An hypnotherapeutic approach to enhance object relatedness in psychotic patients

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Abstract
A conceptual rationale was developed for using hypnosis in the intensive psychotherapy of acutely psychotic patients which emphasizes deficits in object relatedness and associated ego pathology stemming from impaired internalized object representations. From this perspective, specific hypnotherapeutic techniques are suggested to enhance the positive aspects of the emerging transference in psychotherapy and to support the patient''s capacity to establish and maintain renal connections with the external environment. Special attention is directed toward the hypnotherapeutic management of various aspects of psychotic ambivalence and primitive splitting as significant sources of dynamic and structural resistance in work with these patients. Case material is presented to illustrate aspects of this conceptual and technical approach.

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