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Alanen, Yrjö, Lehtinen V, Lehtinen K, Aaltonen J, Räkköläinen V (2000) The Finnish Integrated Model for Early Treatment of Schizophrenia and Related Psychoses. In Martindale B, Bateman A, Crowe M, Margison F (eds) Psychosis: Psychological Approaches and their Effectiveness. Putting psychotherapies at the centre of treatment. London: Gaskell Press. Clinical Standards Advisory Group (1995) Schizophrenia. Vol 1. London: HMSO. Freud S (1914) Remembering, Repeating and Working Through (Further recommendations on the Treatment of Psychoanalysis, II) SE 12.

British Journal of Psychiatry 157: 571–7. Lehman AF (1998) The role of mental health research in promoting effective treatment for adults with schizophrenia. Journal of Mental Health Policy and Economics 1(4): 161–72. Lehman AF, Steinwachs DM and the Schizophrenia PORT Co-investigators of the Project (1998) Patterns of usual care for schizophrenia: initial results from the Schizophrenia Patient Outcomes Research Team (PORT) client survey. Schizophrenia Bulletin 24: 11–20. Lindhardt Anne (1995) Psychotherapy in the Training in Psychiatry.

I have found that when I do this, the patient feels relieved. Another is to help patients sort out, organize and prioritize incoming associations by reminding them, tactfully and analytically, of their difficulty in these procedures. 20 A Language for Psychosis Case illustration LS is a 42-year-old high-school teacher who is married and the mother of a 12-year-old daughter. She has been in psychoanalysis with me for ten years. When I first saw her I formulated the diagnosis of a schizotypal personality (DSM IV, Axis II) with a proclivity to decompensation into psychosis (Axis I).

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