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What to make of an incidence of incomprehensible madness (or a clinical case not so easy to diagnose)

Chapter

What to make of an incidence of incomprehensible madness (or a clinical case not so easy to diagnose)

DOI link for What to make of an incidence of incomprehensible madness (or a clinical case not so easy to diagnose)

What to make of an incidence of incomprehensible madness (or a clinical case not so easy to diagnose) book

What to make of an incidence of incomprehensible madness (or a clinical case not so easy to diagnose)

DOI link for What to make of an incidence of incomprehensible madness (or a clinical case not so easy to diagnose)

What to make of an incidence of incomprehensible madness (or a clinical case not so easy to diagnose) book

ByM. Guy Thompson
BookThe Death of Desire

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Edition 2nd Edition
First Published 2016
Imprint Routledge
Pages 23
eBook ISBN 9781315764337

ABSTRACT

If you are a therapist who is seeing someone in psychotherapy suffering from a neurotic confl ict, then it shouldn’t be a stretch for you to do so without rendering a diagnosis, which is to say without having to treat that person like someone suffering a “mental illness,” a diagnosable disorder with such and such a set of symptoms that obliges you to wear the hat of a “mental health practitioner.” But how does that work when the person you are seeing is stark raving mad, who meets the diagnostic features of someone suffering from acute schizophrenia, or a manic episode, who is so out of it that he (or she) cannot be on his own, whose only option is to be taken to a mental hospital because there is nowhere else such a person can go to that won’t alarm the people around him? Suddenly, you have no way of continuing to see that person in therapy, because the most immediate problem confronting this person is: Where is he going to live? That question has to be settled before anything else. Where is he going to go? In order to continue seeing him you will have to wait until after he has been discharged from the hospital, medicated so that he is no longer a “danger,” and returned to his domicile. From there he can make an appointment to resume seeing you, weeks, days, or months later, in your offi ce, now that he is no longer at risk. But what if there was a place where this person could go to that was not a mental hospital, and what if the place he went to didn’t require him to be medicated, if he did not want to be, but would let him live there as is , symptoms and all, so that it would be possible to continue seeing him, and to be with him, either in your offi ce or at the house where he is now residing? What if such a place existed? Then it wouldn’t matter if he were neurotic or psychotic, because he wouldn’t be perceived as being any different than anyone else. Wouldn’t it be amazing if such a place existed?

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