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An Attempt to Integrate the Individual–Psychological and Interactional Concepts of the Origins of Schizophrenia

Published online by Cambridge University Press:  06 August 2018

Yrjö O. Alanen*
Affiliation:
Emeritus of Psychiatry, University of Turku, Vähä-Hämeenk. 3 C 54, 20500 Turku, Finland

Abstract

Individual–psychological studies (psychoanalytical) and interactional studies (based on family research and family therapy) approach the psychological processes connected with the origins of schizophrenia from different angles. They thus complement each other. Five major propositions are formulated to integrate the psychodynamic concepts dealing with vulnerability to schizophrenia. The integration of family- and individual-centred starting-points has proved to be very useful in developing treatment methods for schizophrenic patients.

Type
Research Article
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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References

Alanen, Y. O. (1958) The mothers of schizophrenic patients. Acta Psychiatrica and Neurologica Scandinavica, 33 (suppl. 124), 1361.Google Scholar
Alanen, Y. O. (1968) From the mothers of schizophrenic patients to interactional family dynamics. In The Transmission of Schizophrenia (eds Rosenthal, D. & Kety, S. S.). New York: Pergamon Press.Google Scholar
Alanen, Y. O. (1978) Schizophrenia and the family. Yearbook Psychiatria Fennica, 1978; pp. 1528.Google Scholar
Alanen, Y. O. (1980) In search of the interactional origin of schizophrenia. The Stanley R. Dean award lecture. In The Family, Evaluation and Treatment (eds Hofling, C. K. & Lewis, J. M.). New York: Brunner/Mazel.Google Scholar
Alanen, Y. O. (1992) Psychotherapy of schizophrenia in community psychiatry. In Psychotherapy of Schizophrenia: Facilitating and Obstructive Factors (eds Werbart, A. & Cullberg, J.). Oslo: Scandinavian University Press.Google Scholar
Alanen, Y. O., Rekola, J. K., Stewen, A., et al (1966) The family in the pathogenesis of schizophrenic and neurotic disorders. Acta Psychiatrica Scandinavica, 42 (suppl. 189), 1654.Google Scholar
Alanen, Y. O., Räkköläinen, V., Laakso, J., et al (1986) Towards Need-Specific Treatment of Schizophrenic Psychoses. Heidelberg: Springer-Verlag.CrossRefGoogle ScholarPubMed
Alanen, Y. O., Anttinen, E. E., Kokkola, A., et al (1990) Treatment and rehabilitation of schizophrenic psychoses: the Finnish treatment model. Nordisc Journal of Psychiatry, 44 (suppl. 22), 165.Google Scholar
Alanen, Y. O., Lehtinen, K., Räkköläinen, V., et al (1991) Need-adapted treatment of new schizophrenic patients: experiences and results of the Turku project. Acta Psychiatrica Scandinavica, 83, 363372.Google Scholar
Anthony, E. J. (1968) The developmental precursors of adult schizophrenia. In The Transmission of Schizophrenia (eds Rosenthal, D. & Kety, S. S.). New York: Pergamon Press.Google Scholar
Beres, D. & Obers, S. J. (1950) The effects of extreme deprivation in infancy on psychic structure in adolescence. The Psychoanalytic Study of the Child, Vol. 5, pp. 212235.Google Scholar
Bowen, M. (1960) A family concept of schizophrenia. In The Etiology of Schizophrenia (ed. Jackson, D. D.). New York: Basic Books.Google Scholar
Bowlby, J. (1969) Attachment and Loss, Vol. 1: Attachment . London: Hogarth Press.Google Scholar
Buchsbaum, M. S. (1990) The frontal lobes, basal ganglia, and temporal lobes as sites of schizophrenia. Schizophrenia Bulletin, 16, 379389.Google Scholar
Ciompi, L. (1982) Affektlogik. Stuttgart: Klett-Cotta. Translated (1988) as The Psyche and Schizophrenia: the Bond between Affect and Logic . Cambridge, Mass.: Harvard University Press.Google Scholar
Ciompi, L. (1991) Affects as central organizing and integrating factors: a new psychosocial/biological model of the psyche. British Journal of Psychiatry, 159, 97105.Google Scholar
Cleghorn, J. M., Zipursky, R. B. & List, S. J. (1991) Structural and functional brain imaging in schizophrenia. Journal of Psychiatry and Neuroscience, 16, 5374.Google Scholar
Freud, S. (1911) Psycho-analytic notes upon an autobiographical account of a case of paranoia (dementia paranoides). Standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. 12, pp. 382. London: Hogarth Press, 1958.Google Scholar
Goldstein, M. J. (1985) Family factors that antedate the onset of schizophrenia and related disorders: the results of a fifteen year prospective longitudinal study. Acta Psychiatrica Scandinavica, 71 (suppl. 319), 718.CrossRefGoogle Scholar
