1st Edition

Psychotherapy for People Diagnosed with Schizophrenia Specific techniques

By Andrew Lotterman Copyright 2015
    256 Pages
    by Routledge

    256 Pages
    by Routledge

    In this unique book, Andrew Lotterman describes a creative approach to the psychotherapy of people diagnosed with schizophrenia and other forms of psychosis. Lotterman focuses on specific techniques that can be used in psychological therapy with people who have symptoms such as hallucinations, delusions, paranoia, ideas of reference, looseness of association and pressured speech. Formerly titled Specific Techniques for the Psychotherapy of Schizophrenic Patients, this edition updates research on the biology and psychology of psychosis and explores the many controversial issues surrounding diagnosis. It also includes two new chapters on the psychology and treatment of paranoia and on the experience of having a shattered self and the delusion of being the Messiah.

    Lotterman’s innovative approach aims to help patients with one of the most debilitating symptoms of psychosis: the collapse of language use. By restoring language as a way of communicating the patient’s meaningful inner life to himself and to others, the patient is then able to undertake a more traditional form of verbal psychotherapy. The book presents detailed case histories of patients who have benefited from this method, highlighting the specific techniques used and the psychological improvements that followed. The approach presented here complements medication-based treatments that have only had partial success, as well as other psychological approaches such as cognitive behavioural therapy, family therapy and social skills training.

    Psychotherapy for People Diagnosed with Schizophrenia will be a valuable text for clinicians working with people suffering from psychosis, including psychotherapists, psychoanalysts, psychologists, physicians and social workers. It will also be of great interest to academics and students.

    Acknowledgements. Foreword. Preface. Introduction: The Roles of Biology and Psychology in People Diagnosed with Schizophrenia. 2. Diagnosis. 3 Structuring the Treatment. 4. The Psychological Therapy of Patients Diagnosed with Schizophrenia. 5. Techniques in Specific Clinical Situations. 6. Mental Processes in People Diagnosed with Schizophrenia. 7. Outcome. 8. Paranoia: Clinical Presentation and Psychodynamics. 9. Two Clinical Syndromes: The Shattered Self and the Wish to be the Messiah. 10. Comparison with Other Techniques. Appendix.


    Andrew Lotterman, M.D., is a training and supervising psychoanalyst and associate clinical professor of psychiatry at Columbia University, USA. He has published widely on psychotherapy for psychosis.

    ‘With a renewed interest in holistic treatment for schizophrenia, psychotherapy re-emerges as an important modality and Lotterman's classic book shows us how to do it! Lotterman's expertise is gritty and real with numerous case examples to make his approach clear.’ - Eric R. Marcus, MD, Director of Columbia University Center for Psychoanalytic Training and Research and Professor of Clinical Psychiatry at Columbia University College of Physicians and Surgeons, USA.

    ‘This is a terrific book, full of astute theoretical formulations, recommendations for clinical technique, and case examples, written by a skillful clinician and clear thinker with a true heart for this essential form of treatment.  It is a must for any clinician caring for psychotic patients who maintains a serious psychotherapeutic ambition in his or her work.’ -   Michael Garrett MD, Vice Chairman and Director of Clinical Services, Department of Psychiatry, SUNY Downstate Medical Center, Brooklyn;   Faculty, Institute for Psychoanalytic Education at NYU Medical Center, New York, USA. 

    ‘Andrew Lotterman's work puts excellent tools and maps  in the hands of the practicing clinician with which to navigate the complexities of the psychoanalytic work with persons experiencing psychotic states. I highly recommend this worthwhile book for anyone interested in psychodynamic  and psychotherapeutic approaches to psychosis.’Brian Koehler PhD, President, The International Society for Psychological and Social Approaches to Psychosis, United States Chapter.