Table 1: Stages in the Psychological Resolution of Schizophrenia.
|
Stages of Psychological Therapy of
Schizophrenia: Dr. Michael Robbins |
PPCC Model of patient's mind: Dr.
Gillian Steggles |
Stages in the patient's experience |
1. |
Protopathosymbiosis (parasitism): patient's
identity is invested in her psychotic state. |
Patient
is unable to function healthy using her impoverished representational world. |
Patient
feels alienated in her environmental world, suffering from painful
schizophrenic confusion. |
2. |
Engagement:
patient's sense of individuality is threatened. |
Patient
unconsciously includes analyst in her representational world. |
Patient
attempts to engage with analyst: she may be well-defended. |
3. |
Pathosymbiosis: may lead to collusion and Stage 3b: Therapeutic
Stalemate. |
Patient's
'blocked' schizophrenic mindset may prevent insightful interaction with
analyst. |
Tendency
towards comfortable (but false) assumptions with analyst: reality cannot be
contemplated. |
4. |
Disengagement
from pathological symbiotic collusion. |
Patient
succeeds in rejecting her previous maladaptive relationships and unhealthy
engagements in her representational world. |
Patient
works at reviewing her relationships and contemplating reality. |
5. |
More
Normal Symbiosis: growth-promoting. |
Patient
is awakened to the reality of her life in all its (painful) aspects of Time,
Place and Person in context. |
Patient
is able to address reality with her analyst; she suffers intolerable
experience of herself; she begins to understand her conflicts; she absorbs
good feelings from the analyst; she begins to experience her own
self-identity positively. |
6.
|
Psychic
Differentiation and Integration |
Patient
evolves into a discrete, integrated individual. |
Patient
can contain her own emerging integrated mental life successfully as a
discrete individual, relating well to the analyst and individuating from him.
Patient evolves into her own independent autonomy. |
7. |
Therapeutic
Termination. |
Patient's
mind is self-sufficient. |
Patient
leaves therapy with her difficulties resolved. |