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RAPID TREATMENT OF THE PSYCHOTIC PATIENT INTEGRATING ELECTRONARCOSIS AND PSYCHOANALYTIC PSYCHOTHERAPY

Published Online:https://doi.org/10.1176/ajp.114.1.68

The psychotic patient, no matter what his underlying character structure may be, reacts against deprivation with the defense of a break with reality. Intensive EN quickly produces a state in which gratification of infantile needs becomes the basis for reality contact. While reality contact is sustained with maintenance EN, re-education leads to a secure basis for restructuring psychotherapy. This, in turn, makes the defensive break with reality unnecessary.

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