Black and white picture of woman
CPD Credits
3
Event Type
Recorded Event
Location
Your TR Together account
Standard
£67.50
Trainee/NHS
£57.38
Buy Recording
Black and white picture of woman

Psychoanalytic Treatment of Psychosis

From breakdown to breakthrough

With Danielle Knafo

Psychoanalytic treatment of psychosis is rarely taught in trainings, and unfortunately a lack of preparedness results in avoidance of such work. Our speaker Dr. Knafo brings both theoretical understandings, clinical technique and case material in order that psychotherapists may feel more confident to engage with this challenging work. 

Our speaker conceptualises psychotic symptoms, such as delusions and hallucinations, as a person’s attempt to cope under highly stressful, traumatic or isolating circumstances. She emphasises the importance of therapists reading and responding to unconscious messages embedded within the symptoms. In this work there is an emphasis on the importance of collaborating with and utilising non-psychotic self-parts to aid recovery and the importance of containing strong transference and counter transference experiences.

In the first session of the seminar Dr Knafo introduces a psychoanalytic approach to working with psychosis. The theoretical talk is followed by two case presentations illustrating both the creativity within psychotic symptoms and the creativity needed to work with psychosis.

There was time for discussion with attendees in both parts of the seminar. The aim of the seminar is to cultivate a deeper understanding of the roots of psychotic illness and the possibilities in working psychoanalytically with this patient group. 

Programme

Introductions
Working with Patients Affected by Psychosis

Dr Knafo will delineate the major tenets of psychodynamic therapeutic work with psychosis including providing safety, forging a working alliance by meeting the patient where they are and allotting them maximum personal agency. Critical to this work is understanding psychotic symptoms as attempts at adaptation and restoration of the self, coping with loneliness in patient and analyst as well as working with the transference and countertransference. This work focuses on strengths as well as weaknesses viewing the patient as a whole person rather than a collection of symptoms and prioritising the subjective experience and affect. In sum, we focus on the patient as a true collaborator in their own treatment. 

Discussion & Q&A
Break
Courage and Creativity in Two Case Presentations

Dr Knafo will discuss the link between creativity and psychosis from both the patient's and the analyst's viewpoints, providing clinical vignettes that demonstrate how a psychotic break can necessitate the creation of alternative realities for coping and, in turn, demand creative engagement from the therapist. In this context. the analyst navigates unchartered territory without a map or precedent by stepping into the patient's world. The first case will illustrate the creativity required to decipher and work with a patients' delusions and hallucinations and the second case will demonstrate how to reach a patient who has been deemed unreachable. Working with psychosis presents the ultimate challenge to our limitations because it requires courage and creativity.

Discussion with Q&A
End