The Developing Guidelines to the Psychotherapy of Schizophrenia
The past decade has not been felicitous for the psychotherapy of schizophrenic disorders. Indeed, it is being taught in so few places that there is danger that the light will go out, and that the knowledge and skills that had gradually been accumulated will be lost. The reasons are not difficult to find. The major hope for overcoming this great destroyer of the mind and spirit has been placed in psychopharmacology and in advances in our knowledge of the neurochemistry of the brain. Studies of adopted-away children have supposedly produced incontrovertible evidence that we are dealing with a disorder whose etiology is basically genetic. Economics and politics have led to the dispersion of schizophrenic patients into dilapidated hotels and boarding houses, straitjacketed by drugs so that they create little problem for society. Experiments with so-called long-term intensive psychotherapy, carried out for all of six months, and other studies of the results of the work of relatively untrained therapists, have been used to indicate that though psychotherapy may be helpful, it is hardly worth the time and expense. But now times may be changing. Neuroleptic drugs, though useful when properly administered, have not provided an answer, and, when used in heavy dosages for long periods of time, they may impede chances for improvement or recovery. The mounting incidence of tardive dyskinesias is forcing a reconsideration of prolonged pharmacotherapy.
KeywordsSchizophrenic Patient Residential Treatment Center Maternal Rejection Incontrovertible Evidence Adolescent Schizophrenic Disorder
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