精神分裂症：科学、心理分析与文化

English | 248 pages | Karnac Books (February 12, 2022) | 1800131208 | PDF | 6 Mb

Kevin Volkan and Vamik Volkan present a comprehensive study of schizophrenia using a psychoanalytic lens on the existing interdisciplinary research. Over the last seventy years, mainstream research on the causes, prevalence, and treatment of schizophrenia has greatly diverged from psychoanalytic thinking. However, the emergence of the field of neuropsychoanalysis brings hope that psychoanalytic metapsychology and clinical theory may once again provide valuable insight into understanding schizophrenia.

Psychoanalytic treatment may not be appropriate for many sufferers but psychoanalysis does provide insight to inform and improve treatment. It can also illuminate what aspects of schizophrenia are common across cultures, where they present unique characteristics, and just how cultural variations occur. For any future improvement in understanding and treating schizophrenia, the cultural underpinnings and expressions of schizophrenic illness need to be made clear.

For clinicians in the field, the authors' aim is to deepen insight and promote the use of psychotherapy and integrated treatments, while increasing sensitivity to cultural variations in schizophrenic disease. Accordingly, this book is divided into four sections. The first gives a brief overview and outline of the mainstream understanding of schizophrenia. The second drills down to focus on general psychoanalytic ideas about schizophrenia, culminating with a focus on problems with early object relations. The third looks at how psychoanalytic treatment can be successful in some cases. The fourth and final part discusses how views of the disorder and the disorder itself are affected by culture.

The authors hope to generate insight and understanding of schizophrenic disorders which could lead to new approaches to treating and possibly preventing schizophrenia. It is a must-read for all clinicians and trainees working in the field and presents interesting ideas to anyone with an interest in the subject.

Kevin Volkan和Vamik Volkan以精神分析的视角对现有的跨学科研究中的分裂症进行了全面的研究。在过去七十多年中，主流关于分裂症原因、流行率及治疗的研究与精神分析思维大相径庭。然而，神经精神分析领域的出现带来了希望，即精神分析的基本心理理论和临床理论可能再次为理解分裂症提供有价值的信息。 虽然精神分析对许多患者来说可能不适当，但精神分析确实提供了洞见以指导并改善治疗方式。它还可以揭示精神分裂症在文化间具有一致性的地方、其独特表现形式以及如何出现这些文化的差异。对于未来理解及治疗分裂症的任何改进，都需要明确疾病的跨文化基础和表达。 对领域内的临床医生来说，作者的目标是加深洞察并促进心理疗法及整合治疗方法的应用，同时提高对其它精神分裂症疾病中的文化变异性敏感度。因此，这本书被分成四部分。第一部分简要概述了主流对分裂症的理解。第二部分深入探讨了关于分裂症的一般精神分析思想，并以早期对象关系的问题作为总结。第三部分审视了在某些情况下精神分析治疗成功的可能性。第四和最终部分讨论了观点如何受文化因素影响及疾病本身如何受到文化的影响。 作者希望产生有关分裂症的新见解，这可能会带来新的治疗方法甚至防止分裂症的发生。对于所有正在从事这一领域的临床医生及训练者来说，这是一本必读之书，并且对任何对这个话题感兴趣的读者也提供了有趣的观点。

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