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Intensive Individual Psychotherapy of Schizophrenia: Title and subTitle BreakA Review of Techniques

Thomas H. McGlashan, MD
[+] Author Affiliations

Accepted for publication Sept 30, 1982.

Reprint requests to Chestnut Lodge Research Institute, 500 W Montgomery Ave, Rockville, MD 20850 (Dr McGlashan).


Arch Gen Psychiatry. 1983;40(8):909-920. doi:10.1001/archpsyc.1983.01790070099013
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• I reviewed the substantial psychiatric literature on the technical strategies of intensive individual psychotherapy of schizophrenia. Numerous issues were covered: the nature of intensive psychotherapy and the nature of schizophrenia from the psychotherapist's point of view, elements of the treatment situation, general technical attitudes, general technical interventions (establishing a relationship, elucidating, tolerating, integrating, and working through), special technical interventions with specific symptoms and resistances, and a final brief discussion of mutative mechanisms.

REFERENCES

Freud S:  Psychoanalytic notes on an autobiographical account of a case of paranoia , in Strachey J (ed): Standard Edition of The Complete Psychological Works of Sigmund Freud . London, Hogarth Press, 1971;, vol 12, pp 3-82.
Jung CG:  The psychology of dementia praecox , in Brill AA (ed): Nervous and Mental Disease Monographs . New York, Nervous and Mental Disease Publishing Co, 1936;, vol 3.
Meyer A:  The evolution of the dementia praecox concept , in Winters EE (ed): Collected Papers . Baltimore, Johns Hopkins University Press, 1951;, vol 2.
Sullivan HS: Schizophrenia as a Human Process . New York, WW Norton & Co Inc, 1962;.
Fromm-Reichmann F: Principles of Intensive Psychotherapy . Chicago, Phoenix Books, 1967;.
McGlashan TH:  Psychotherapy and the DSM III schizophrenias . J Nerv Ment Dis 1982;;120:752-757.
Mullahy PF:  Harry Stack Sullivan , in Kaplan HI, Freedman AM, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 3. Baltimore, Williams & Wilkins Co, 1980;, vol 1, pp 748-774.
Schulz CG:  An individual psychotherapeutic approach with the schizophrenic patient . Schizophr Bull 1975;;1:46-69.
Pao P: Schizophrenic Disorders . New York, International Universities Press, 1979;.
Orne M:  Psychotherapy in contemporary America: Its development and context , in Arieti S (ed): American Handbook of Psychiatry , ed 2. New York, Basic Books Inc, 1974;, vol 5, pp 3-33.
Karasu TB:  Psychotherapies: An overview . Am J Psychiatry 1977;; 134:851-863.
Will OA:  Schizophrenia: Psychological treatment , in Kaplan HI, Freedman AM, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 3. Baltimore, Williams & Wilkins Co, 1980;, vol 2, pp 1217-1240.
Lidz T: The Origin and Treatment of Schizophrenic Disorders . New York, Basic Books Inc, 1973;.
Arieti S: Interpretation of Schizophrenia . New York, Basic Books Inc, 1974;.
Arieti S:  An overview of schizophrenia from a predominantly psychological approach . Am J Psychiatry 1974;;131:241-249.
Adler G:  The psychotherapy of schizophrenia: Semrad's contributions to current psychoanalytic concepts . Schizophr Bull 1979;;5:130-137.
Fromm-Reichmann F:  Notes on the development of treatment of schizophrenics by psychoanalytic psychotherapy . Psychiatry 1948;;11:263-273.
Bion WR: Second Thoughts . New York, Jason Aronson Inc, 1967;, pp 36-42, 43-64, 93-109.
Searles HF: Collected Papers on Schizophrenia and Related Subjects . New York, International Universities Press, 1965;, pp 521-559, 654-716.
Grotstein JS:  The pscyhoanalytic concept of schizophrenia: I. The dilemma . Int J Psychoanal 1977;;58:403-425.
GrotsteinJS:  The psychoanalytic concept of schizophrenia: II. Reconciliation . Int J Psychoanal 1977;;58:427-452.
Rosenfeld H:  Notes on the psychoanalytic treatment of psychotic states , in Chiland C (ed): Long-term Treatments of Psychotic States . New York, Human Sciences Press, 1977;, pp 202-216.
Arieti S:  Psychotherapy of schizophrenia: New or revised procedures . Am J Psychother 1980;;34:464-476.
