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'I took a life because I needed one': psychotherapeutic possibilities with the schizophrenic offender-patient
Abstract:
This paper's fulcrum is a schizophrenic's explanation as to why he had taken a life: 'I took a life because I needed one.' It attempts to describe the exploration of therapeutic possibilities with the schizophrenic offender-patient. Particular attention is paid to the Associative Mode. This is a way of safely engaging with the patient in the depth of his experience without shattering his precarious defences. The discussion illustrates the close inter-dependence between the dynamic content of individual and group psychotherapy, the life of the hospital as a whole and the significance of therapeutic space being contained within a secure perimeter.
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