In the second peer-review article I chose, which is called “Reawakening Reflective Capacity in the Psychotherapy of Schizophrenia: A Case Study” it talks about a man named Clancy who is in his 60’s. He was one of five kids, and unaware of the family history with mental illness. He did hint to the fact his mother experienced emotional difficulties during his childhood. He couldn’t clarify any more depth than this because his parents passed away fifteen years before he started treatment. Clancy is unemployed and has had 40 year history of psychosis, with his first psychotic episode in his adolescent years. He previously had at least ten inpatient admissions, but hadn’t been hospitalized in over 20 years. When he showed up to the emergency room, he presented with akathisia and anxiety, usually with no negative symptoms. He …show more content…
This treatment was part of a large pilot study to study the effectiveness of Metacognitive Narrative Psychotherapy. This was Clancy’s first time engaging in this time of therapy, until this point he was managed primarily by medicine.
During the early phase of the treatment, this is when the partnership develops between Clancy and the therapist. When Clancy arrived at the meetings he seemed confused and often suspicious. This is when the therapist has to work hard promote safety and be specific with her aims for the sessions. The therapist noticed when she did ask some questions, it seemed as though he didn’t know how to respond to them. During this phase, it was obvious Clancy had difficulties understanding and expressing his emotional experiences. Avoiding emotional questions during the first phrase appeared to help Clancy reveal parts of himself at his own pace, which was nonthreatening to him. This phase is referred to as the trial and error phase, where the therapist tests the effectiveness of her