The problem here is that of accessibility. The Standard Procedure Chart has right under its heading “(For Accessible Cases).” I have talked earlier about accessibility1, and the least accessible character of them all is the psychotic. That’s what it means. He is inaccessible. If we modified our terminology to make it a little more workable, […]
This gives you a sample of some of the bizarre methods that can be adopted to regain accessibility. Another one is followed by Dr. Frieda Fromm Reichman. She will go into a cell with the toughest, meanest, orneriest psychotics imaginable, and by a process of acting crazier than they act bring them out of it. […]
Almost the entire effort of psychiatry is leveled at accessibility. It is so interesting to the psychiatrists after it has been achieved that they will normally say this person is a remission. That’s right They have achieved accessibility on the case. This is no blast on psychiatry; this is their modus operandi. They get the […]
In treating psychotics, there isn’t very much to say. You either get to them or you don’t, and it may take you a long time or a very short time. You have to establish accessibility. Their accessibility and obedience depend on your winning their confidence.
The paranoiac, like most psychotics, is infested with demon circuits1. He is under a heavy battery of controls. Large sections of his analyzer are sawed off by circuitry. Occasionally you are made to feel that you are talking to a person who is very convincing and who has a great deal to offer, but you […]
The problem of accessibility lies in your hands, with your skill and persuasiveness in getting somebody to either look at you, sit down, answer a few questions, or at the optimum close his eyes and go straight into work. Don’t try to force a patient into therapy. In the first place, the patient may […]