在精神科临床治疗中,部分精神分裂症患者药物治疗效果不佳,饱受精神病性症状,尤其是与被迫害妄想有关的症状困扰。临床工作人员如何与之互动交流,理解他们的症状,并辅助心理治疗是一个有待探索的领域。客体关系学派是以克莱因、比昂等人为代表的,以早期母婴关系为核心的精神分析学派。客体关系学派呈现的婴儿早期可能存在的内心经验,与精神科临床观察到的患者饱含原始焦虑的妄想类似。理解分裂、偏执-分裂心位与抑郁心位等概念可以让临床工作人员更深刻地体会患者经历的这部分精神病性症状的可能的内部体验,从而更好地提供帮助。
In psychiatric clinical work, some patients with schizophrenia exhibit poor responsiveness to pharmacological interventions, experiencing significant psychiatric symptoms, particularly those associated with persecutory delusions. In clinical practice, how professionals interact with them, understand their symptoms, and assist in psychotherapy treatment is an area to be explored. The object-relation theory is represented by Klein, Bion, and so forth. They regard the early mother-infant relationship as the core of the psychoanalysis. The object-relation theory presents the possibility of early infant inner experiences, which are similar to the primitive anxieties observed in patients by psychiatric clinicians. Understanding the concepts of splitting, paranoia-schizoid position, and depressive position can help clinical professionals to deeply understand the possible inner experience of psychotic symptoms of patients and provide better help.
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