Abstract
This paper seeks to be a perspective of psychodynamic psychiatry, an attempt to explain the delirium of a patient with schizophrenia over 30 years old, who has lost his home, identity card and inner coherence of the Ego. He lives in a space - as real as it is symbolic - inside a psychiatric polyclinic and expresses his free consent to expose his personal perspective, an interpretive one on his own life, in which we glimpse fragments of former truths, through cosmogonic delirium. The paper also describes the countertransference reactions aroused in the participants in the working group, and, especially, the importance of unconsciously supporting such a patient with multiple hospitalizations in psychiatric departments, so as superimposed to the antipsychotic background he can be able to recompose his old personality.
Highlights
Psychology and psychiatry work together every time a psychiatric patient is involved
Searching beyond the clinical psychiatric classification, the clinician sees the verbal and non-verbal communication with the subject, analyzing the nonverbal and paraverbal aspects involved in the same time with patient speech
Due to the multiple confabulations and the polymorphic delirium, it is difficult to establish the chronological evolution of the disease; the patient states that the onset was around the 1990s with the registration in the Psychiatric Polyclinic in ‘94 (“I set my place there since ‘94”)
Summary
Psychology and psychiatry work together every time a psychiatric patient is involved. Searching beyond the clinical psychiatric classification, the clinician (psychologist or psychiatrist) sees the verbal and non-verbal communication with the subject, analyzing the nonverbal and paraverbal aspects involved in the same time with patient speech. The words a patient with schizophrenia use convey important information about internal states, feelings, and views of the world around him. Freud said that in schizophrenia, reality and unconscious depths are converted into words by way of hallucination. He sees hallucinations as both wish fulfillment and distorted history. Hallucination acts a way in which psychotic processes organize raw material for the personality. As all other categories of patients, these patients have the same health insurance and they should be treated with the same respect: their privacy, cultural and religious beliefs must be protected, and they must be safeguarded against receiving unnecessary medications or maltreatment from other patients or persons (Trifu, 2016)
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