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West Coast Psychosis Care and Connection: A Retreat on Humanistic Approaches

Metamorphosis of the Self During Recovery From Psychosis

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Description

Six weeks into my companion’s residential treatment experience I was adequately schooled in their magical powers to summon curses upon their foes, their capacity to astral project across time and space, take advice from spirit guides (including the advice to continue seeing me despite a strong personal dislike for “The Goat”, aka Dr. Fowler). Schooling is what my companion did-they were here (according to the spirit guides) to teach me. I accepted my role as best I could and allowed my companion to lead the way. During week 7 or 8 (I cannot say for sure), my companion spoke of a terrible trauma-the Illuminati had stolen their soul and their energies, leaving them weak, vulnerable, and lost. Since the theft, they felt different, alien to their past self, and could not string together days of feeling like themselves. Our collective consciousness is directed to the most salient aspects of suffering in humans-a broken arm evokes immediate empathy and visceral sympathetic response. This holds true for psychosis as well—positive symptoms such as hallucinations, delusions, referential thinking, thought broadcasting, and other Schneiderian first rank symptoms (Schneider, 1959) are the mind’s equivalent of a broken arm. And while difficult for the non-psychotic mind to grasp, they are “visible” and can evoke empathy and curiosity in the compassionate and caring. But what of the invisible breaks of a fragmenting sense of self as psychosis sets in? Where, when, and how we bear witness to the broken sense of self? How do we help our companion grieve what is lost and help them discover something new? We have more questions than answers, and yet we are not helpless. We are with hope, skill, compassion, and resources to aid in the metamorphosis. Leaning on literature, film, and clinical encounters, we will identify the signs of a fragmenting self, creatively engage our companion in restoring a sense of self, and recognize the healthy metamorphosis that is central to social recovery. My companion and I have developed a language for the experiences of a fragmented sense of self and have worked together on recovery bits of their energy, strength, and confidence. Of equal or greater importance, my companion has bonded with others, rediscovered lost skills, interests, and passions that come from being immersed in a community of others suffering in their own ways. This is far from a complete story, and yet it provides a reminder to us all that the path to a metamorphosis of self does not have to follow that of Gregor Samsa in Kafka’s Metamorphosis.

Learning Objectives

Participants will be able to:

  • Identify the signs of a fragmenting self.

  • Creatively engage our companion in restoring a sense of self.

  • Recognize the healthy metamorphosis that is central to social recovery.

Educational Goal

The educational goal of this activity is to enhance clinician understanding of the impact of psychosis on sense of self and to improve skills in recognizing and responding to self-fragmentation within a recovery-oriented model of care. Participants will be better prepared to identify clinical signs of disrupted self-experience, support individuals in processing loss and rebuilding identity, and apply compassionate, relationship-based strategies that foster social recovery and meaningful transformation.

Target Audience

  • Addiction Professional
  • Counselor
  • Marriage & Family Therapist
  • Nurse
  • Physician
  • Psychologist
  • Social Worker

Presenters

J. Christopher Fowler, PhD
Dr. Fowler completed a 4-year post-doctoral fellowship in clinical psychology (1995-1999) at the Austen Riggs Center, where he advanced to clinical leadership positions serving as Director of Clinical Research, and a Clinical Team Leader for 10 years. In 2011 he and his family moved to Houston where he served as Associate Director of Research and Director of Psychology at the Menninger Clinic. In 2018 he joined Houston Methodist Behavioral Health as a senior clinician. In January of 2024 he became the Executive Clinical Director of The Monarch Community, a not-for-profit residential treatment program. He currently holds an academic appointment as Professor of Psychology at Houston Methodist Academic Institute, Weill Cornell Medical College. His clinical and research work focuses on the assessment and treatment of adults suffering from serious mental illness and personality disorders. As a researcher, Dr. Fowler has over 120 publications in the areas of personality disorders, suicide, neuroimaging, and treatment outcome. He is an internationally recognized personality researcher and currently serves on several professional journal editorial boards including Journal of Psychiatric Practice and Psychotherapy: Training, Research, and Practice.

Financially Sponsored By

  • Ellenhorn