Hill LB: Psychotherapeutic Intervention in Schizophrenia . Chicago, University of Chicago Press, 1955;.
Gedo JE, Goldberg A: Models of the Mind . Chicago, Phoenix Books, 1976;.
Giovacchini P: Treatment of Primitive Mental States . New York, Jason Aronson Inc, 1979;.
Fromm-Reichmann F:  Remarks on the philosophy of mental disorder . Psychiatry 1946;;9:293-308.
Fromm-Reichmann F:  Psychotherapy of schizophrenia . Am J Psychiatry 1954;;111:410-419.
May PRA, Simpson GM:  Schizophrenia: Overview of treatment methods , in Kaplan HI, Freedman AM, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 3. Baltimore, Williams & Wilkins Co, 1980;, vol 2, pp 1192-1216.
Rosenfeld H: Psychotic States . New York, International Universities Press, 1966;, pp 155-168.
Rosenfeld H:  On the treatment of psychotic states by psychoanalysis: An historical approach . Int J Psychoanal 1969;;50:615-631.
Giovacchini P:  Psychoanalytic treatment of character disorders , in Boyer LB, Giovacchini PL (eds): Psychoanalytic Treatment of Schizophrenic, Borderline and Characterological Disorders . New York, Jason Aronson Inc, 1980;, pp 209-234.
London NJ:  An essay on psychoanalytic theory: Two theories of schizophrenia: I. Review and critical assessment of the development of the two theories . Int J Psychoanal 1973;;54:169-193.
Jacobs L:  A cognitive approach to persistent delusions . Am J Psychother 1980;;34:556-563.
Jacobs L: Cognitive therapy for schizophrenia in remission. Read before the annual meeting of the American Psychiatric Association, New Orleans, May 11, 1981.
Will OA:  Schizophrenia: The problem of origins , in Romasin J (ed): The Origins of Schizophrenia . Amsterdam, Excerpta Medica, 1967;, pp 214-227.
Abelin E:  Some further observations and comments on the earliest role of the father . Int J Psychoanal 1975;;56:293-302.
Stanton AH:  The significance of ego interpretive states in insightdirected psychotherapy . Psychiatry 1978;;41:129-140.
Burnham DL, Gladstone AI, Gibson RW: Schizophrenia and the Need-Fear Dilemma . New York, International Universities Press, 1969;.
Gunderson JG, Moser LR (eds): Psychotherapy of Schizophrenia . New York, Jason Aronson Inc, 1975;.
Gunderson JG:  Individual psychotherapy , in Bellak L (ed): Disorders of the Schizophrenic Syndrome . New York, Basic Books Inc, 1979;.
Lidz T:  The developing guidelines to the psychotherapy of schizophrenia , in Strauss JS, Bowers M, Downey TW, et al (eds): Psychotherapy of Schizophrenia . New York, Plenum Press, 1980;, pp 217-226.
Day M, Semrad E:  Schizophrenic reactions , in Nicholi A (ed): The Harvard Guide to Modern Psychiatry . Cambridge, Mass, Belknap Press, 1978;, pp 199-241.
Schur M: The Id and the Regulatory Principles of Mental Functioning . New York, International Universities Press, 1966;, p 21.
Boyer LB:  Working with the borderline patient . Psychoanal Q 1977;;46:386-424.
Bellak L, Loeb L: The Schizophrenic Syndrome . New York, Grune & Stratton Inc, 1969;, pp 343-377.
Gunderson JG:  Patient-therapist matching: A research evaluation . Am J Psychiatry 1978;;135:1193-1197.
Bellak L:  Enabling conditions for the ambulatory psychotherapy of acute schizophrenics , in Karasu TB, Bellak L (eds): Specialized Techniques in Individual Psychotherapy . New York, Brunner/Mazel Inc, 1980;, pp 76-84.
Boyer LB:  Office treatment of schizophrenic patients: The use of psychoanalytic treatment with few parameters , in Boyer LB, Giovacchini PL (eds): Psychoanalytic Treatment of Schizophrenic, Borderline and Characterological Disorders . New York, Jason Aronson Inc, 1980;, pp 129-170.
McGlashan TH:  Aphanisis: The syndrome of pseudo-depression in chronic schizophrenia . Schizophr Bull 1982;;8:118-134.
Karasu TB:  General principles of psychotherapy , in Karasu TB, Bellak L (eds): Specialized Techniques in Individual Psychotherapy . New York, Brunner/Mazel Inc, 1980;, pp 33-44.
