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Rosenfeld, H. (1952). Notes on the Psycho-Analysis of the Super-Ego Conflict of an Acute Schizophrenic Patient. Int. J. Psycho-Anal., 33:111-131.

(1952). International Journal of Psycho-Analysis, 33:111-131

Notes on the Psycho-Analysis of the Super-Ego Conflict of an Acute Schizophrenic Patient Language Translation

Herbert Rosenfeld

In analysing a number of acute and chronic schizophrenic patients during the last ten years, I have become increasingly aware of the importance of the super-ego in schizophrenia. In this paper I shall present details of the psycho-analysis of one acute catatonic patient in order to throw some light on the structure of the schizophrenic super-ego and its relation to schizophrenic ego disturbances. I also wish to discuss the controversy about methods of approach to acute schizophrenic patients.

The Controversy Concerning the Approach to Schizophrenic Patients by Psycho-Analysis

In discussing the value of the psycho-analytic approach to schizophrenia, we have to remember that psychotherapists with widely different theories and equally different techniques claim success in helping the schizophrenic in the acute states of the disease. The attempt to concentrate on producing a quick therapeutic result in the acute schizophrenic state, irrespective of the method of approach, may be temporarily valuable to the individual patient and gratifying to the therapist; but the more difficult problem is to deal with the chronic mute phase of the disease. The method of approaching the acute schizophrenic patient is important for several reasons. First, we must be sure that we are using a scientific method of investigation and treatment so that we can assess our psycho-pathological findings correctly. Secondly, our method should be one which can be used in treating a variety of cases, so that it is possible to teach it to our students.

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