Engaging Psychosis – Discovering the patient’s subjectivity | Seminar | 19 Mar 2021 | 09:00–12:00

R610.00 incl. Vat

Date: 19 March 2020

Time: 09:00 – 12:00

Venue: Bondev House, Royal Elephant Hotel & Conference Centre (Cnr Willem Botha & Wierda Road, Eldoraigne, Centurion)

Presenter: Nardus Saayman

HPCSA: 3 general CEUs (psychologists, registered counsellors, and psychometrists) and other relevant professionals (cross recognition of CEUs)
SACSSP: 1.5 CPD points

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Psychosis can be understood as, in part, a disorder of the self. The various factors that contribute to the development of psychosis and the consequences of psychotic symptoms potentially impede the development of the patient’s subjectivity, and can lead to a complete breakdown of the patient’s ability to accurately represent their subjective experiences. The development of paranoid delusions partially functions to compensate for the patient’s inability to make sense of their subjective experiences in relation to an acknowledged other, in this case the psychotherapist. When the patient confronts the professional with their paranoid delusion and implicates the professional as a dangerous object, the professional is potentially exposed to a complex and disturbing dynamic where their own subjectivity may be drawn into question. This presentation aims to explore the professional’s experiences of this dynamic by making use of a composite narrative of a psychotic patient with paranoid delusions that implicate the professional. The psychotherapist’s experiences are discussed via the following three themes: Constructing the patient’s subjectivity; The psychotherapist’s use of their own experiences; and Holding the balance between opposing realities.

The presentation will also aim to address some of the difficulties encountered in diagnosing, conceptualizing, and managing patients who suffer from psychosis.


The presentation will then look at some of the common issues stemming from a spiritual perspective, which may contribute to the stigma surrounding the illness and prevent sufferers from seeking help. Ways in which to manage this stigma in a constructive manner will be explored.

NB: The attainment of CEUs or CPD points does not license any professional to practise outside of their scope or competency. CPD training is intended to broaden the knowledge of professionals and does not constitute professional training. The responsibility to practise within their relevant scope remains with the professional, regardless of what CPD training they attend.