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Josephs, L. (1986). Pursuing the Kernel of Truth in the Psychotherapy of Schizophrenia. Psychoanal. Psychol., 3(2):105-119.

(1986). Psychoanalytic Psychology, 3(2):105-119

Pursuing the Kernel of Truth in the Psychotherapy of Schizophrenia

Lawrence Josephs, Ph.D. and Laura Josephs, Ph.D.

This article concerns the utility of pursuing the kernels of truth in the delusions of schizophrenic patients as a means of empathizing with their unique personal experience of events. Pursuing the kernel of truth implies listening for the real interpersonal experiences past and present that are represented within delusions, as opposed to focusing on derivatives of infantile fantasy. This orientation restores the rights of the schizophrenic person as a perceptive observer of events with a valid, although not commonly understood, point of view. A clinical case example is presented in which the delusion of being raped while others stand idly by both literally and metaphorically described a wide variety of interpersonal experiences which had shaped the patient's life.

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