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[Chronicity or chronification among our schizophrenics]

M Bleuler

    Schweizer Archiv Fur Neurologie, Neurochirurgie Und Psychiatrie = Archives Suisses De Neurologie, Neurochirurgie Et De Psychiatrie
    |January 1, 1980
    PubMed
    Summary
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    Chronic schizophrenic psychoses develop an equilibrium between autistic and realistic thinking. This balance helps protect a weak ego by partially withdrawing into a fantasy world while adapting to reality.

    Area of Science:

    • Psychiatry
    • Psychology

    Context:

    • Schizophrenic psychoses are influenced by various factors including treatment, hospitalization, social relationships, and early childhood experiences.
    • These external factors alone do not fully explain the chronification of schizophrenic psychoses.

    Purpose:

    • To explore the psychodynamic factors contributing to the chronification of schizophrenic psychoses.
    • To understand the internal mechanisms that maintain chronic schizophrenia.

    Summary:

    • Chronification in schizophrenia is best understood through the psychodynamics of individuals with the condition.
    • Chronic schizophrenics achieve a delicate equilibrium between autistic and realistic thinking and perception.
    • This equilibrium serves to protect a fragile ego by allowing partial withdrawal into a fantasy world tailored to their nature and environment, while maintaining adaptation to external reality.

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    Impact:

    • Provides insight into the psychological defense mechanisms employed in chronic schizophrenia.
    • Highlights the importance of psychodynamic understanding in managing long-term schizophrenic conditions.
    • Suggests potential therapeutic targets focusing on ego strength and the balance between internal and external reality.