Summary
Under intensive psychotherapy a young woman has been recovering from a very severe and, apparently, chronic schizophrenic illness after failing to respond to the shock therapies. During her convalescence she clarified at some length the meaning of the various forms assumed by the doctor-patient relationship throughout the period of overt psychosis. It became clear that the therapist had been forced, successively, to fill a number of different roles; chiefly those of a controlling doctor, bad mother, good mother, good father and, finally, orthodox therapist.
The patient's statements are presented in the hope of increasing our understanding of the changes in the basic needs of severely sick schizophrenic patients during the confusing, nonverbal acting-out of the grossly psychotic period.
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From the Hall-Mercer and Pennsylvania hospitals, the Philadelphia Association for Psychoanalysis and the Department of Psychiatry, University of Pennsylvania School of Medicine.
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Hayward, M.L., Taylor, J.E. A schizophrenic patient describes the action of intensive psychotherapy. Psych Quar 30, 211–248 (1956). https://doi.org/10.1007/BF01564343
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DOI: https://doi.org/10.1007/BF01564343