The use of direct confrontation: the treatment-resistant schizophrenic patient

Schizophrenics are often labeled treatment-resistant because the psychological treatment they receive is seldom appropriate for their needs. Specialized psychotherapy for schizophrenia is available but rarely used. Training in these methods is difficult to find. If we are to treat schizophrenia succ...

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Bibliographic Details
Published inActa psychiatrica Scandinavica Vol. 81; no. 4; p. 352
Main Authors Rosberg, J, Stunden, A A
Format Journal Article
LanguageEnglish
Published United States 01.04.1990
Subjects
Defense Mechanisms
Humans
Patient Compliance
Physician-Patient Relations
Psychotherapy - methods
Schizophrenia - therapy
Schizophrenic Language
Schizophrenic Psychology
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Summary:Schizophrenics are often labeled treatment-resistant because the psychological treatment they receive is seldom appropriate for their needs. Specialized psychotherapy for schizophrenia is available but rarely used. Training in these methods is difficult to find. If we are to treat schizophrenia successfully, we must rethink the treatment and training process, modify our views and teach interventions that force the patient to respond to the demands of the therapist. Professionals must learn that change occurs because the therapist is stronger than the psychotic defenses of the patient, i.e., the patient's resistance to treatment.
ISSN:0001-690X
DOI:10.1111/j.1600-0447.1990.tb05463.x