Rako S, Mazer H (eds): Semrad: The Heart of a Therapist . New York, Jason Aronson Inc, 1980;.
Khantzian EJ, Dalsimer JS, Semrad EV:  The use of interpretation in the psychotherapy of schizophrenia . Am J Psychother 1968;;23:182-197.
Searles HF: The Nonhuman Environment . New York, International Universities Press, 1960;.
Will OA:  Comments on the 'elements' of schizophrenia, psychotherapy and the schizophrenic person , in Strauss JS, Bowers M, Downey TM, et al (eds): Psychotherapy of Schizophrenia . New York, Plenum Press, 1980;, pp 157-166.
Searles HF:  Psychoanalytic therapy with schizophrenic patients in a private-practice context , in Countertransference . New York, International Universities Press, 1979;, pp 582-602.
Will OA:  Schizophrenia and psychotherapy , in Marmor J (ed): Modern Psychoanalysis . New York, Basic Books Inc, 1968;, pp 551-573.
Will OA:  Schizophrenia—psychological treatment , in Freedman AM, Kaplan HI (eds): Comprehensive Textbook of Psychiatry . Baltimore, Williams & Wilkins Co, 1967;, pp 649-661.
Thompson SV:  Some considerations regarding psychoanalytically oriented psychotherapy . Natl Assoc Priv Psychiatr Hosp 1981;;12:34-39.
Knight R:  Psychotherapy of an adolescent catatonic schizophrenic with mutism . Psychiatry 1946;;9:323-341.
Burnham D:  Varieties of reality restructuring in schizophrenia , in Cancro R (ed): The Schizophrenic Reactions: A Critique of the Concept, Hospital Treatment, and Current Research . New York, Brunner/Mazel Inc, 1970;, pp 197-214.
Benedetti G:  Individual psychotherapy of schizophrenia . Schizophr Bull 1980;;6:633-638.
Rubins JL:  Five-year results of psychoanalytic therapy and day care for acute schizophrenic patients . Am J Psychoanal 1976;;36:3-26.
Ogden TH:  On the nature of schizophrenic conflict . Int J Psychoanal 1980;;61:513-533.
Arieti S:  Individual psychotherapy of schizophrenia , in Arieti S (ed): American Handbook of Psychiatry , ed 2. New York, Basic Books Inc, 1974;, vol 3, pp 627-651.
Eissler KR:  Remarks on the psychoanalysis of schizophrenia , in Brody EG, Redlich FC (eds): Psychotherapy with Schizophrenics . New York, International Universities Press, 1952;, pp 130-167.
Feinsilver DB:  Transitional relatedness and containment in the treatment of a chronic schizophrenic patient . Int Rev Psychoanal 1980;;7:309-318.
Wexler M:  The structural problem in schizophrenia: The role of the internal object , in Brody EG, Redlich FC (eds): Psychotherapy with Schizophrenics . New York, International Universities Press, 1952;, pp 179-201.
Rosen J: Direct Analysis . New York, Grune & Stratton Inc, 1953;.
Semrad EV:  Long-term therapy of schizophrenia: Formulation of the clinical approach , in Usdin GL (ed): Psychoneurosis and Schizophrenia . Philadelphia, JB Lippincott Co, 1966;, pp 155-173.
Volkan V: Primitive Internalized Object Relations . New York, International Universities Press, 1976;.
Eissler KR:  Notes upon the emotionality of a schizophrenic patient and its relation to problems of technique . Psychoanal Study Child 1953;;8:199-251.
Semrad EV, Zaslow SL:  Assisting psychotic patients to recompensate . Ment Hosp (July) 1964;, pp 361-366.
Grotstein J:  Psychoanalytic therapy of schizophrenia , in West LF, Flinn DE (eds): Treatment of Schizophrenia: Progress and Prospects . New York, Grune & Stratton Inc, 1976;, pp 131-145.
Winnicott DW: The Maturational Processes and the Facilitating Environment . New York, International Universities Press, 1965;, pp 140-152.
Giovacchini P:  Primitive agitation and primal confusion , in Boyer LB, Giovacchini PL (eds): Psychoanalytic Treatment of Schizophrenic, Borderline and Characterological Disorders . New York, Jason Aronson Inc, 1980;, pp 301-340.
