PsychiatricTimes Members: Login | Register
PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home » Schizoid Personality Disorder

Psychiatric Times. Vol. 24 No. 7
Pages: 1  2  
Next
 

The Rehabilitation of Oneness

By Jerry M. Lewis, MD | June 1, 2007
Dr Lewis is chairman emeritus of the Timber- lawn Psychiatric Research Foundation and clinical professor of psychiatry at the University of Texas Southwestern Medical School in Dallas. He is also in private practice of individual, marital, and family therapies in Dallas.

He was young, schizoid, and had experienced brief periods of psychotic-like disorganization. We worked together in psychotherapy for many years. None of the then available psychotropic agents were helpful. He believed, however, that marijuana was helpful, and, if he smoked a joint in the hours preceding a session, his way of relating to me was different. He was less "there," more deeply into himself. His descriptions of the marijuana experience never varied. "I am," he would say, "at peace. I feel connected to everything. I am part of the universe, part of nature, part of God." He was, I thought, a person with significant ego boundary problems who, for the most part, maintained his basic sense of self by distancing himself from both the world and inner turmoil. Marijuana appeared to lead to the internal experience of greater connectedness and peace, although I felt he was less available to me after using it.

Does this young man's experience of a peaceful merger have any relationship to spiritual or mystical experiences, often thought of as self-transcendence, in which what is described also centrally involves a merger (usually with God or nature) and great inner peace? I have heard such experiences described by some of the candidates I have evaluated for the Episcopal priesthood, but these persons showed no evidence of schizoid or other major psychopathology. This observation that experiences of merger appear to occur in persons with very different personalities and in very different contexts has attracted the interest of academics from multiple disciplines for many years. Psychiatry, however, has until perhaps quite recently only pathologized merger experiences.

Fifty years ago, any suggestion of a person's merger with the surround was seen in psychiatry as clearly pathological. As a resident I was taught that such experiences strongly suggested an underlying psychotic process. In retrospect, it is hard not to conclude that the then prominent psychoanalytic emphasis on separation-individuation as the major (or only) process underlying healthy development may have played a role in pathologizing oneness experiences that appear to be the opposite of sharp self-object distinctions.

As they say, a lot has happened on the way to the forum. During the past 50 years, psychoanalytic thinking has become much more relational. Healthy development is now seen as the product of both separation-individuation and the processes underlying the capacity for psychological intimacy. Intimacy is defined as shared subjectivity, a temporary merger of sorts. This increased theoretical emphasis on relational processes has had many implications, one of which has been a more process-oriented understanding of ego boundaries.

Polster,1 for example, has written of the need to rework the old physicalistic conception of ego boundaries with its emphasis on delineating the person from his or her surround to a more dynamic, process-oriented set of functions that, under the best of circumstances, allow moment-by-moment oscillation between separateness and inclusion. As such, ego boundaries are more accurately understood as describing the ongoing relationship between person and surround rather than as solely characteristics of the person. Polster suggests that each person has a characteristic balance of the processes of inclusion and separateness. For purposes of this column, however, what needs emphasis is the suggestion that the continuum of inclusion includes at one (not necessarily pathological) extreme, "oceanic feelings of oneness, union, or merger with the surround."

"Not necessarily pathological" does not, however, imply that experiences of oneness can be good for the person. Here "good" is used in the sense of psychological growth. The premise that oneness experiences may have positive impact takes us back to the controversial work of Silverman,2 the subliminal presentation of the "Mommy and I are one" stimulus, and the subsequent temporary improvement across a wide variety of psychological functions.

Silverman, a psychologist-psychoanalyst, was interested in laboratory experiments testing the validity of psychoanalytic concepts, and he published scores of studies for almost 30 years. His early interest was in the role of unconscious symbiotic fantasies in schizophrenia. He and his associates presented the sentence, "Mommy and I are one" tachistoscopically at speeds that were unreadable. In the short term, many persons with schizophrenia showed improved functioning in several psychological processes (eg, fewer cognitive distortions) that was not shown following similar presentations of nonsymbiotic material.

Pages: 1  2  
Next
 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.






 
RELATED TOPICS

Antisocial personality disorder
Borderline personality disorder
Compulsive personality disorder
Dependent personality disorder
Dissociative identity disorder
Histrionic personality disorder
Paranoid personality disorder
Passive-aggressive personality disorder
Schizotypal personality disorder
Schizoid personality disorder
Obsessive-compulsive neuroses


 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 

 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • Developmental Psychopathology Comes of Age
  • The Moral Struggles of Practicing Psychiatrists
  • Grief and Depression: The Sages Knew the Difference
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Grief and Depression: The Sages Knew the Difference
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Developmental Psychopathology Comes of Age
  • Psychiatry and the Myth of “Medicalization”
  • Will Your Clinical Records Support You in Court?
  • Refinements in ECT Techniques
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
  • Ethical and Legal Issues in Geriatric Psychiatry
  • Eco-Psychiatry: Why We Need to Keep the Environment in Mind
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Is it Time for a Treatment Manual to Complement DSM-5?
  • Diagnosis and its Discontents: The DSM Debate Continues
  • Lamotrigine for Major Depressive Disorder Is Inappropriate
  • NIMH vs DSM 5: No One Wins, Patients Lose
  • Psychiatry and the Myth of “Medicalization”
  • Parity Laws: Powerful Weapon—or Pipe Dream?
  • The Moral Struggles of Practicing Psychiatrists
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
Click here to subscribe to our newsletter
 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry
 
CME
Advances in Psychiatric Medicine: Schizophrenia Versus Schizoaffective Disorder: Clinical Implications for Therapeutic Decisions
Atypical Antipsychotics for Children and Adolescents With Schizophrenia-Spectrum Disorders
More Schizophrenia CME


 
SearchMedica Search Result

Find peer-reviewed literature and websites for practicing medical professionals

CME on Schizoid Personality Disorder
Evidence on Schizoid Personality Disorder
Guidelines on Schizoid Personality Disorder
Patient Education on Schizoid Personality Disorder
Clinical Trials on Schizoid Personality Disorder
Practical Articles on Schizoid Personality Disorder
Research and Reviews on Schizoid Personality Disorder
All "Schizoid Personality Disorder" results


CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy