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This book contains discussions by four psychiatrists on methods and procedures for treating schizophrenic patients, each author focusing on the clinical types and subtypes of schizophrenia according to his expertise: Silvano Arieti on the overt psychosis; Dr. Stone on the “borderline” Drs. Albert and Forrest on the forms of schizophrenia along its wide spectrum. Arieti, along with Albert and Forrest, base their three-stage psychotherapeutic procedure on the theoretical premise of an integrative impairment underlying the development of cognitive and affective disorders peculiar to schizophrenia. However, Dr. Stone treats the “borderline” patient seemingly on the premise of environmental determinants.
In the opening chapter, Silvano Arieti brilliantly illustrates his three-stage procedure in treating a hallucinating schizophrenic patient. Preliminary to treatment, he establishes relatedness with the patient mainly by a show of empathic concern and understanding. In treatment's early stage, he allays the patient's anxiety by affording cognitive insight into her autonomous control over the symptom's formation. During the middle stage, Arieti makes the patient more aware of cognitive realities, which she employs in learning human relatedness, so that finally, in treatment's late stage, she is able to trace the dynamic development of her cognitive and affective misperceptions to early parental interactions, and correct them through reality-testing in social relatedness. Arieti's treatment goal is for the patient to function on a level “beyond that of the premorbid state,” her potential for future symptom development having been diminished.
Dr. Stone's psychoanalytically oriented therapy of the “borderline” is essentially appositional to Arieti's treatment of the psychotic patient. In the early stage of treatment, Dr. Stone directs the patient in psychodynamic probing to uncover repressed infantile conflicts. His descriptions indicate that the patient climbs up and down the