Preprint / Version 1

How does psychoanalytic therapy address the complex interplay between psychotic symptoms, ego functioning, and self identity in individuals with schizophrenia

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  • Vedanth Prabhu 5876 Hillbrook Place

DOI:

https://doi.org/10.58445/rars.1689

Keywords:

psychology, Neuroscience, mental health

Abstract

This literature review aims to explore the role of psychodynamic therapy in treating schizophrenia, emphasizing its potential to amplify and enhance outcomes when utilized alongside traditional pharmacological treatments. Schizophrenia, a mental disorder marked by disrupted thought processes paired with auditory and visual hallucinations, is commonly treated with antipsychotics. The problem is that these treatments primarily target positive symptoms like hallucination but fail to address deeper psychological disturbances, which are commonly seen through the disorder’s negative symptoms. Psychodynamic therapy, with its focus on self-identity and ego functioning, offers a valuable complement to current medication by addressing the underlying psychological conflicts that contribute to schizophrenia. This literature review highlights how different psychodynamic techniques can strengthen the ego and prompt a cohesive s-identity while improving long-term psychological well-being in individuals with schizophrenia.



References

AS;, B. (n.d.). The environment and susceptibility to schizophrenia. Progress in neurobiology. https://pubmed.ncbi.nlm.nih.gov/20955757/

Seeman, P. (2009, March). Glutamate and dopamine components in schizophrenia. Journal of psychiatry & neuroscience : JPN. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647567/

H;, G. J. (n.d.). Tardive dyskinesia during and following treatment with haloperidol, haloperidol + biperiden, thioridazine, and Clozapine. Psychopharmacology. https://pubmed.ncbi.nlm.nih.gov/103110/

AA;, S. P. M. (n.d.). Current concepts and treatments of schizophrenia. Molecules (Basel, Switzerland). https://pubmed.ncbi.nlm.nih.gov/30127324/

The efficacy of psychodynamic psychotherapy. (n.d.). https://www.apa.org/pubs/journals/releases/amp-65-2-98.pdf

Boag, S. (2014, July 1). Ego, drives, and the dynamics of internal objects. Frontiers in psychology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4076885/

McIntosh, I., & Story, G. W. (2021, January 28). Psychotic PTSD? sudden traumatic loss precipitating very late onset schizophrenia. BMJ case reports. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7845727/

Leucht S;Corves C;Arbter D;Engel RR;Li C;Davis JM; (n.d.). Second-generation versus first-generation antipsychotic drugs for schizophrenia: A meta-analysis. Lancet (London, England). https://pubmed.ncbi.nlm.nih.gov/19058842/

Jauhar, S., Veronese, M., Nour, M. M., Rogdaki, M., Hathway, P., Natesan, S., Turkheimer, F., Stone, J., Egerton, A., McGuire, P., Kapur, S., & Howes, O. D. (2019, January 1). The effects of antipsychotic treatment on presynaptic dopamine synthesis capacity in first-episode psychosis: A positron emission tomography study. Biological psychiatry. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6269123/

NR;, C. C. (n.d.). Negative symptoms in schizophrenia: A review and Clinical Guide for recognition, assessment, and treatment. Neuropsychiatric disease and treatment. https://pubmed.ncbi.nlm.nih.gov/32110026/

Xu, F., & Zhang, H. (2023, August 11). The application of cognitive behavioral therapy in patients with schizophrenia: A Review. Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419479/

Grant PM;Huh GA;Perivoliotis D;Stolar NM;Beck AT; (n.d.). Randomized trial to evaluate the efficacy of cognitive therapy for low-functioning patients with schizophrenia. Archives of general psychiatry. https://pubmed.ncbi.nlm.nih.gov/21969420/

Rosenbaum B;Harder S;Knudsen P;Køster A;Lindhardt A;Lajer M;Valbak K;Winther G; (n.d.). Supportive psychodynamic psychotherapy versus treatment as usual for first-episode psychosis: Two-year outcome. Psychiatry. https://pubmed.ncbi.nlm.nih.gov/23244011/

Sharma, N. P. (2023, August 2). Psychoanalytic therapy. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK592398/

Showers, C. J., Ditzfeld, C. P., & Zeigler-Hill, V. (2015, October). Self-concept structure and the quality of self-knowledge. Journal of personality. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4346517/

Author links open overlay panelS. Manojlovic, & Understanding the meaning and dynamics of the phenomenological expression of schizophrenia enables the possibility of having a dialogue with schizophrenic individual. The theoretical framework of analytical psychology offers the possibility of understandi. (2013, July 8). 1279 – the ego - self axis in patients with schizophrenia. European Psychiatry. https://www.sciencedirect.com/science/article/abs/pii/S0924933813763429

G;, K. P. (n.d.). When the World Breaks Down: A 3-stage existential model of nihilism in schizophrenia. Psychopathology. https://pubmed.ncbi.nlm.nih.gov/34198308/

Prasko, J., Ociskova, M., Vanek, J., Burkauskas, J., Slepecky, M., Bite, I., Krone, I., Sollar, T., & Juskiene, A. (2022, August 11). Managing transference and countertransference in cognitive behavioral supervision: Theoretical framework and clinical application. Psychology research and behavior management. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9384966/

Chokhawala, K. (2023, February 26). Antipsychotic medications. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK519503/

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2024-09-26