

The Use of the Term ‘Schizophrenia’ Book Review ... · end of the book you will understand pre-cisely how existential phenomenology ... agents, endowed with intentionality and