Psicosi: integrazione della sintomatologia, ristrutturazione dell'Io, riorganizzazione del Sè

Abstract

clinical practice identifies the reactivation of reality testing as the most achievable and desirable aim in the healthcare-specialized treatment of psychosis. In summary, in the cases of psychotic onset and similar scenarios, a positive intervention is represented by those circumstances in wich the patient is able to regain his status quo ante the acute phase of the disorder. This phase, just to be clear, is the on throughout which the most representative symptoms, such as delusions and hallucinations, arise determining the dissociative state-. In addition, if during the reorganization of reality testing thethe patient is able to have a critical position relating to his acute state, and thus, an acknowledgement that what he has gone through was just a period of "alteration of the normal neuropsychological functioning" or a "psychopatological disorder", syntesisable as the concept of "mental disease", then the most desirable therapeutic aim can be considered achieved. At that point , the healthcare staff will be able to deem that phase as being over, with the hope that no further episode occurs in the future, which would indicate a non-chronic development. In these circumstances, the acute phase is seen as a brief interval throughout which we have dealt with the disease in a sort of surgical way, as is with the removal of a cancerous tissue.Our experience, gathered over a ten-year period of clinical practice, has led us to believe that, if we listen and pay attention to the psychotic contents in the acute and non-acute phases, the therapeutic pathway may obtain benefits. This highlights the potential of the integration of a psychotherapeutic component and medical care as a way to alleviate the various forms of suffering, in addition to the usual treatments of psychosis.The integration also gives meaning to the personal experience of disease and, in the more opportune cases, reduces the dissociative relapses significantly.