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Psychotic Personality Structure.

Otto F Kernberg1

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Summary

This study explores psychotic personality organization, linking it to psychotic transferences and behavioral changes in schizophrenia patients during treatment. It integrates object relations theory with neurobiology and psychodynamic perspectives.

Keywords:
identity diffusionobject relations theoryparanoid schizoid positionprojective identificationpsychotic transferencereality testingsplitting

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Area of Science:

  • Psychiatry
  • Psychology
  • Neuroscience

Background:

  • Psychotic personality organization is a complex concept.
  • Understanding its dynamics is crucial for treating chronic psychosis, especially schizophrenia.

Purpose of the Study:

  • To discuss the concept of psychotic personality organization.
  • To relate this concept to psychotic transferences and patient behavior during treatment.
  • To integrate theoretical frameworks for a comprehensive understanding.

Main Methods:

  • Relating psychotic personality organization to clinical observations and theoretical speculations.
  • Analyzing behavioral developments in chronically psychotic patients.
  • Employing object relations theory and an integrated neurobiological-psychodynamic model.

Main Results:

  • Observations suggest specific behavioral patterns in chronically psychotic patients.
  • Theoretical integration provides a framework for understanding psychotic transferences.
  • The study links neurobiological findings with psychodynamic perspectives.

Conclusions:

  • Psychotic personality organization can be understood through object relations and integrated neurobiological-psychodynamic models.
  • This framework aids in comprehending psychotic transferences and patient behavior.
  • Further research integrating these perspectives is warranted.