Über die psychodynamische Beziehung von Traum, Psychose und Realität in der Schizophrenic unter dem Aspekt von Ich-Regulation (Mit Falldarstellung)

摘要

In this study the author describes the particular dynamics of dream and reality during the analytic treatment of schizophrenia. The interior reality of the patient submerges him leaving hardly a place for dream in his life. With the aid of therapy the patient will be gradually able to build up the external reality. Dreams will emerge then and become an analysable element in the treatment. The presented case shows how an appropriate technique, which strengthens and supports the ego in its confrontation with reality, enables the patient at first to reestablish the boundaries between internal and external realitiy, so that the analytical work of dream and transference interpretation can be undertaken without fearing a psychotic explosion. The therapist has to chose the decisive point at which he can plunge in the psychotic reality of the patient in order to resolve the symbiotic transference and to guide the patient on the way towards reality and recovery.