The Psychiatric Quarterly

, Volume 30, Issue 1–4, pp 211–248

A schizophrenic patient describes the action of intensive psychotherapy

  • Malcolm L. Hayward
  • J. Edward Taylor
Article

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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Eissler, K. R.: Remarks on the psychoanalysis of schizophrenia. Int. J. Psychoan., 32:139, 1951.Google Scholar
  2. 2.
    Hayward, M. L.: The emotional reactions of a schizophrenic patient to shock therapy.Psychiat. Quart., 25:289, 1951.CrossRefGoogle Scholar
  3. 3.
    Rosen, J. N.: Direct Analysis. Grune & Stratton. New York. 1953.Google Scholar
  4. 4.
    Whitaker, C. A.; Warkentin, J.; Malone, T. P.; Felder, R.; and Johnson, N.: Personal communications.Google Scholar
  5. 5.
    Whitaker, C. A.; Warkentin, J.; and Johnson, N.: A philosophical basis for brief psychotherapy.Psychiat. Quart., 23:493, 1949.CrossRefGoogle Scholar
  6. 6.
    Whitaker, C. A., and Malone, T. P.: The Roots of Psychotherapy. Blakiston. New York. 1953.Google Scholar
  7. 7.
    Fenichel, O.: The Psychoanalytic Theory of Neurosis. P. 450. Norton. New York. 1945.Google Scholar
  8. 8.
    Sechehaye, M. A.: Symbolic Realization. International Universities Press. New York. 1951.Google Scholar
  9. 9.
    Sechehaye, M. A.: Autobiography of a Schizophrenic Girl. Grune & Stratton. New York. 1951.CrossRefGoogle Scholar
  10. 10.
    Wexler, M.: The structural problem in schizophrenia. Int. J. Psychoan., 32:157, 1951.Google Scholar
  11. 11.
    Rioch, D. M.: Personal communication.Google Scholar
  12. 12.
    Hayward, M. L.; Peters, J. J.; and Taylor, J. E.: Some values of the use of multiple therapists in the treatment of the psychoses.Psychiat. Quart., 26:244, 1952.PubMedCrossRefGoogle Scholar
  13. 13.
    Hayward, M. L.: Direct analytic therapy. In: The Cyclopedia of Medicine, Surgery and Specialties. F. A. Davis, Philadelphia. 1949.Google Scholar
  14. 14.
    Standish, C. T.; Mann, J.; and Menzer, D.: Some aspects of the psychopathology of schizophrenia. Psychiatry, 13:439, 1950.PubMedGoogle Scholar
  15. 15.
    Rosen, J. N.: Personal communication.Google Scholar
  16. 16.
    Hayward, M. L.: Direct interpretation in the treatment of a case of schizophrenia.Psychiat. Quart., 23:720, 1949.PubMedCrossRefGoogle Scholar
  17. 17.
    Tagore, R.: Collected Poems and Plays. Macmillan. New York. 1951.Google Scholar
  18. 18.
    Fairbairn, W. R. D.: A revised psychopathology of the psychoses and psychoneuroses. Int. J. Psychoan., 22:250, 1941.Google Scholar
  19. 19.
    Guntrip, H.: A study of Fairbairn's theory of schizoid reactions. Brit. J. Med. Psychol., 25:86, 1952.PubMedCrossRefGoogle Scholar
  20. 20.
    Gibran, K.: The Madman. Knopf. New York. 1918.Google Scholar
  21. 21.
    Fromm-Reichmann, F.: Notes on the development of treatment of schizophrenics by psychoanalytic psychotherapy. Psychiatry, 11:263, 1948.PubMedGoogle Scholar
  22. 22.
    Warkentin, J.; Johnson, N.; and Whitaker, C. A.: A comparison of individual and multiple psychotherapy. Psychiatry, 14:415, 1951.PubMedGoogle Scholar
  23. 23.
    Maholick, L. T.: The infant in the adult. Psychosom. Med., XI:235, 1949.Google Scholar
  24. 24.
    Kochis, G.: Personal communication.Google Scholar
  25. 25.
    Scott, W. C. M.: On the intense affects encountered in treating a severe manicdepressive disorder. Int. J. Psychoan., 28:1, 1947.Google Scholar
  26. 26.
    Spitz, R. A.: Grief. Motion Picture Film.Google Scholar
  27. 27.
    Maholick, L. T.: Personal communication.Google Scholar
  28. 28.
    Freud, S.: Three Contributions to the Theory of Sex. In: The Basic Writings of Sigmund Freud. P. 585. Modern Library. New York. 1938.Google Scholar
  29. 29.
    Brunswick, R. M.: The Preoedipal Phase of the Libido Development. In: The Psychoanalytic Reader. International Universities Press. New York. 1948.Google Scholar
  30. 30.
    Groddeck, G.: The Book of the It. P. 262. Vision Press. London. 1950.Google Scholar
  31. 31.
    Fitzgerald, F. S.: Tender Is the Night. Scribner's. New York. 1951.Google Scholar
  32. 32.
    Freud, S.: Instincts and their vicissitudes. Collected Papers, Vol. IV, p. 69.Google Scholar
  33. 33.
    Freud, S.: Outline of Psychoanalysis. P. 62. Norton. New York. 1949.Google Scholar
  34. 34.
    Sharpe, E. F.: Collected Papers. Hogarth. London. 1950.Google Scholar
  35. 35.
    Freud, S.: Female Sexuality. Collected Papers, Vol. V, p. 254.Google Scholar

Copyright information

© The Psychiatric Quarterly 1956

Authors and Affiliations

  • Malcolm L. Hayward
    • 1
  • J. Edward Taylor
    • 1
  1. 1.Philadelphia 39

Personalised recommendations