Scholarlink

<p>The discussion about violence committed by people with mental illness is dominated by security concerns. Psychotherapy is rarely considered as a&#xa0;means of preventing violence. However, evidence shows that effective psychotherapeutic relationships can make a&#xa0;decisive contribution to reducing risk factors associated with violence. People with schizophrenia are overrepresented in forensic psychiatric hospitals; they constitute the largest patient group and remain there for an average of over 9&#xa0;years. In this article, the opportunities offered by modified psychodynamic psychotherapy for people with schizophrenia (MPP-S) in a&#xa0;forensic context are discussed. The theoretical basis of this psychosis psychotherapy is the concept of the “schizophrenic dilemma” (Mentzos <CitationRef CitationID="CR28">2015</CitationRef>), which describes the impossibility of maintaining identity and relationships at the same time. This dynamic can give rise to psychotic symptoms and violent behavior. MPP‑S aims to facilitate relationship experiences within a&#xa0;therapeutic space that reduce anxiety and strengthen interpersonal skills. In forensic psychiatry, this specific psychodynamic psychosis therapy could contribute not only to individual stabilization but also to the prevention of violence. Thus, MPP‑S offers an opportunity to establish security, even or especially under the conditions of forensic psychiatry, not primarily through control but through relationships.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Modifizierte psychodynamische Psychotherapie von Menschen mit Schizophrenien

  • 期刊论文

  • 发表日期：

    2026年3月16日

查看全文
  • Dorothea von Haebler

摘要

The discussion about violence committed by people with mental illness is dominated by security concerns. Psychotherapy is rarely considered as a means of preventing violence. However, evidence shows that effective psychotherapeutic relationships can make a decisive contribution to reducing risk factors associated with violence. People with schizophrenia are overrepresented in forensic psychiatric hospitals; they constitute the largest patient group and remain there for an average of over 9 years. In this article, the opportunities offered by modified psychodynamic psychotherapy for people with schizophrenia (MPP-S) in a forensic context are discussed. The theoretical basis of this psychosis psychotherapy is the concept of the “schizophrenic dilemma” (Mentzos 2015), which describes the impossibility of maintaining identity and relationships at the same time. This dynamic can give rise to psychotic symptoms and violent behavior. MPP‑S aims to facilitate relationship experiences within a therapeutic space that reduce anxiety and strengthen interpersonal skills. In forensic psychiatry, this specific psychodynamic psychosis therapy could contribute not only to individual stabilization but also to the prevention of violence. Thus, MPP‑S offers an opportunity to establish security, even or especially under the conditions of forensic psychiatry, not primarily through control but through relationships.