Childhood schizophrenia is a true clinical entity characterized by faulty reality testing, absent or improper development of object cathexis, and fixation at the early oral phase. These children lack affective contact with people and insist on being left alone. Even in infancy they are unresponsive, detached, and in a world of their own. They show little need for mothering or gratification from human sources. One usually finds mutism or severe disturbances of language. Frequently toys or music become overcathected. The prognosis is poor for making the personality whole. Simultaneous treatment of mother and child is advisable if the child is very young. For the child over five, however, a new environment must be created. It is mutually and continuously damaging for a patient to reside with its parents and brothers and sisters.