About the authors
About this book
Part I: Schizophrenia: Epidemiology, causes, neurobiology, pathophysiology
Chapter 1: Introduction and overview of schizophrenia
Chapter 2: Causes of schizophrenia
Chapter 3: Neurobiology of schizophrenia
Chapter 4: Brain structure and schizophrenia
Chapter 5: Cognition and schizophrenia
Chapter 6: Social-cognitive and emotional recognition impairment in schizophrenia
Chapter 7: Treatment of schizophrenia
Chapter 8: Non-psychodynamic therapeutic approaches to treating schizophrenia
Chapter 9: Recovery from schizophrenia
Chapter 10: Prevention of schizophrenia
Part II: The psychoanalytic metapsychology of schizophrenia
Chapter 11: Neuropsychoanalysis and schizophrenia
Chapter 12: Early psychoanalytic approaches to understanding schizophrenia
Chapter 13: A review of object relations and severe psychopathology
Chapter 14: Schizophrenic etiology and organismal panic
Chapter 15: The infantile psychotic self
Chapter 16: Flawed ingredients
Chapter 17: Fates of infantile psychotic selves
Part III: Psychoanalytic approaches to treating schizophrenia
Chapter 18: Psychodynamic approaches to treating schizophrenia
Chapter 19: Psychoanalytic treatment of adult schizophrenia
Chapter 20: Fusing-disconnecting and internalization-externalization cycles
Chapter 21: Development of a steady identification with the “good” analyst
Chapter 22: “Sophisticated” identifications and externalizations
Chapter 23: Permanent elimination of the infantile psychotic self?
Chapter 24: Oedipal issues and superego identifications
Part IV: Cultural elements in schizophrenia
Chapter 25: Schizophrenia and culture
Chapter 26: Causes and beliefs about schizophrenia
Chapter 27: Object relations and culture
Chapter 28: Culture-bound schizophrenia
Chapter 29: Psychoanalysis and syndromes of culture-bound schizophrenia
Last words
References
Index
Vamık Volkan, MD, DFLAPA, received his medical education at the School of Medicine, University of Ankara, Turkey. He is an emeritus professor of psychiatry at the University of Virginia, Charlottesville and an emeritus training and supervising analyst at the Washington Psychoanalytic Institute, Washington, DC. In 1987, Dr Volkan established the Center for the Study of Mind and Human Interaction (CSMHI) at the School of Medicine, University of Virginia. CSMHI applied a growing theoretical and field-proven base of knowledge to issues such as ethnic tension, racism, large-group identity, terrorism, societal trauma, immigration, mourning, transgenerational transmissions, leader–follower relationships, and other aspects of national and international conflict. A year after his 2002 retirement, Dr Volkan became the Senior Erik Erikson Scholar at the Erikson Institute of the Austen Riggs Center, Stockbridge, Massachusetts and he spent three to six months there each year for ten years.
In 2006, he was Fulbright/Sigmund Freud-Privatstiftung Visiting Scholar of Psychoanalysis in Vienna, Austria. Dr Volkan holds honorary doctorate degrees from Kuopio University (now called the University of Eastern Finland), Finland; from Ankara University, Turkey; and the Eastern European Psychoanalytic Institute, Russia. He was a former president of the Turkish-American Neuropsychiatric Society, the International Society of Political Psychology, the Virginia Psychoanalytic Society, and the American College of Psychoanalysts. Among many the awards he received are the Nevitt Sanford Award, Elise M. Hayman Award, L. Bryce Boyer Award, Margaret Mahler Literature Prize, Hans H. Strupp Award, the American College of Psychoanalysts’ Distinguished Officer Award for 2014, and the Mary S. Sigourney Award for 2015. He received the Sigmund Freud Award given by the city of Vienna, Austria in collaboration with the World Council of Psychotherapy. He also was honoured on several occasions by being nominated for the Nobel Peace Prize with letters of support from twenty-seven countries. Dr Volkan is the author, co-author, editor, or co-editor of more than fifty psychoanalytic and psychopolitical books, including Enemies on the Couch: A Psychopolitical Journey through War and Peace. Currently Dr Volkan is the president emeritus of the International Dialogue Initiative (IDI), which he established in 2007. He continues to lecture nationally and internationally.
