Customer Service | Help | FAQ | Report a Data Error | About
:
Login
Tip: To see translations of this article…

PEP-Web Tip of the Day

When there are translations of the current article, you will see a flag/pennant icon next to the title, like this: 2015-11-06_11h14_24 For example:

2015-11-06_11h09_55

Click on it and you will see a bibliographic list of papers that are published translations of the current article.  Note that when no published translations are available, you can also translate an article on the fly using Google translate.

 

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Fagin, L. (2005). Suffering insanity: Psychoanalyic essays on psychosis R.D. Hinshelwood Hove: Brunner Routledge. 2004. 200 pp.. Int. J. Psycho-Anal., 86(4):1223-1228.

(2005). International Journal of Psycho-Analysis, 86(4):1223-1228

Suffering insanity: Psychoanalyic essays on psychosis R.D. Hinshelwood Hove: Brunner Routledge. 2004. 200 pp.

Review by:
Leonard Fagin

Working in a reflective manner with patients in modern psychiatric services is becoming increasingly difficult. Many pressures conspire against the exploration of feelings that are engendered by the appearance of major psychotic disorders, cruelly often making their entry in early adulthood and with potential catastrophic consequences for those who suffer from their symptoms and those involved in a caring capacity, either family or statutory services. Hinshelwood's new book of essays is a welcome addition from a psychoanalytic practitioner, reminding us of the need to keep at the forefront of our interventions the persons behind the symptoms and, equally as important, the emotional burden and impact on those selected by kinship or career choice to be involved in their care.

Going back to the late 1960s, Scott and Ashworth (1967) and Scott et al. (1993) explored how the appearance or suspiciousness of madness induces characteristic responses in families, a term the authors describe poignantly as ‘closure’, when the everyday business of human interrelatedness becomes brutally interrupted by a diag nosis, which renders those assigned by such as possessed by an alien process which depersonalises interactions. This process can equally clearly extend to professional services, sometimes under the benign guise of an overemphasis on evidence-based medical approaches, performance-linked psychiatric practices or user-and carer-empowerment measures. An important finding from the research led by the recently deceased Scott, now sadly neglected, was that people thus diagnosed were not necessarily passive agents in the process. In fact, subtly disguised attacks on the identities of the significant members of their families were the main instigators of untenable situations, which more often than not, led to crises and prolonged hospital admissions.

Hinshelwood says in his Introduction that psychosis (and in this he focuses principally on schizophrenia) affects all those involved and that he is writing his text as a teaching tool for professional carers. He raises the issue that staff looking after schizophrenic patients suffer from meaninglessness and identity distortions, afflictions which characterise that illness. Following this line of thought, staff take on

- 1223 -

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2017, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.