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By O. Spurgeon English, M.D., Warren W. Hampe, Jr., M.D., Catherine L. Bacon, M.D., and Calvin F. Settlage, M.D. New York: Grune & Stratton, Inc., 1961. 128 pp.
A PSYCHOTHERAPY OF SCHIZOPHRENIA: A STUDY OF DIRECT ANALYSIS. By Albert E. Scheflen, M.D. Springfield, Illinois: Charles C Thomas, 1961. 279 pp.
These two books offer the clearest and most knowledgeable exposition
and evaluation extant of 'direct analysis', the psychotherapeutic method pioneered by John N. Rosen for the treatment of schizophrenia. Both books grew out of the work at the Institute for Direct Analysis of the Department of Psychiatry of Temple University Medical Center in Philadelphia, where all of the authors personally observed Dr. Rosen's treatment sessions and discussed with him many aspects of his theory and technique.
Direct Analysis and Schizophrenia consists of four striking papers with remarkably little overlap. In Clinical Observations on Direct Analysis, English provides the overview. He describes the homelike residential unit where treatment is conducted, cites Rosen's 'governing principle' that the therapist must be a loving, omnipotent protector and provider, and then, with great succinctness, deals with each of the key issues, clarifying even the elusive. Rosen, English tells us, accelerates a relationship by forcing the patient to acknowledge his own 'craziness' and to accept Rosen as his protector in lieu of the internalized bad-mother imago. He believes that Rosen's seductive approach helps the patient see his unresolved sexual relationship to the parent figure. He points out that Rosen insistently interprets a delusion in terms of the real life problem. English also cites Rosen's use of rewards and punishments and other techniques of forceful indoctrination, and he emphasizes Rosen's baffling but admittedly therapeutic alternation of love and deprivation, of giving and taking away. In this to-and-fro movement English detects a prod to the patient's ego, an invita