Unraveling Psychosis: Psychodynamic Treatment of Psychosis - Danielle Knafo, PhD

  Рет қаралды 6,580

ISPS US

ISPS US

Жыл бұрын

This presentation was a session at the ISPS-US 2022 National Conference in Sacramento, CA. Thank you to our sponsors The California School of Professional Psychology (CSPP) at Alliant International University: www.alliant.edu/schools/cspp
The International Society for Psychological & Social Approaches (ISPS-US) promotes psychological and social approaches to states of mind often called "psychosis" in treatment, education, and advocacy through collaborations between service providers, experts by experience, and family members. Join ISPS-US as a member by visiting www.isps-us.org
Session Description
In this presentation, I will discuss my psychoanalytic approach to meeting the challenges of working with psychotic individuals or individuals experiencing extreme states. This approach focuses primarily on providing safety, forging a working alliance by meeting the patient where they are and allotting them maximum personal agency, understanding their symptoms as attempts at adaptation and restoration of the self, and working with the transference and countertransference.
About the speaker:
Dr. Knafo is a clinical psychologist and psychoanalyst. She has chaired a concentration on Serious Mental Illness at LIU's PsyD program for 22 years, and she has treated persons diagnosed with psychosis for 40 years. She is completing a book (with Michael Selzer) titled From Breakdown to Breakthrough: Psychodynamic Psychotherapy of Psychosis (Routledge).

