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From amongst the large group of psychological patterns embraced by the term schizophrenia, I have extracted some that I have found it possible to classify on a dynamic and structural basis, taking the ego as my point of orientation. It has been possible to isolate several types which, as far as I can see, are all characteristic of schizophrenia. As will be seen, my classification is related exclusively to psychological patterns of development and their treatment. The distinction between the types forced itself upon my consciousness because of the differences in accessibility and therapeutic approach which gradually became increasingly apparent.
Accessibility is a term whose meaning cannot be taken for granted. (1935. Coll. Wks., par. 1) gives what he himself calls “…. perhaps the most modern formulation of the psychotherapeutic relation between physician and patient” in these words: “A person is a psychic system which, when it affects another person, enters into reciprocal reaction with another psychic system.” Having accepted this description we can no longer speak of the “accessibility” of a patient as if it were an objective factor independent of the analyst. I therefore propose to use the word here in a special sense: to denote a relative absence of obstacles between patient and analyst.
In this relation both the patient's and the analyst's unconscious states and processes can constitute factors which either further or hinder accessibility. This also applies to the range of consciousness in the patient and the analyst as well as the effect of the collective consciousness upon both.
Sixteen years ago, speaking of the hidden drama in the psyche of the schizophrenic, Jung (, p. 1001) remarked that “… in most cases it transcends even the physican's mind, so much so that he is inclined to suspect anybody's mental sanity who sees anything more than mere madness in the ravings of a lunatic”. Since then, the appearance of a number of Jung's works (Jung, 19