2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
I must say right away that we are not talking about a psychotic state in the traditional psychiatric sense, when we talk about a certain register of symptoms - hallucinations, severe thinking disorders, confusion syndromes, etc.
I will try to describe patients living at the psychotic level of functioning. Not in scientific terms, and without pretending to be an exhaustive or complete picture. And the way I see them in my work personally.
These are patients, usually with significant adhesive power, affectionate, sometimes sticky and intrusive, sometimes touching devotees.
Patients who, due to the availability of primary processes, can sometimes at the first stages of work give the impression of being very conscious and understanding everything - but in fact, these are just signs of weakness of mature defense mechanisms and direct access to deep levels.
They fantasize a lot, and their fantasies are often the source of one of life's significant pleasures.
These are patients who live with a feeling of confusion and constant chaos inside, unable to organize and build the reality around them into understandable schemes. Or, on the contrary, very rigidly and rigidly following constructions that are clearly absurd and not reflecting reality.
Throughout their lives, they constantly face their own inadequacy and inadequacy, and one of their leading needs is to confirm their normality, to gain understanding where they are appropriate and perceived adequately.
Filling this lack of understanding of themselves and the people around them, they often become clients of various psychological trainings, but it turns out very badly to use advice oriented towards neurotics in practice. Or rather, when you try to use them, paradoxical things happen. For example, taught to be "liberated" such a patient can easily take off his shirt in a restaurant - he is hot, but what's wrong with that?
But, for all their isolation from the world around them, they are very perceptive, and always subtly feel where you are sincere, and where you hide behind formal phrases.
The psychotic level seems to bare the soul, shows very clearly and mercilessly what kind of person is in front of you. Meanness and unselfishness, kindness and heavy hatred - everything that is in this patient will be presented as if in a concentrated, very frank format.
The world of psychotics is, for all its contradictions and confusion, a very honest world. And frank to toxicity.
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