Kevin Volkan, EdD, PhD, MPH is a founding faculty member and Professor of Psychology at California State University Channel Islands, where he researches and teaches courses on psychopathology and atypical behaviors, personality theory, as well as Nazi Germany, and Eastern philosophy. Dr. Volkan also currently serves on the Graduate Medical Education faculty for the Community Memorial Hospital System in Ventura CA, where he teaches and conducts research with medical residents, and as an adjunct faculty member for California Lutheran University’s clinical psychology doctorate program.
He holds doctorates in clinical and quantitative psychology, is a graduate of the Harvard School of Public Health, and a former Harvard Medical School faculty member and administrator. Dr. Volkan is considered to be an expert on extreme psychopathologies and has testified before the United States Senate on pathological and dangerous fetishes. He has made numerous appearances on television, radio, and podcasts as a psychological expert.
Dr. Volkan’s clinical training and experience is in psychoanalytic psychotherapy, though he also has experience using a wide variety of other modalities in clinical practice. He has practised clinical psychology as a staff psychologist in a state hospital and in private practice. Dr. Volkan’s clients included a diverse population of people representing a wide variety of socioeconomic strata and psychological distress. He has worked with people suffering from drug addiction, neuroses, and personality disorders as well individuals suffering from autism, organic brain injury, and schizophrenia. Dr. Volkan was awarded the Sustained Superior Accomplishment Award from the State of California for his clinical work. His current practice is centered around psychodynamic embodied dreamwork.
Dr. Volkan is the author of Dancing Among the Maenads: The Psychology of Compulsive Drug Use, which is one of the few psychoanalytic works examining drug addiction. He has also published a number of papers on psychopathology as well as on psychoanalysis and culture. His current publications include works on delusional misidentification syndromes, hoarding, narcissism, and demonic possession.
The description of schizophrenia has a history – if you want to
know this history, you will find it in this magnificent book. The
causes of schizophrenia have been debated, from infectious, to
genetic, to object relations disturbance in early childhood – if
you are interested in all those debates, look no further. The
treatments of schizophrenia have a long history, too, from
surgeries to neuroleptics – they are skillfully and engagingly
discussed in a form anyone can read. Finally, if you want to see
the principles for treating, as the authors note, some
schizophrenics with psychoanalytic approaches, these are described
in fascinating and persuasive detail. And, by the way, if you want
some evidence-based references to bolster the authors’
representations, there are 42 pages of bibliography. Not just a
reference book, this is a stunning work of readable, accessible,
and fascinating scholarship.
*Jerome S Blackman, MD, FIPA, Professor of Psychiatry, Eastern
Virginia Medical School, Norfolk*
‘Kevin Volkan, PhD and Vamık Volkan, MD bring their scholarly and
clinical knowledge to the project of understanding the history,
science, and treatment of schizophrenia. In this highly readable
and accessible book they provide a comprehensive review of the
scientific literature on schizophrenia and how the illness is
affected by culture. Volkan and Volkan review, critique, and update
psychoanalytic formulations of schizophrenia, showing how early
Freudian, ego, and object relations psychoanalytic theories have
evolved into modern psychoanalysis and psychoanalytic
psychotherapy. They advocate for the place of modern psychoanalytic
psychotherapy in the treatment of schizophrenia, where symptoms and
suffering can be understood in the context of the inner and the
outer world of the patient, and may take place in conjunction with
other treatment modalities. Integrative approaches to understanding
and treating schizophrenia maximize the possibility of recovery and
this book advocates for a broad and thoughtful approach to
treatment.’
*Jane G. Tillman, PhD ABPP, Evelyn Stefansson Nef Director, Erikson
Institute for Education and Research, Austen Riggs Center,
Stockbridge, Massachusetts*
‘[C]ompelling and progressive, with the authors striking exactly
the right balance between theory and practice. Key psychoanalytic
concepts and thinkers are invoked to help make sense of
schizophrenia. There is something much more human here – a search
for meaning that can sometimes be lacking in strictly medical or
pharmacological models. […] Vamik Volkan’s clinical vignettes, used
to illustrate the process, are a pleasure and inspiration to read.
[…] by bringing together psychiatry, psychology, psychoanalysis and
culture, this book is a convincing manifesto for a
multidisciplinary approach to treating schizophrenia.’
*Emmanuelle Smith, psychodynamic psychotherapist in the NHS and
private practice, 'Therapy Today' October 2022*
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