[Psychodynamically oriented inpatient treatment of psychotic patients--a contribution to psychotherapy continuing education in clinical psychiatry]

Abstract

Chances and problems of integrating a psychodynamic model of psychosis in psychiatry are pointed out by means of case studies and experiences in supervising psychiatric teams. The analysis of the interpersonal and institutional mechanisms of defence and the acting communication in the doctor-patient-relationship takes a central position in a therapeutic concept. Psychotherapeutical training of psychiatrists is confronted with the unconscious material that psychiatric institutions consist of. Focussing on this institutional tension field in supervision contributes to the development of a context-related psychotherapeutical attitude in the clinical psychiatrist. This prevents collusive patterns of relationship and enables us to establish necessary modifications of treatment.