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Giovacchini, P.L. (1969). The Influence of Interpretation Upon Schizophrenic Patients. Int. J. Psycho-Anal., 50:179-186.

(1969). International Journal of Psycho-Analysis, 50:179-186

The Influence of Interpretation Upon Schizophrenic Patients

Peter L. Giovacchini

SUMMARY

Before one can discuss the role of interpretation in the treatment of schizophrenics or other very emotionally disturbed patients, the structure of the interpretation has to be studied.

General aspects of interpretation are briefly discussed. Their communicative object relationship qualities as well as their symbolic meaning are stressed.

The level of the psyche toward which the interpretation is directed is considered in terms of 'depth' or 'surface' qualities as well as to whether it refers to a defensive superstructure or an underlying conflict. These aspects of an interpretation are not particularly relevant for the treatment of schizophrenia.

Next, the interpretation is considered in terms of

establishing aetiological connexions. Schizophrenic patients with impaired capacity to understand the deterministic determinants of their behaviour can gain considerable synthesis by being made aware of causes for their irrational attitudes and behaviour. A special type of aetiological interpretation is described. It is called a linking interpretation because it establishes a sequence between some occurrence in the external world, similar to the day residue of the dream, and behaviour that can be viewed within the context of transference during an analytic session. These interpretations are described further regarding their leading to the strengthening of reality testing in schizophrenic patients.

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