Psykoterapeutiska aspekter på kriminalpsykiatrisk vård

Abstract

A closed criminal psychiatric ward cannot tolerate too many violent patients simultaneously treated with intensive individual psychotherapy. The psycho-therapeutic relationship of these patients builds on the mechanism of split very pronouncedly, which intensifies the problem of violent acting-out, and very easily spreads dissociation into the administrative relations, too. The problem of personnel in this work is often the constant conflict of hate in countertransference. How to manage that without blindly acting it out upon the patients, and without unnecessarily burdening one's own personality? The most capable of the mental nurses have the professional ability to perceive and receive the clumsy, extremely egocentric attempts from the patients to help the personnel to understand and treat the patients. When a severely narcissistically disturbed patient feels he also can give something to the personnel, it is only then that he himself can receive something in the therapeutic interaction. □ dangerous patient, split.