The book is a psychoanalytic understanding of psychosis as a particular organisation of the personality, based on 'psychotic personality' (Bion) and 'pathological organisations' (Steiner). The theoretical development is traced through Freud, Klein and Bion, along with contemporary Kleinian authors. An important role is granted to psychic pain as the cornerstone of psychopathology, and particularly to the psychotic patient's difficulties in dealing with it. Bion's distinction between "feeling psychic pain and suffering it" is considered an indicator when evaluating the patient's ability to cope with psychoanalytic treatment. The author's experience with a schizophrenic patient is related in detail, offering a view of the patient and her relationship with the analyst from various different angles, and showing how the psychoanalytic method can be used to treat psychosis.

This volume offers a detailed and up-to-date analysis of the unmet needs of patients with psychoses and personality disorders. These include the needs associated with early detection of ultra-high-risk populations and first-episode psychosis; recognition of the trajectories of bipolar disorder and schizophrenia, recovery, early intervention, such as the use of LAIs, the conundrum of differential diagnosis in various personality disorders, and unsatisfactory quality of life, even in the presence of symptom control. Intended for clinical psychiatrists and other practitioners interested in mental health, this book helps them to manage the challenges of the diagnostic uncertainty in first-episode psychosis and timely interventions, since the earlier diagnosis is confirmed, the sooner multidisciplinary treatment can be implemented and plans for psychoeducation, and relapse prevention drawn up.

Psychotic Disorders: Comprehensive Conceptualization and Treatments emphasizes a dimensional approach to psychosis--one of the most fascinating manifestations of altered brain behavior--that cuts across a broad array of psychiatric diagnoses from schizophrenia to affective psychosis and organic disorders like epilepsy and dementias. Written by an international roster of over seventy leading experts in the field, this volume comprehensively reviews, critiques, and integrates available knowledge on the etiology, mechanisms, and treatments of psychotic disorders, and outlines ways forward in both research and clinical practice towards more objective, mechanistically-based definitions of psychotic disorders. Chapters address topics such as psychosis phenomenology, biomarkers and treatments, the overlaps and interfaces between psychiatric disorders within the psychosis dimension, and novel disease definitions. Furthermore, the volume incorporates findings on potential mechanisms, bridges between various system levels (i.e., genetic, epigenetic, molecular and cellular, brain circuit and function, psychological, social, environmental and cultural) and their interactions, as well as the potential role in causation and/or mediation in psychotic disorders. Finally, the volume outlines a broad array of treatment approaches, from the readily available (e.g., psychopharmacology, various modalities of psychotherapy) to the experimental (e.g., cognitive interventions, neuromodulation). With a concluding section of forward perspectives conjecturing future directions and related challenges, this book aspires to stimulate new knowledge, generate novel frameworks, and carry new directions forward on psychotic disorders.

On Freud’s “Neurosis and Psychosis” and “The Loss of Reality in Neurosis and Psychosis” explores these two key papers on the topics of psychosis and neurosis and their relationship to the unconscious and to reality. The contributors to this book approach these texts from both a historical and a contemporary point of view, highlighting their fundamental contributions and comparing Freud’s thoughts with modern psychoanalytic theory. The chapters demonstrate the ongoing richness of Freud’s work and his legacy by highlighting new ideas and developments and include both clinical vignettes and theoretical insight. The contributors also raise questions that deserve further study, about the understanding and treatment of psychosis in children, distinctions and similarities between autism and psychosis, and the way in which aspects of our rapidly changing world – social media, climate change, AI - influence the evolution of psychotic states. On Freud’s “Neurosis and Psychosis” and “The Loss of Reality in Neurosis and Psychosis” will be essential reading for psychoanalysts and psychoanalytically oriented clinicians in practice and in training. It will also be of interest to academics and scholars of psychoanalytic studies and to readers interested in how modern clinicians interpret Freud’s work.

Object Relations and Self Psychology are two leading schools of psychological thought discussed in social work classrooms and applied by practitioners to a variety of social work populations. Yet both groups have lacked a basic manual for teaching and reference -- until now. For them, Dr. Eda G. Goldstein's book fills a void on two fronts: Part I provides a readable, systematic, and comprehensive review of object relations and self psychology, while Part II gives readers a friendly, step-by-step description and illustration of basic treatment techniques. For educators, this textbook offers a learned and accessible discussion of the major concepts and terminology, treatment principles, and the relationship of object relations and self psychology to classic Freudian theory. Practitioners find within these pages treatment guidelines for such varied problems as illness and disability, the loss of a significant other, and such special problems as substance abuse, child maltreatment, and couple and family disruptions. In a single volume, Dr. Goldstein has met the complex challenges of education and clinical practice.

Therapeutic Communities for Psychosis offers a uniquely global insight into the renewed interest in the use of therapeutic communities for the treatment of psychosis, as complementary to pharmacological treatment. Within this edited volume contributors from around the world look at the range of treatment programmes on offer in therapeutic communities for those suffering from psychosis. Divided into three parts, the book covers: the historical and philosophical background of therapeutic communities and the treatment of psychosis in this context treatment settings and clinical models alternative therapies and extended applications. This book will be essential reading for all mental health professionals, targeting readers from a number of disciplines including psychiatry, psychology, social work, psychotherapy and group analysis.

Melanie Klein Today, Volume 1 is the first of two volumes of collected essays devoted to developments in psychoanalysis based on the work of Melanie Klein. The papers are arranged into four groups: the analysis of psychotic patients, projective identification, on thinking, and pathalogical organisation.

Psychosis and Near Psychosis offers a psychoanalytically-based approach to an integrated treatment of psychosis and near psychosis, achieved by organizing psychotherapy, medication, hospital and milieu interventions into a powerful therapeutic tool. The author navigates confidently between psychiatric and psychoanalytic approaches, between biological evidence and psychological assessments. According to Dr. Eric Marcus, since the past, so-called heroic psychoanalyses with psychotic patients have clearly been shown to fail, the time is now ripe again to discuss psychosis in terms of the broadened psychoanalytic theory, with the support of medication and a better understanding of the neuropsychological factors involved. This book, which maps out mental illness in concrete and innovative ways, will interest all researchers and clinicians eager to find the best means, both practical and theoretical, to initiate satisfying psychiatric therapies.