Segal H:  Notes on the psychoanalytic treatment of psychotic states , in Chiland C (ed): Long-term Treatments of Psychotic States . New York, Human Sciences Press, 1977;, pp 217-223.
Giovacchini P:  The influence of interpretation upon schizophrenic patients . Int J Psychoanal 1969;;50:179-186.
Stanton AH:  Insight and self observation , in Strauss JS, Bowers M, Downey TW, et al (eds): Psychotherapy of Schizophrenia . New York, Plenum Press, 1980;, pp 131-144.
McGlashan TH, Levy ST, Carpenter WT:  Integration and sealing over: Clinically distinct recovery styles from schizophrenia . Arch Gen Psychiatry 1975;;32:1269-1272.
Levy ST, McGlashan TH, Carpenter WT:  Integration and sealing over as recovery styles from acute psychosis: Metapsychological and dynamic concepts . J Nerv Ment Dis 1975;;161:307-312.
McGlashan TH, Docherty JP, Siris S:  Integrative and sealing-over recoveries from schizophrenia: Distinguishing case studies . Psychiatry 1976;;39:325-338.
Meissner WW: The Paranoid Process . New York, Jason Aronson Inc, 1978;.
McGlashan TH, Carpenter WT:  Postpsychotic depression in schizophrenia . Arch Gen Psychiatry 1976;;33:231-239.
Fleck S:  Some observations on the nature and value of psychotherapy with schizophrenic patients , in Strauss JS, Bowers M, Downey TW, et al (eds): Psychotherapy of Schizophrenia . New York, Plenum Press, 1980;, pp 55-63.
Walker JI, Brodie HK:  Paranoid disorders , in Kaplan HI, Freedman AM, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 3. Baltimore, Williams & Wilkins Co, 1980;, vol 2, pp 1288-1300.
Bullard DM:  Psychotherapy of paranoid patients . Arch Gen Psychiatry 1960;;2:137-141.
Malin A, Grotstein JS:  Projective identification in the therapeutic process . Int J Psychoanal 1966;;47:26-31.
Leowald H:  On the therapeutic action of psychoanalysis . Int J Psychoanal 1960;;41:16-33.
Hoedemaker E:  The therapeutic process in the treatment of schizophrenia . J Am Psychoanal Assoc 1955;;1:89-109.
Hoedemaker E:  Preanalytic preparation for the therapeutic process of schizophrenia . Psychiatry 1958;;21:285-291.
Ekstein R:  Vicissitudes of the 'internal image' in the recovery of a borderline schizophrenic adolescent . Bull Menninger Clin 1955;;19:86-92.
Strachey J:  The nature of the therapeutic action of psychoanalysis . Int J Psychoanal 1934;;15:127-159.

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Freud S:  Psychoanalytic notes on an autobiographical account of a case of paranoia , in Strachey J (ed): Standard Edition of The Complete Psychological Works of Sigmund Freud . London, Hogarth Press, 1971;, vol 12, pp 3-82.
Jung CG:  The psychology of dementia praecox , in Brill AA (ed): Nervous and Mental Disease Monographs . New York, Nervous and Mental Disease Publishing Co, 1936;, vol 3.
Meyer A:  The evolution of the dementia praecox concept , in Winters EE (ed): Collected Papers . Baltimore, Johns Hopkins University Press, 1951;, vol 2.
Sullivan HS: Schizophrenia as a Human Process . New York, WW Norton & Co Inc, 1962;.
Fromm-Reichmann F: Principles of Intensive Psychotherapy . Chicago, Phoenix Books, 1967;.
McGlashan TH:  Psychotherapy and the DSM III schizophrenias . J Nerv Ment Dis 1982;;120:752-757.
Mullahy PF:  Harry Stack Sullivan , in Kaplan HI, Freedman AM, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 3. Baltimore, Williams & Wilkins Co, 1980;, vol 1, pp 748-774.
Schulz CG:  An individual psychotherapeutic approach with the schizophrenic patient . Schizophr Bull 1975;;1:46-69.
Pao P: Schizophrenic Disorders . New York, International Universities Press, 1979;.
Orne M:  Psychotherapy in contemporary America: Its development and context , in Arieti S (ed): American Handbook of Psychiatry , ed 2. New York, Basic Books Inc, 1974;, vol 5, pp 3-33.
Karasu TB:  Psychotherapies: An overview . Am J Psychiatry 1977;; 134:851-863.
