The concept of psychosis existed long before the current diagnostic definitions we have today. However, current opinion and treatment of psychosis is often dominated by a narrow psychiatric discourse. As a result of this conceptualisation, a diagnosis of psychosis can often feel limiting and disempowering for the individual, especially if he or she holds an alternative perspective. A psychodynamic model may therefore provide a method to examine psychosis from a relational perspective; this may, in turn, broaden one’s understanding and experience of a psychotic episode. In this article, two case examples from different cultural perspectives are used to highlight and explore the potential benefit of psychodynamic theory in the formulation and treatment of psychosis. A psychodynamic model using object relations theory is used for the exploration of both internal and external relational experiences. Both psychodynamic and psychiatric rationales are thus challenged to reflect on the impact of rigid perspectives and how they may limit treatment efficacy. Current research and literature around the use of psychodynamic theory in the treatment of psychosis is reviewed in light of this perspective.

中文翻译：

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我，我，你与我们：心理动力学模型能否提供有关精神病的相关观点？

精神病的概念早在我们今天的诊断定义之前就已经存在。然而，当前对精神病的看法和治疗通常以狭窄的精神病学话语为主导。由于这种概念化，对精神病的诊断通常会使个人感到局限和无权，尤其是如果他或她持有其他观点。因此，心理动力学模型可以提供一种从关系角度检查精神病的方法。反过来，这可能会拓宽人们对精神病发作的理解和经验。在本文中，将使用两个来自不同文化视角的案例来突出和探讨心理动力学理论在精神病的形成和治疗中的潜在益处。使用对象关系理论的心理动力学模型可用于探索内部和外部关系经验。因此，精神动力学和精神病学理论都面临挑战，以反思僵化观点的影响及其如何限制治疗效果。基于这种观点，回顾了有关使用心理动力学理论治疗精神病的最新研究和文献。