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Biomedical subjects

S T Levy

Publications and source records attributed to S T Levy.

22 records · Page 2Linked to original sources

Countertransference aspects of pharmacotherapy in the treatment of schizophrenia.

Emphasis is placed on largely unconscious aspects of the therapeutic relationship which determine the inappropriate or untimely use of psychotropic drugs, particularly on the therapist's response to the regressive modes of relating and sharing emotional experience which characterize therapeutic work with schizophrenic patients. Case examples illustrate the use of drugs to establish interpersonal boundaries, to disavow frightening feelings within the self, and to renounce forbidden regressive pleasures-thus defending against the regressive pull of the developing symbiotic relationship. The effect of postpsychotic depression on the therapeutic relationship is explored with regard to the dynamics of psychotropic drug usage in treatment.

Adult↗

Integration and sealing over. Clinically distinct recovery styles from schizophrenia.

Concepts of integration and sealing over are common clinical psychiatric parlance. Our experience studying and treating acute schizophrenic patients, primarily with psychosocial techniques, has emphasized the meaningfulness of these concepts. By studying the recovered patient's attitude toward his psychotic experiences, we have obtained material from which to formulate definitions and these concepts. Integrators tend to be curious about their symptoms, regard them as part of their life's pattern, and gain information from them, resulting in a more flexible and variable attitude toward illness than patients who seal over. The latter have rather fixed, usually negative, views of their illness, and tend not to strive to understand their psychotic symptoms nor to place their psychotic experiences in perspective with their lives before and after psychosis.

Acute Disease↗

Integration and sealing-over as recovery styles from acute psychosis.

Integration and sealing-over are terms frequently used to describe different types of recovery from acute psychosis. Metapsychological and dynamic propositions regarding integration and sealing-over as recovery styles are presented and illustrated with clinical case material. Particular emphasis is placed on the different modes of conflict resolution characteristic of integration and sealing-over. The ego operations underlying these modes of conflict resolution are discussed.

Acute Disease↗