Will OA:  Schizophrenia: Psychological treatment , in Kaplan HI, Freedman AM, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 3. Baltimore, Williams & Wilkins Co, 1980;, vol 2, pp 1217-1240.
Lidz T: The Origin and Treatment of Schizophrenic Disorders . New York, Basic Books Inc, 1973;.
Arieti S: Interpretation of Schizophrenia . New York, Basic Books Inc, 1974;.
Arieti S:  An overview of schizophrenia from a predominantly psychological approach . Am J Psychiatry 1974;;131:241-249.
Adler G:  The psychotherapy of schizophrenia: Semrad's contributions to current psychoanalytic concepts . Schizophr Bull 1979;;5:130-137.
Fromm-Reichmann F:  Notes on the development of treatment of schizophrenics by psychoanalytic psychotherapy . Psychiatry 1948;;11:263-273.
Bion WR: Second Thoughts . New York, Jason Aronson Inc, 1967;, pp 36-42, 43-64, 93-109.
Searles HF: Collected Papers on Schizophrenia and Related Subjects . New York, International Universities Press, 1965;, pp 521-559, 654-716.
Grotstein JS:  The pscyhoanalytic concept of schizophrenia: I. The dilemma . Int J Psychoanal 1977;;58:403-425.
GrotsteinJS:  The psychoanalytic concept of schizophrenia: II. Reconciliation . Int J Psychoanal 1977;;58:427-452.
Rosenfeld H:  Notes on the psychoanalytic treatment of psychotic states , in Chiland C (ed): Long-term Treatments of Psychotic States . New York, Human Sciences Press, 1977;, pp 202-216.
Arieti S:  Psychotherapy of schizophrenia: New or revised procedures . Am J Psychother 1980;;34:464-476.
Hill LB: Psychotherapeutic Intervention in Schizophrenia . Chicago, University of Chicago Press, 1955;.
Gedo JE, Goldberg A: Models of the Mind . Chicago, Phoenix Books, 1976;.
Giovacchini P: Treatment of Primitive Mental States . New York, Jason Aronson Inc, 1979;.
Fromm-Reichmann F:  Remarks on the philosophy of mental disorder . Psychiatry 1946;;9:293-308.
Fromm-Reichmann F:  Psychotherapy of schizophrenia . Am J Psychiatry 1954;;111:410-419.
May PRA, Simpson GM:  Schizophrenia: Overview of treatment methods , in Kaplan HI, Freedman AM, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 3. Baltimore, Williams & Wilkins Co, 1980;, vol 2, pp 1192-1216.
Rosenfeld H: Psychotic States . New York, International Universities Press, 1966;, pp 155-168.
Rosenfeld H:  On the treatment of psychotic states by psychoanalysis: An historical approach . Int J Psychoanal 1969;;50:615-631.
Giovacchini P:  Psychoanalytic treatment of character disorders , in Boyer LB, Giovacchini PL (eds): Psychoanalytic Treatment of Schizophrenic, Borderline and Characterological Disorders . New York, Jason Aronson Inc, 1980;, pp 209-234.
London NJ:  An essay on psychoanalytic theory: Two theories of schizophrenia: I. Review and critical assessment of the development of the two theories . Int J Psychoanal 1973;;54:169-193.
Jacobs L:  A cognitive approach to persistent delusions . Am J Psychother 1980;;34:556-563.
Jacobs L: Cognitive therapy for schizophrenia in remission. Read before the annual meeting of the American Psychiatric Association, New Orleans, May 11, 1981.
Will OA:  Schizophrenia: The problem of origins , in Romasin J (ed): The Origins of Schizophrenia . Amsterdam, Excerpta Medica, 1967;, pp 214-227.
Abelin E:  Some further observations and comments on the earliest role of the father . Int J Psychoanal 1975;;56:293-302.
Stanton AH:  The significance of ego interpretive states in insightdirected psychotherapy . Psychiatry 1978;;41:129-140.
Burnham DL, Gladstone AI, Gibson RW: Schizophrenia and the Need-Fear Dilemma . New York, International Universities Press, 1969;.
Gunderson JG, Moser LR (eds): Psychotherapy of Schizophrenia . New York, Jason Aronson Inc, 1975;.
Gunderson JG:  Individual psychotherapy , in Bellak L (ed): Disorders of the Schizophrenic Syndrome . New York, Basic Books Inc, 1979;.
