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The paper contrasts the approaches of psycho-analytic psychiatry and descriptive psychiatry to the psychotic patient. In the former, psycho-analytic concepts are used in understanding the patient and there is a difference in attitude towards the patient because of the awareness of the rôle which the psychiatrist plays for the patient. Sensitiveness to the reaction of the patient is very important and only those topics which the
patient can bring himself to talk about are introduced. The physician is especially aware that questions may have an accusatory meaning to the patient.