title: A development of Freudian metapsychology for schizophrenia.
abstract: The author states that psychoanalysis has much to contribute to schizophrenia. Beginning with a development of Freudian metapsychology, he addresses the in-depth psychopathological study of a session (the first on the couch) with a schizophrenic patient who hears voices and feels that he is being watched. Since the symptoms appear at the level of the heard word and the visual image - key to Freudian metapsychology - he delineates a circuit for the word and one for the image, describing a blockage in both and the consequences of these. Furthermore, with regard to the patient's progress, he demonstrates first a quantitative improvement in symptoms, and later qualitative changes in his functioning. He shows how, over a time, functioning is improved in a once-a-week on-the-couch setting after two years of face-to-face treatment.
authors.affiliation: Full IPA Member, APM, Spain. jfartaloytia@yahoo.es.
authors.forename: Juan Francisco
authors.initials: JF
authors.lastname: Artaloytia
mesh_terms: D005619:Freudian Theory; D006801:Humans; D011572:Psychoanalysis; D011575:Psychoanalytic Therapy / Q000379:methods*; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology
keywords: Freudian metapsychology; auditory hallucinations; psychoanalysis; schizophrenia; thing-presentations; word-presentations