Rosen reports on remarkable therapeutic results with 'direct analytic therapy' in thirty-seven cases of deteriorated schizophrenia. By direct analytic therapy he means a procedure in which instinctual manifestations underlying the schizophrenic symptoms are directly interpreted and most frankly discussed with the patient. This method, generally considered contraindicated in nonpsychotic persons, is possible and successful with the schizophrenic because his pathogenic id processes are not unconscious. They lie open to his conscious and can be made understandable to him if the therapist knows how to speak the language of the psychotic. The therapist converses with the patient in this language, meeting him on his own level of regression, and interprets the 'unconscious' to him at every available opportunity. He thereby establishes a workable transference based upon the figure of a good, understanding parent who is free of hostility towards the patient.

Rosen's patients were observed, and the results verified, by other psychiatrists,