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EP00 Topical Panel 17 - Schizophrenia / Severely Disturbed Patients - Ray Corsini, PhD; Jay Haley, MA; Otto Kernberg, MD; Michael White, BASW


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Topic Areas:
Topical Panels |  Schizophrenia |  Personality Disorders |  Psychotherapy |  Severe Mental Illness |  Family Therapy |  Hospital-Based Treatment
Categories:
Evolution of Psychotherapy |  Evolution of Psychotherapy 2000
Faculty:
Ray Corsini, PhD |  Jay Haley, MA |  Otto Kernberg, MD |  Michael White, B.A.S.W.
Duration:
53 Minutes
Format:
Audio Only
Original Program Date:
May 28, 2000
License:
Never Expires.



Description

Description:

Educational Objectives:

  1. To compare and contrast clinical and philosphical perspectives of experts.

*Sessions may be edited for content and to preserve confidentiality*

Outline:

  • Panel Introduction

    • Moderated by Ruth McClendon, focused on schizophrenia and severe mental illness.

    • Panelists: White, Kernberg (present); Haley and Corsini to join later.

  • Michael White on "Revoicing Schizophrenia"

    • Emphasizes collaboration, not opposition to medical models.

    • Revoicing helps clients externalize and challenge the authority of voices.

    • Focuses on specific symptoms (e.g., hallucinations), not the diagnosis itself.

  • Positive Perspectives on Schizophrenia

    • Speaker 7 highlights recovery potential and criticizes therapeutic pessimism.

    • Long-term studies show many achieve recovery or significant improvement.

    • Emphasizes hope, work readiness, and family support.

  • General Psychiatrist’s Approach

    • Speaker 8: ~25% of patients recover fully, 50% improve significantly.

    • Recommends combining medication, psychotherapy, and psychosocial rehab.

    • Atypical antipsychotics are effective; psychoanalysis used in rare cases.

  • Psychotherapeutic Management

    • Helps reduce symptoms and improve daily function.

    • Encourages conversation, goal-setting, and adaptive behavior.

    • Recommends activities (e.g., poetry readings) to support self-esteem.

  • Family Involvement & Rehab

    • Family support is critical; rehab options include clubs, halfway houses, day programs.

    • Patients with no self-harm risk can often live independently.

    • Interventions needed when safety is a concern.

  • Audience Q&A

    • Strategies for engaging paranoid/delusional patients in group settings.

    • Revoicing starts with simple, validating questions.

    • Differences in treating disorganized vs. paranoid types discussed.

  • Family Therapy Challenges

    • Working with families to support children of schizophrenic parents.

    • Need to reduce emotional over-involvement and reframe parenting roles.

  • Examples of Revoicing Techniques

    • Questions that help patients reflect on voice patterns and reduce their influence.

  • Community Care & Deinstitutionalization

    • Mixed results: reduced hospitalizations, but inadequate community support in many cases.

  • Final Reflections

    • Biological and psychological models should be integrated.

    • Current research still evolving; treatment must be flexible and evidence-based.

Credits



Faculty

Ray Corsini, PhD's Profile

Ray Corsini, PhD Related Seminars and Products


RAY CORSINI, Ph.D., was a retired Professor of Psychology, University of Hawaii. He had been in private practice for 35 years. Dr. Corsini has published over 60 books under 43 titles, including four encyclopedias and the most complete dictionary of psychology, and has written or edited 18 books in counseling or psychotherapy. He is listed in Who's Who in America, Contemporary Authors and the Biographical Dictionary of Psychology, 1997. 

Raymond Corsini's training was diverse. He received a BA and MA at the City College of New York, then did his doctoral training at Syracuse University, Cornell University, University of California, University of Wisconsin (all during the time of his work as a prison psychologist), and finally obtained a Ph.D. at age 41 from the University of Chicago under Carl Rogers. He met and interacted with J.L. Moreno, Fritz Perls, Victor Frankl, and Albert Ellis among others, but his main teacher was Rudolf Dreikurs, an Adlerian. He had three separate careers: as a prison psychologist for 15 years, then an industrial psychologist for ten years, and finally in private practice of psychotherapy and counseling for 30 years. Usually in the summers, he taught courses at over a dozen universities and full time at the University of Chicago, Illinois Institute of Technology, and the University of California at Berkeley. 


Jay Haley, MA's Profile

Jay Haley, MA Related Seminars and Products


Jay Haley (M.A., 1953, Stanford University) was Director of Family Therapy Institute of Washington, D.C. He was one of the leading exponents of the strategic/interpersonal approach to family therapy. Haley served as Director of the Family Experiment Project at the Mental Research Institute and as Director of Family Therapy Research at the Philadelphia Child Guidance Clinic. He has authoered seven books, co-authored two and edited five. Additionally, he has more than 40 contributions to professional journals and books. Haley is the former editor of Family Process, and the first recipient of the Lifetime Achievement Award of The Milton H. Erickson Foundation.


Otto Kernberg, MD's Profile

Otto Kernberg, MD Related Seminars and Products


Otto Kernberg, MD, is a psychoanalyst and professor of psychiatry at Weill Cornell Medical College. He is most widely known for his psychoanalytic theories on borderline personality organization and narcissistic pathology. Director of the Personality Disorders Institute at the New York Presbyterian Hospital, Westchester Division, and Professor of Psychiatry at the Weill Medical College of Cornell University. Dr. Kernberg is a Past-President of the International Psychoanalytic Association. He is also Training and Supervising Analyst of the Columbia University Center for Psychoanalytic Training and Research. Dr. Kernberg is the author of twelve books and co-author of twelve others. His most recent books are Psychotherapy for Borderline Personality: Focusing on Object Relations and Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology.


Michael White, B.A.S.W.'s Profile

Michael White, B.A.S.W. Related Seminars and Products


MICHAEL WHITE, B.A.S.W., is Director of Dulwich Centre, Adelaide, South Australia. He is engaged in the provision of therapeutic services, in teaching and supervision and in working with communities. He has published numerous articles and several books on the subject of narrative therapy. 


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