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Verbal hallucinations in psychotic patients
B Ettinger1, A Telerand, Y Kronenberg
1Shalvata Medical Mental Health Center, (affiliated with Sackler School of Medicine, Tel-Aviv University).
The Israel Journal of Psychiatry and Related Sciences
|January 1, 1991
Summary
Psychotic patients' verbal hallucinations may stem from un-symbolized experiences, offering valuable insights. Therapists can uncover their meaning by exploring pre-language history, translating subconscious events into understandable language.
Area of Science:
- Psychology
- Psychiatry
- Psychoanalysis
Background:
- Verbal hallucinations in psychotic patients are often out-of-context sentences.
- These hallucinations differ from memories and do not provide emotional catharsis.
- They can represent valuable, yet unintegrated, psychological information.
Purpose of the Study:
- To explore the connection between verbal hallucinations and Lacan's concept of "forclusion."
- To investigate the potential for uncovering the meaning of verbal hallucinations through historical analysis.
- To examine the therapist's role in translating these experiences for psychotic patients.
Main Methods:
- Analysis of verbal hallucinations in psychotic patients.
- Application of Jacques Lacan's psychoanalytic theory, specifically "forclusion."
- Clinical case study approach, including family history investigation prior to language development.
Main Results:
- Verbal hallucinations can arise from experiences not processed through primary symbolization.
- Investigating pre-language history can reveal connections between hallucinations and subconscious events.
- Therapeutic intervention can translate these experiences, giving meaning to seemingly meaningless utterances.
Conclusions:
- Verbal hallucinations in psychosis may represent a form of "forclusion," where experiences fail to integrate into the subject's discourse.
- Therapists can facilitate understanding by bridging these hallucinations with the patient's pre-conscious history.
- The therapeutic process involves translating un-symbolized experiences into language, akin to a parental role in child development.