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Grotstein, J.S. (1983). Deciphering the Schizophrenic Experience. Psychoanal. Inq., 3(1):37-69.

(1983). Psychoanalytic Inquiry, 3(1):37-69

Deciphering the Schizophrenic Experience Related Papers

James S. Grotstein, M.D.

Ping-nie pao's Schizophrenic Disorders (1979) is one of the most significant treatises on schizophrenia since Bleuler's (1911) notable contribution so many years ago. Chestnut Lodge has long served as a model for the residential treatment of schizophrenic patients, and it is only fitting that its former Director of Psychotherapy should offer a summation of his experience and the experience of those he had contact with. Today, Chestnut Lodge stands out as one of the few mental hospitals that still adheres to long-term treatment of schizophrenia, when needed, and eschews the use of drugs, when not definitively indicated. Psychoanalytic psychotherapy remains the preferred form of treatment there—a sign of faith in the efficacy of dialogue for the treatment of severe mental illness. The special attitude toward schizophrenic patients and toward the ways in which they live out their tortured scenarios is one of the most humane gifts Chestnut Lodge has handed down to us. In following this tradition, Pao's Schizophrenic Disorders stands as a landmark, as a reflection of clinical wisdom garnered in a rare atmosphere which may, lamentably, be coming to an end. And it is all the more valuable in the face of a more callously expedient, “medicinal” future.

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