Tag Archives: Sigmund Freud

0.01% of the General Population

This Communication Model is a model of care that is intended to help an individual who is experiencing mental distress. It is model that does not cost anything, does not offer advice and does not promise anything. It is a model of acceptance and non-judgment, and intended for the 0.01% of the general population with treatment resistant psychosis.

Method: When an individual with mental distress communicates his/her feelings in a confidential manner what often happens is that the acceptance of the individual leads to an empowerment. This empowerment leads an individual to want to take responsibility for his/her own destiny. The Communication Model works in a very contradictory and paradoxical way & at the same time in a very positive way.

The Communication Model is intended to pick-up where Sigmund Freud left off. For example, in the past Sigmund Freud believed that a person with schizophrenia could not be counseled. This concept lead to individuals with schizophrenia currently being medicated through the hospital + general practitioners and sometimes receiving psycho-social care in the community.

The current psychiatric system is built on Sigmund Freud’s concept and I want to add to that and focus more on the individuals emotions. I believe that it is through communicating with an individual with refractory schizophrenia that drives individual self-mental-change.

Throughout my volunteer work and internship work at the British Columbia Schizophrenia Society in Victoria, I noticed that individuals with serious mental illness, who were medicated often said two important statements: [1] that they wished that they could feel again – because the medications were making them feel numb and [2] that even though they were taking medications they were still experiencing distress inside of themselves. These two statements made me realize that there is a need to focus on the emotions underlining the symptoms. It was the wish of individuals with serious mental illness – out of their own testimonies – and it is these testimonies – that is one of the main reasons why the Communication Model was born. Furthermore, even though it is mentioned through the Medical Model that medications for schizophrenia are effective – the opposite side of the same coin is that it is a known fact that the medications do not work for a very select group of treatment resistant individuals despite proper compliance and the adherence of strict and regimented instructions and the following of medications schemas. It is called Treatment Resistant Psychosis / Refactory Schizophrenia and the Communication Model is intended to try to help these very select specific individuals. During my Interprofessional Mental Health and Addictions post degree program diploma at Camosun College in Victoria British Columbia Canada, I conducted a literature review into Schizophrenia and the Canadian Justice System – and with more than 400 peer academic research references indicated that many seriously mentally ill (SMI) individuals were DSM diagnosed and in jail. To me, that means that the Medical Model did not work well for them – seeing that the individuals were now behind bars.

Treatment Resistance Psychosis is something that is not the fault of an individual. Instead it is the opposite. Treatment Resistant Psychosis means that these marginalized individuals often get stigmatized by psychiatrists and medical doctors because the psychiatrists and medical doctors do not know how to deal with this very specific group of people. Because the medication and the Medical Model seems to be working for most people with schizophrenia (estimation of 0.99% of the general population), often what occurs, is that psychiatrists and medical doctors will turn a blind-eye to this group of people, (estimation of 0.01% of the general population) because the majority of individuals seem to be receiving treatment that works. The estimated 0.01% general population will have schizophrenia symptoms, for example paranoia, however they will be labeled behavioral versus symptom-related. This leads individuals to fall through the cracks and hence often become homeless or in the Canadian jail system.

Would it not be logical if the Medical Model started to focus on the 0.01% of the general population treatment resistant psychosis individuals (this percentage is an estimation) versus the 0.99 % treatment successful psychosis individuals – or is that not feasible nor effective according to the Medical Model? Is the brain so vast that it is impossible, with any exact precision to pin-pointing an exact area to be targeted? The psychiatrist often needs to adjust the medications of any individual with serious mental illness many times before being able to access if they work.

The Communication Model is a tool that is intended to help the individuals, the hypothesized 0.01 % of the general population, with treatment resistant psychosis, through a unique way of communication. This unique form of communication is the symbiosis between the practitioner (myself as chief operator of the Communication Model) and an individual (experiencing treatment resistant psychosis symptoms, which in the realm of the Communication Model are referred to as emotions versus medical symptoms).

The aim of the Communication Model is to relieve pain by drawing and talking and linking into each others psyche in a humanity approach. There is no financial gain, no promises with be made and no advice will be given. At the same time, it must be mentioned that a trained Mental Health and Addictions Practitioner should conduct the Communication Model. As the Communication Model is intended for Refractory Schizophrenia solely. There is a unique communication symbiosis that develops and this is a very specialized skill – gained though lived-experience – combined with a Bachelor of Arts degree in Arts Policy, Management and Education, specialization Art Education combined with a post degree diploma in Interprofessional Mental Health and Addictions. There is a hyper-focus on treatment resistant psychosis intermingled with Existentialism, Individualism and Personalism. The Communication Model is to be conducted with safety in mind.


Written by Annuska van der Pol, BA, PDD-IMHA
Mental Health and Addictions Practitioner
Victoria, BC Canada

Note: the number 0.01% treatment resistant psychosis of the general population is a number referenced in peer-academic material

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