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This research report of the American Psychiatric Association bypasses matters of definition and gives approximately equal space to the psychosocial and organic approaches to schizophrenia. Each presentation is followed by a discussion. The discussions lend great value to the volume; in many instances the discussants add a conservative view to balance the overenthusiasm of the investigators.
Eldred and his co-workers most interestingly demonstrate the barrier that exists between staff and patient, the staff speaking mainly to staff. Several papers about milieu therapy are equally interesting. The presentation by Herbert Rosenfeld offers an approach to the psychotherapy of schizophrenics based largely on Kleinian psychoanalysis. The discussion by Zetzel compares the Kleinian theory to current psychoanalytic thinking in this country and she finds areas of increasing convergence.
The second half of the book, devoted to the somatic aspects of schizophrenia, has a less constrained quality than the half devoted to psychosocial aspects of the illness. Kallman amasses evidence that there is a significant genetic factor in schizophrenia but his discussant is not equally convinced. Klerman and his co-workers are convinced of the efficacy of phenothiazine drug treatment, but again their discussant was not equally convinced. Friedhoff reports an abnormal substance in the urine of schizophrenics but his discussant