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October 1958

Chronic Schizophrenia

AMA Arch NeurPsych. 1958;80(4):528. doi:10.1001/archneurpsyc.1958.02340100128025

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As Anna Freud points out in her preface, "It is a special merit of this book that it offers more than the sober title leads us to expect." The monograph is devoted to a clinical, interpretative, and therapeutic study of chronic schizophrenia within the framework of Freudian psychoanalysis. However, the authors make special reference to the theories and clinical publications of Federn. During the two years of their study, the authors employed three interrelated methods. They began with an attempt to influence their chronic patients by means of group psychotherapy but came to the conclusion that there was no evidence of group formation and that the patients were still behaving as a number of isolated individuals. They state that, in retrospect, at the beginning of their work they lacked experience and understanding of chronic schizophrenia, so that they overestimated the value of the spoken word for these patients. The second