Transactional Analysis of Schizophrenia

Book excerpt: In Transactional Analysis of Schizophrenia: The Naked Self, Zefiro Mellacqua presents a full assessment of the relevance and value of transactional analysis in understanding, conceptualizing and treating schizophrenia in contemporary clinical settings. Opening with a review of Eric Berne’s ideas, Mellacqua applies theory to the understanding and psychotherapeutic treatment of people suffering from first-episode schizophrenia and to those already living with more long-lasting psychotic levels of self-disturbance. The chapters address a series of crucial methodological themes, including the need for both intensive and extensive analytic sessions; the therapist’s tolerance of uncertainty and not knowing; the informative quality of both therapist’s and patient’s embodiment(s); the emergence of the transference-countertransference relationship; the link between silent transactions and unconscious communication; dream analysis; and the value of regular supervisions. Mellacqua’s approach incorporates meetings with family and caregivers, as well as emphasising multidisciplinary work with patients in a variety of settings, such as in hospitals, outpatient clinics, and psychiatric home treatment. The book is illustrated with engaging clinical case studies throughout, which illuminate the schizophrenic experience and provide examples of how these tools can be used to help patients. Transactional Analysis of Schizophrenia demonstrates how those who suffer from acute schizophrenia, especially those at their very first episode of psychosis, can make an effective recovery and live a satisfying life through the therapeutic application of transactional analysis. It will be essential reading for transactional analysts, psychodynamically oriented psychotherapists, psychologists, psychiatrists, nurses, social workers, academics and all mental health professionals working with people suffering from schizophrenic psychoses. See the below link for an interview about the book with Gianpiero Petriglieri and series editor William F. Cornell: https://vimeo.com/499800269