Integrated treatment in schizophrenia: A psychodynamic approach

Introduction The severe disability of schizophrenia and its impairment in real-life functioning can improve with a treatment that stimulates personal resources such as peer-support by psychologist according to Cordiale and Montinari psychoanalytic model (2012) in a multidisciplinary team. Objectives Supportive and narcissistic relationships sharing real life experience, according the cohesion of Self (Kohut 1971), promotes identification processes and improves pharmacological and psychiatrist treatment. Methods Study participants were recruited for one year, according to diagnostic criteria of DSM V, from schizophrenic patients ( n  = 12) of a Mental Health Department and of a private psychiatric department (DH) in an age between 23 and 36 years, tested by SAT-P and GAF scale. Results All patients were treated with second generation antipsychotic and an integrated treatment with peer-support, (Galderisi et al., 2014). Conclusions The valiance of real-life functioning in patients with schizophrenia depends on an integrated intervention that assures a function of flexible and not coercive restraint, allowing to stable relationship with territorial agency (network) (Chiesa, 2008).