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Am J Psychoanal. 2016 Sep;76(3):266-280. doi: 10.1057/s11231-016-9044-7.

The Relevance of Arieti's Work in the Age of Medication.

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Department of Clinical, Experimental and Social Psychology, University of Huelva, Avda. Tres de Marzo, s/n. Campus de El Carmen, 21007, Huelva, Spain.


This paper looks at the relevance of psychoanalysis as a treatment option for psychotic individuals at a time when psychosis is invariably considered to be a biologically-based brain disease, for which the preferred course of treatment is psychotropic medication. In recent years, the use of psychoanalysis has declined noticeably in favor of evidenced-based biomedical approaches, which rely heavily upon statistical probabilities for ameliorating specific psychotic symptoms. Well-publicized biological approaches have proliferated, often to the detriment of the psychotic individual's general health, emotional recovery, and long-term rehabilitation. Sadly, these approaches may also be a significant factor affecting mortality rates in those suffering with psychosis, known to be about 25 years shorter, on average, than the general population.


Silvano Arieti; mental disorder; psychodynamic treatment of psychotic patients; schizophrenia

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