Lidz T:  The developing guidelines to the psychotherapy of schizophrenia , in Strauss JS, Bowers M, Downey TW, et al (eds): Psychotherapy of Schizophrenia . New York, Plenum Press, 1980;, pp 217-226.
Day M, Semrad E:  Schizophrenic reactions , in Nicholi A (ed): The Harvard Guide to Modern Psychiatry . Cambridge, Mass, Belknap Press, 1978;, pp 199-241.
Schur M: The Id and the Regulatory Principles of Mental Functioning . New York, International Universities Press, 1966;, p 21.
Boyer LB:  Working with the borderline patient . Psychoanal Q 1977;;46:386-424.
Bellak L, Loeb L: The Schizophrenic Syndrome . New York, Grune & Stratton Inc, 1969;, pp 343-377.
Gunderson JG:  Patient-therapist matching: A research evaluation . Am J Psychiatry 1978;;135:1193-1197.
Bellak L:  Enabling conditions for the ambulatory psychotherapy of acute schizophrenics , in Karasu TB, Bellak L (eds): Specialized Techniques in Individual Psychotherapy . New York, Brunner/Mazel Inc, 1980;, pp 76-84.
Boyer LB:  Office treatment of schizophrenic patients: The use of psychoanalytic treatment with few parameters , in Boyer LB, Giovacchini PL (eds): Psychoanalytic Treatment of Schizophrenic, Borderline and Characterological Disorders . New York, Jason Aronson Inc, 1980;, pp 129-170.
McGlashan TH:  Aphanisis: The syndrome of pseudo-depression in chronic schizophrenia . Schizophr Bull 1982;;8:118-134.
Karasu TB:  General principles of psychotherapy , in Karasu TB, Bellak L (eds): Specialized Techniques in Individual Psychotherapy . New York, Brunner/Mazel Inc, 1980;, pp 33-44.
Rako S, Mazer H (eds): Semrad: The Heart of a Therapist . New York, Jason Aronson Inc, 1980;.
Khantzian EJ, Dalsimer JS, Semrad EV:  The use of interpretation in the psychotherapy of schizophrenia . Am J Psychother 1968;;23:182-197.
Searles HF: The Nonhuman Environment . New York, International Universities Press, 1960;.
Will OA:  Comments on the 'elements' of schizophrenia, psychotherapy and the schizophrenic person , in Strauss JS, Bowers M, Downey TM, et al (eds): Psychotherapy of Schizophrenia . New York, Plenum Press, 1980;, pp 157-166.
Searles HF:  Psychoanalytic therapy with schizophrenic patients in a private-practice context , in Countertransference . New York, International Universities Press, 1979;, pp 582-602.
Will OA:  Schizophrenia and psychotherapy , in Marmor J (ed): Modern Psychoanalysis . New York, Basic Books Inc, 1968;, pp 551-573.
Will OA:  Schizophrenia—psychological treatment , in Freedman AM, Kaplan HI (eds): Comprehensive Textbook of Psychiatry . Baltimore, Williams & Wilkins Co, 1967;, pp 649-661.
Thompson SV:  Some considerations regarding psychoanalytically oriented psychotherapy . Natl Assoc Priv Psychiatr Hosp 1981;;12:34-39.
Knight R:  Psychotherapy of an adolescent catatonic schizophrenic with mutism . Psychiatry 1946;;9:323-341.
Burnham D:  Varieties of reality restructuring in schizophrenia , in Cancro R (ed): The Schizophrenic Reactions: A Critique of the Concept, Hospital Treatment, and Current Research . New York, Brunner/Mazel Inc, 1970;, pp 197-214.
Benedetti G:  Individual psychotherapy of schizophrenia . Schizophr Bull 1980;;6:633-638.
Rubins JL:  Five-year results of psychoanalytic therapy and day care for acute schizophrenic patients . Am J Psychoanal 1976;;36:3-26.
Ogden TH:  On the nature of schizophrenic conflict . Int J Psychoanal 1980;;61:513-533.
Arieti S:  Individual psychotherapy of schizophrenia , in Arieti S (ed): American Handbook of Psychiatry , ed 2. New York, Basic Books Inc, 1974;, vol 3, pp 627-651.
Eissler KR:  Remarks on the psychoanalysis of schizophrenia , in Brody EG, Redlich FC (eds): Psychotherapy with Schizophrenics . New York, International Universities Press, 1952;, pp 130-167.
Feinsilver DB:  Transitional relatedness and containment in the treatment of a chronic schizophrenic patient . Int Rev Psychoanal 1980;;7:309-318.
