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It is commonly believed that schizophrenics cannot be dealt with as outpatients unless they are vigorously pursued. Thus long-acting medication such as prolixin is viewed as an answer to the problem of treating and maintaining them in the community. Results of my work with a small number of individuals—seen first as in-patients at King's Park Psychiatric Facility and later in aftercare over a two-year period—indicate that psychoanalysis, as modified by Spotnitz et al. for treatment of preoedipal disorders, has motivated such patients to continue in treatment as out-patients.
Modern psychoanalytic therapy with these patients was started in the hospital, and continued over a period of two to three months. It was theorized that treatment in aftercare with the same intern would allow for a smoother transition back to the community, and a plan was worked out to incorporate this feature.
Treatment was carried out in Brooklyn on a once-a-week basis during half-hour sessions. The aftercare setting was some 50 miles from Kings Park Psychiatric Facility, where therapy had begun. About a dozen patients of both sexes, ranging in age from 20 to 60 years, were part of this program. These were