Goldstein, M. J. (1987) The UCLA high-risk project. Schizophrenia Bulletin, 13, 505514.Google Scholar
Heston, L. L. (1966) Psychiatric disorders in foster home reared children of schizophrenic mothers. British Journal of Psychiatry, 112, 819825.Google Scholar
Kernberg, O. F. (1975) Borderline Conditions and Pathological Narcissism. New York: Jason Aronson.Google Scholar
Kohut, H. (1971) The Analysis of the Self. New York: International Universities Press.Google Scholar
Kohut, H. (1977) The Restoration of the Self. New York: International Universities Press.Google Scholar
Larmo, A. (1992) The Parent's Psychosis: Impact on Family and Children. Annales Universitatis Turkuensis, Ser. D., 84.Google Scholar
Lehtinen, K. (1994) Need-adapted treatment of schizophrenia: family interventions. British Journal of Psychiatry, 164 (suppl. 23), 93100.Google Scholar
Lidz, T., Cornelison, A. R., Fleck, S., et al (1957) Marital schism and marital skew. American Journal of Psychiatry, 114, 241248.Google Scholar
Lidz, T., Cornelison, A. R., Terry, D., et al (1958) The transmission of irrationality. AMA Archives of Neurology and Psychiatry, 79, 305316.Google Scholar
Lidz, T., Fleck, S. & Cornelison, A. R. (1965) Schizophrenia and the Family. New York: International Universities Press.Google Scholar
MacFarlane, J. (1975) Olfaction in the development of social preferences in the human neonate. In Parent–Infant Interaction (ed. Hofer, M.). Amsterdam: Elsevier.Google Scholar
Malmivaara, K., Keinänen, E. & Saarelma, M. (1975) Factors affecting child psychiatric hospital care and its immediate results. Yearbook Psychiatria Fennica 1975, pp. 225238.Google Scholar
Malson, L. & Itard, J. (1972) Wolf Children and the Problem of Human Nature. New York: Monthly Review Press. (Reviewed by Rang (1987).)Google Scholar
Niederland, W. (1984) The Schreber Case: Psychoanalytic Profile of a Paranoid Personality (expanded edition). Hillsdale, NJ: Analytic Press.Google Scholar
Räkköläinen, V. & Alanen, Y. O. (1982) On the transactionality of defensive processes. International Review of Psycho-Analysis, 9, 263272.Google Scholar
Räkköläinen, V., Lehtinen, K. & Alanen, Y. O. (1991) Need-adapted treatment of schizophrenic psychoses: the essential role of family centered therapy meetings. Contemporary Family Therapy, 13, 573582.Google Scholar
Rang, B. (1987) ‘When the social environment of a child approaches zero.’ Wolfskinderen en de ontwikkeling van de menswetenschappen. Comenius, 27, 316342. (I am indebted to Mrs Marja Bonarius for translation.)Google Scholar
Scott, R. D. & Ashworth, P. L. (1967) ‘Closure’ at the first schizophrenic breakdown: a family study. British Journal of Medical Psychology, 40, 109145.Google Scholar
Singer, M. T., Wynne, L. C. & Toohey, M. L. (1978) Communication disorders in the families of schizophrenics. In The Nature of Schizophrenia (eds Wynne, L. C., Cromwell, R. L. & Matthysse, S.). New York: John Wiley & Sons.Google Scholar
Stabenau, J. R., Tupin, J., Werner, M., et al (1965) A comparative study of the families of schizophrenics, delinquents, and normals. Psychiatry, 28, 4559.Google Scholar
Stern, D. N. (1985) The Interpersonal World of the Infant. New York: Basic Books.Google Scholar
Stierlin, H. (1972) Family dynamics and separation patterns of potential schizophrenics. In Psychotherapy of Schizophrenia (eds Rubinstein, D. & Alanen, Y. O.). Amsterdam: Excerpta Medica.Google Scholar
Tienari, P. (1992) Interaction between genetic vulnerability and rearing environment. In Psychotherapy of Schizophrenia: Facilitating and Obstructive Factors (eds Werbart, A. & Cullberg, J.). Oslo: Scandinavian University Press.Google Scholar
Tienari, P., Sorri, A., Lahti, I., et al (1987) Genetic and psychosocial factors in schizophrenia: the Finnish adoptive family study. Schizophrenia Bulletin, 13, 477484.Google Scholar
Volkan, V. D. (1987) Six Steps in the Treatment of Borderline Personality Organization. Northvale, NJ: Jason Aronson.Google Scholar
Weinberger, D. R. (1987) Implications of normal brain development for the pathogenesis of schizophrenia. Archives of General Psychiatry, 44, 660669.Google Scholar
Wynne, L. C., Ryckoff, I. M., Day, J., et al (1958) Pseudomutuality in the family relations of schizophrenics. Psychiatry, 21, 205220.Google Scholar
Wynne, L. C., Singer, M. T. & Toohey, M. L. (1976) Communication of the adoptive parents of schizophrenics. In Schizophrenia 75 (eds Jorstad, J. & Ugelstad, E.). Oslo: Universitetsforlaget.Google Scholar
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