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The Shared Image Guiding the Treatment Process

A Precondition for Integration of the Treatment of Schizophrenia

Published online by Cambridge University Press:  06 August 2018

Jukka Aaltonen  and
Viljo Räkköläinen
Jukka Aaltonen*
Affiliation:
Department of Psychology, University of Jyväskylä, Finland
Viljo Räkköläinen
Affiliation:
Department of Medicine, University of Turku, Finland
*
∗PO Box 35, SF-40320, Finland
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Abstract

The aim of the study reported here was to develop psychotherapeutic in-patient treatment for acute schizophrenia, following the principles of a need-adapted approach. To improve the integration of experiences which hospital staff have with acutely psychotic patients and their families, systematic supervision sessions were organised. In these sessions, it was possible to achieve shared psychological images through which the whole staff could integrate patients' behaviour and symptoms, both symbolic and non-symbolic. Such an image was called ‘the shared image guiding the treatment process’ (SIGTP). The process of achieving the SIGTP was interpreted through Peircean semiotics, especially the concepts of indexical, iconic, and symbolical signs. An SIGTP was considered to have been achieved in the early phase of the supervision process in 32 of the 54 cases. For the patients, SIGTP and the need-adaptation connected with it meant achieving a more realistic and more functional ordering of their experiences.

Type
II. The Treatment of Schizophrenia
Information
The British Journal of Psychiatry , Volume 164 , Issue S23: Integrated Approach to Schizophrenia , April 1994 , pp. 97 - 102
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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References

Aaltonen, J. (1991) Image guiding the treatment process in the family-centred supervision process. Paper read at 3rd World Family Therapy Congress, Jyväskylä, 2–6 June 1991.Google Scholar
Aaltonen, J. & Räkköläinen, V. (1993) Integrating systemic and psychoanalytic approaches to schizophrenia in a psychiatric ward. In The Psychotherapy of Schizophrenia (eds Benedetti, G. & Furlan, P. M.). Göttingen: Hogrefe & Huber.Google Scholar
Aaltonen, J. & Räkköläinen, V. (1989) Integrering av systemiske og psykoanalytiske tilnaermingsmåter til schizofreni i en psykiatrisk avdelning. In Livslinjer: Psykiatri og Humanisme (eds Gilbert, S., Haugsgjerd, S. & Hjort, H.). Otta: Tano.Google Scholar
Alanen, Y. O., Räkköläinen, V., Laakso, J., et al (1986) Towards Need-Specific Treatment of Schizophrenic Psychoses. Berlin: Springer.Google Scholar
Alanen, Y. O., Anttinen, E. E., Kokkola, A., et al (1990) Treatment and rehabilitation of schizophrenic psychoses: the Finnish treatment model. Nordic Journal of Psychiatry, 44, (suppl. 22), 8.Google Scholar
Alanen, Y. O., Lehtinen, K., Räkköläinen, V., et al (1991) Need-adapted treatment of new schizophrenic patients: experiences and results of the Turku Project. Acta Psychiatrica Scandinavica, 83, 363–372.Google Scholar
Fiske, J. (1982) Introduction to Communication Studies. New York: Methuen.CrossRefGoogle Scholar
Hookway, C. (1985) Peirce. London: Routledge & Kegan Paul.Google Scholar
Kernberg, O. (1976) Object Relations Theory and Clinical Psychoanalysis. New York: Jason Aronson.Google Scholar
Lincourt, J. M. & Olczak, P. V. (1974) C. S. Peirce and H. S. Sullivan on the human self. Psychiatry, 37, 78–87.Google Scholar
Peirce, C. S. (1960) Collected Papers of Charles Sanders Peirce (ed. Burks, A. W.) Vol. VI. Cambridge, MA: Harvard University Press.Google Scholar
Percy, W. (1972) Toward a triadic theory of meaning. Psychiatry, 35, 1–19.Google Scholar
Räkköläinen, V., Lehtinen, K. & Alanen, Y. O. (1991) Need-adapted treatment of schizophrenic processes: the essential role of family-centred therapy meetings. Contemporary Family Therapy, 91, 573–582.Google Scholar
Singer, M. (1980) Signs of the self: an exploration in semiotic anthropology. American Anthropologist, 82, 485–507.Google Scholar
Stanton, A. A. & Schwartz, M. S. (1954) The Mental Hospital. New York: Basic Books.Google Scholar
Strauss, A. L. (1988) Qualitative Analysis for Social Scientists. Cambridge: Cambridge University Press.Google Scholar
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