Changes in several of the requirements of classical psychoanalysis become necessary in psychoanalytic therapy with psychotic patients. The 'couch-regulation' is neither understood nor followed by the psychotic patient. The classical 'Victrola-Record' attitude of the analyst does not meet the therapeutic needs in psychoses. It is quite unnecessary to encourage psychotics to associate freely, since it is possible to proceed quickly towards the same goal by an unconventional direct questioning. Many psychotic patients understand their production far more clearly than the psychoanalyst, therefore interpretations should be given cautiously and sparingly. The pathogenic problems and