June 1963

A Conceptual Model of Schizophrenia

Author Affiliations

Chestnut Lodge Research Institute.

Arch Gen Psychiatry. 1963;8(6):590-598. doi:10.1001/archpsyc.1963.01720120064009

Introduction  The following study is in part an exercise in the techniques of the clinical theoretician, and as such it follows the methods used by all clinicians in the evolution of operational clinical theory. It involves taking concepts from other current realms of scientific and intellectual endeavor and creatively synthesizing them into a new look at clinical phenomena. The method does not comply with that limited definition of the scientific method which demands that the scientist ask only those questions he can answer with certainty. One reason is that if the clinician does not allow himself to ask questions he cannot answer with certainty he denies himself operational closure and makes it impossible for himself to act. He also excludes from consideration the most interesting questions and must ignore an enormous amount of observations from the subjective sphere which cannot be literally proved. Although as clinicians

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