Wexler M:  The structural problem in schizophrenia: The role of the internal object , in Brody EG, Redlich FC (eds): Psychotherapy with Schizophrenics . New York, International Universities Press, 1952;, pp 179-201.
Rosen J: Direct Analysis . New York, Grune & Stratton Inc, 1953;.
Semrad EV:  Long-term therapy of schizophrenia: Formulation of the clinical approach , in Usdin GL (ed): Psychoneurosis and Schizophrenia . Philadelphia, JB Lippincott Co, 1966;, pp 155-173.
Volkan V: Primitive Internalized Object Relations . New York, International Universities Press, 1976;.
Eissler KR:  Notes upon the emotionality of a schizophrenic patient and its relation to problems of technique . Psychoanal Study Child 1953;;8:199-251.
Semrad EV, Zaslow SL:  Assisting psychotic patients to recompensate . Ment Hosp (July) 1964;, pp 361-366.
Grotstein J:  Psychoanalytic therapy of schizophrenia , in West LF, Flinn DE (eds): Treatment of Schizophrenia: Progress and Prospects . New York, Grune & Stratton Inc, 1976;, pp 131-145.
Winnicott DW: The Maturational Processes and the Facilitating Environment . New York, International Universities Press, 1965;, pp 140-152.
Giovacchini P:  Primitive agitation and primal confusion , in Boyer LB, Giovacchini PL (eds): Psychoanalytic Treatment of Schizophrenic, Borderline and Characterological Disorders . New York, Jason Aronson Inc, 1980;, pp 301-340.
Segal H:  Notes on the psychoanalytic treatment of psychotic states , in Chiland C (ed): Long-term Treatments of Psychotic States . New York, Human Sciences Press, 1977;, pp 217-223.
Giovacchini P:  The influence of interpretation upon schizophrenic patients . Int J Psychoanal 1969;;50:179-186.
Stanton AH:  Insight and self observation , in Strauss JS, Bowers M, Downey TW, et al (eds): Psychotherapy of Schizophrenia . New York, Plenum Press, 1980;, pp 131-144.
McGlashan TH, Levy ST, Carpenter WT:  Integration and sealing over: Clinically distinct recovery styles from schizophrenia . Arch Gen Psychiatry 1975;;32:1269-1272.
Levy ST, McGlashan TH, Carpenter WT:  Integration and sealing over as recovery styles from acute psychosis: Metapsychological and dynamic concepts . J Nerv Ment Dis 1975;;161:307-312.
McGlashan TH, Docherty JP, Siris S:  Integrative and sealing-over recoveries from schizophrenia: Distinguishing case studies . Psychiatry 1976;;39:325-338.
Meissner WW: The Paranoid Process . New York, Jason Aronson Inc, 1978;.
McGlashan TH, Carpenter WT:  Postpsychotic depression in schizophrenia . Arch Gen Psychiatry 1976;;33:231-239.
Fleck S:  Some observations on the nature and value of psychotherapy with schizophrenic patients , in Strauss JS, Bowers M, Downey TW, et al (eds): Psychotherapy of Schizophrenia . New York, Plenum Press, 1980;, pp 55-63.
Walker JI, Brodie HK:  Paranoid disorders , in Kaplan HI, Freedman AM, Sadock BJ (eds): Comprehensive Textbook of Psychiatry , ed 3. Baltimore, Williams & Wilkins Co, 1980;, vol 2, pp 1288-1300.
Bullard DM:  Psychotherapy of paranoid patients . Arch Gen Psychiatry 1960;;2:137-141.
Malin A, Grotstein JS:  Projective identification in the therapeutic process . Int J Psychoanal 1966;;47:26-31.
Leowald H:  On the therapeutic action of psychoanalysis . Int J Psychoanal 1960;;41:16-33.
Hoedemaker E:  The therapeutic process in the treatment of schizophrenia . J Am Psychoanal Assoc 1955;;1:89-109.
Hoedemaker E:  Preanalytic preparation for the therapeutic process of schizophrenia . Psychiatry 1958;;21:285-291.
Ekstein R:  Vicissitudes of the 'internal image' in the recovery of a borderline schizophrenic adolescent . Bull Menninger Clin 1955;;19:86-92.
Strachey J:  The nature of the therapeutic action of psychoanalysis . Int J Psychoanal 1934;;15:127-159.

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For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
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