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Acting Out and Unusual Behavior in Schizophrenia

Typical schizophrenic acting out, sometimes bizarre, is connected with special cognitive processes such as active concretization, delusional thinking, hallucinations. The patient is still capable of conceiving abstract ideation but cannot sustain it; it is too anxiety-provoking. Immediately it is transformed into concrete representations or activities. The patient must be made to realize that the therapist shares his anxiety and thereby diminishes his burden.

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