Пікірлер: 27
@empress12347
@empress12347 25 күн бұрын
I have been though Psychosis three times in my life. I now work in mental health as an occupational therapy assistant. I would love to talk Danielle about my experience and what I have learnt.
@solrart
@solrart 7 ай бұрын
This was very educational and inspirational. Thanks for uploading. 😃👌
@kimlec3592
@kimlec3592 Жыл бұрын
Thank you for these talks.
@alizaofbrooklyn
@alizaofbrooklyn 6 ай бұрын
This talk is SO good
@John26767
@John26767 6 ай бұрын
As fascinating as this sounds, as someone who has gone through psychosis I would like to share my thoughts if I can have a little of your time. 🙂 So firstly I think a much better approach to hallucinations is to bring someone to a place of "unattachment" and "unaffected" by them. Using an analogy of a child and parent, I am sure one will agree that many children approach their parents proclaiming to have seen or heard something at some point, and as it affects their "emotional stability" they often approach their Mum's because Mums tend to be better attuned to their child's emotional state, and how to address it, plus she is also more likely to be understanding and sympathetic. The Mum's approach is probably to ask her child what they have witnessed and assess the "emotional" impact it has had on them. This validates their experience from a place of care and respect. After their child has relayed their experience they approach the "emotional" impact it has had on them. Using the example you gave in this video, she saw a hallucination going back and forth. A Mum might neutralise the "emotional impact" by asking the child is this person threatening you (is it something that should trigger their flight/flight etc), is its nature of any significance (does it mean anything, or is it simply being). After a really brief analysis the hallucination through a process of "comparing notes", is deemed as nothing to be concerned about, the child returns to a state of emotional equilibrium, knows it can talk about such things and that they will be heard from a place of "care and parental love", but more importantly they have learned what they experienced is nothing to be alarmed about and can be "dismissed" as such, and if and when they experience something similar again they have a mental checklist to work from (is it dangerous, does it have any significance), and if the answer is no to both they dismiss as "unimportant" and continue their day as if nothing happened. To be "untriggered" is to be "unaffected" and from a therapy perspective this is also a much more efficient use of time vs money too, and for the client they have a quick answer, plus an education in how to address such phenomena should they experience something again, and the key here is neutralising the emotional impact which brings someone back to "mental stability". What does really stand out is your caring and wanting to dig deep into analysis to find deep routed causes. Here is the quick answers that you perhaps were looking for. Firstly using the child and parent analogy I gave I think it's clear there doesn't need to be any underlying instability/cause etc. for someone to see and hear things others don't. What is relevant to the afflicted at the time is what they perceive to be experiencing and more importantly the "emotional impact" it is having on them, which is why dismissing as insignificant is probably a much healthier way of dealing with such phenomena. Then we move onto something that is important and that is "emotional and mental stability". If we use an analogy of a twin weighing scale, when it's in a state of equilibrium it could be deemed as being in a state of peace. Now a slight weight on one side could put that weighing scale into a alarmed/out of equilibrium state. Now imagine a screw between the scales and if we tighten that screw at its core, how it becomes more rigid and less affected/inflicted when weight is added compared with before. Hopefully you will agree with me when I say we approach all manner of life's unpredictable encounters (whether that be people interactions or situations beyond our control), from a "foundation of our understandings". Now the healthier that foundation we have (our perception of ourselves and our capabilities) the more positive and less anxious we are going to be when "facing the unknown". Someone filled with self-belief is more likely to look for and find ways to overcome all manner of life's obstacles vs someone who has a defeatist outlook on themselves. And here we move onto the Spiritual approach (I am not a health professional etc). and that is the ability to navigate life playing to one's strengths and building on all that has gone before. The key to Spiritual health and growth is to live a authentic life, true to oneself and true to others. It is the foundation of someone's true identity (the core of their life force/energy), and as we navigate life we grow accordingly, forever building on that strong and solid foundation. This is also a parallel to mental strength/stability, self-awareness, self-pride and self-belief. The very first runner to authenticity is to become self-aware and is achieved through a process of "self-acceptance". This is acknowledging everything about oneself, their strengths and weaknesses and all manner of characteristics about themselves, the good and the bad. The next process is to take ownership and arriving at a place of one's true identity, and at this point someone may very well notice elements they really aren't happy about (some might call it their shadow self). Thing is we now have the option to continue as we are, or become the person we can be proud of, in effect creating a new platform for ourselves in turn. A lot of what we aren't happy with at that point can probably be discarded, (we acknowledge these were traits of ourselves, but we no longer choose to continue in that same way), but the thing is until we are honest with ourselves and consciously aware of our flaws we will have a really difficult time of trying to bring about meaningful change. To be conscious of our entirety and to have a vision of where we want to be is to have focus and momentum and direction of becoming the best version of ourselves. This can also be deemed as a process of self-cleansing as we work to resolve the negative aspects of ourselves (or our shadow self as some might say). To be proud/content with ourselves is to have a element of peace, and to live a authentic life is to not having to mask, and anything we gain has been earned from a foundation of truth rather than lies... It is in effect giving oneself meaning and purpose and direction in life, heading in their most natural direction to fruition. Authenticity is truth, whereas the ego is often built around lies etc. as one tries to compensate for their flaws etc. creating a false persona in turn. Hope this has been of some help/value. ❤
@maureenleier5381
@maureenleier5381 22 күн бұрын
Remarkably helpful and insightful perspective. Many thanks for taking the time to articulate this so beautifully.❤
@angelatakano6072
@angelatakano6072 9 ай бұрын
Dr Danielle, what you wrote is so beautiful, It brought tears to my eyes because it is so true , you are a wonderful and sensitive therapist, how to find you ? I would like you to treat a person I know and love
@stevekaylor5606
@stevekaylor5606 4 ай бұрын
The development of a mental + emotional dedication, a cathexis - is what Mental Health is!
@everydaybutterfly1
@everydaybutterfly1 3 ай бұрын
Wow thank you so much this really helps me understand more
@yusaaziz3214
@yusaaziz3214 Ай бұрын
This is great explanation
@jenniferfinlayson8503
@jenniferfinlayson8503 Жыл бұрын
Thankyou very much.
@hablefikirwolle1733
@hablefikirwolle1733 8 ай бұрын
Thanks for ur explanations
@vicentebenedito5873
@vicentebenedito5873 6 ай бұрын
Incredibly ❤❤❤❤❤❤❤❤❤
@socialcommentarybyxagan7362
@socialcommentarybyxagan7362 3 ай бұрын
The reason for the anger for psychosis used to be the bipolar disorder, which many of them are suffering with...over thinking of negative memories from the past.. sometimes memories from the very past...a reputation of negativity...
@angelgaudet3697
@angelgaudet3697 17 күн бұрын
That would be OCD I think
@lordtains
@lordtains 5 ай бұрын
Such a wonderful talk! Very inspiring. Encouraged me to buy her book on psychosis.
@nozcego
@nozcego 2 ай бұрын
Dr Danielle, are you taking new patients? Do you do sessions online?
@ancabostinariu6550
@ancabostinariu6550 5 ай бұрын
Nice work ! Are the patients treated with medications?
@stevekaylor5606
@stevekaylor5606 4 ай бұрын
Neurotoxic drugs
@Csio12
@Csio12 6 ай бұрын
How tragic to be left so so lonely
@beherenow3270
@beherenow3270 Жыл бұрын
Is there a way to get a transcript of this talk? Thank you.
@isps_us
@isps_us Жыл бұрын
Yes, try here: us02web.zoom.us/rec/sdownload/a2UZotjyuWlI00JXWDMTgMEOHRJKE9lIOEwxntbODa3l68U9D6bPTtVzBOO_oxBec5FecaqbPw721-s.8odqvXkLuN93og5n
@beherenow3270
@beherenow3270 Жыл бұрын
@@isps_us Thank you.
@ancabostinariu6550
@ancabostinariu6550 5 ай бұрын
Observing ego or just learned through interaction with others?
@wendelldenney2406
@wendelldenney2406 Ай бұрын
kzfaq.info/get/bejne/m5p6hMSeyNeWZJc.html
@sr2291
@sr2291 5 ай бұрын
Define what "psychosis" is and what it is not before you discuss it, please.
@weantoine
@weantoine 5 ай бұрын
The speaker most likely believes that if the watcher did not enter this video with the required knowledge to comprehend the subject, that the watcher would 'seek and find.'
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