Psychotherapy in Schizophrenia

Historical Considerations
  • Hilde Bruch


The treatment a mentally ill person receives depends to a large extent on the therapist’s theoretical conceptions about the nature of the illness. In schizophrenia, there has been a continuous controversy around the question of whether its origin was of a psychological or an organic nature. Kraepelin, who in 1890 had reported that a series of mental disease pictures had a common course, namely termination in a special kind of mental weakness, attributed the illness to some underlying organic, assumedly inherited predisposition. People suffering from this illness (to which he gave the name Dementia Praecox) were considered not accessible to treatment, and their communication was labeled meaningless and not understandable. The abnormal behavior and the disturbed symbolic processes of these patients seemed to him an expression of some organic abnormality, probably of the brain.


Schizophrenic Patient Therapeutic Relationship Double Bind Psychoanalytic Treatment Schizophrenic Child 


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Copyright information

© Plenum Publishing Corporation 1980

Authors and Affiliations

  • Hilde Bruch
    • 1
  1. 1.Department of PsychiatryBaylor College of MedicineHoustonUSA

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