Beyond Symbiosis

The Role of Primal Exclusions in Schizophrenic Psychosis

Bibliographic Data

ID20177936
AuthorsZefiro Mellacqua (0000-0002-7142-4156, National Confidential Enquiry into Patient Outcome and Death, corresponding author)
Year2014
Volume44
Issue1
Pages8-30
Publication date2014-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueTransactional Analysis Journal (JOURNAL)
Journal identifiersISSN: 0362-1537 • E-ISSN: 2329-5244
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1177/0362153714529410
OpenAlexW2065258167
LanguageEN
Citations received6
References cited45

This article is based on years of clinical experience with adult psychotic patients, including both those who are chronic and those experiencing their first episode of schizophrenia. These patients live in the London borough of Lambeth in South East London, which is recognized as having one of the highest rates of psychosis in the United Kingdom and probably in Europe (Kirkbride et al., 2006). The author first describes Berne’s (1957/1969) views on splitting and his later theory of Parent exclusions (Berne, 1961/1975) in creating active psychosis and then suggests that schizophrenia is a relational trauma disorder rather than the result soley of symbiosis (Schiff, 1975) or the product of intrapsychic conflicts (Novellino, 1991, 1998, 2004; Novellino & Moiso, 1990) and complex contaminations (Goulding & Goulding, 1979). The author proposes that schizophrenia involves profound multiple structural exclusions that are responsible for early Parent lacunae within the Child ego state (P0 and P1), ultimately resulting in ego/self-fragmentation

Archaeology · Borough · Id, ego and super-ego · Psychiatry · Psychoanalysis · Psychosis · History · Mental Health and Psychiatry · Psychology · Psychotherapy Techniques and Applications · Transactional Analysis in Psychotherapy

Tools

Open DOISci-Hub