This paper is virtually a syllabus of schizophrenia. Since Searles describes the various vicissitudes of both verbal and nonverbal communication in schizophrenic patients, his essay contains extensive remarks and observations—liberally illustrated by vivid and illuminating clinical vignettes—dealing with a good segment of the phenomenology of schizophrenia, many of its underlying psychodynamics, and a large number of concepts of its psychotherapy. His focus is predominately on the interpersonal aspects of the patient's difficulties and of the psychotherapeutic relationship. He stresses over and over again the crucial role played by the therapist's feelings and countertransference reactions in the establishment and maintenance of successful communication with the patient in therapy. As Searles himself states, the paper is clinical rather than theoretical, and there is little attempt made to organize systematically and explain the various defects of communication as seen in these patients.