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April 1937

MODIFICATIONS IN A SCHIZOPHRENIC REACTION WITH PSYCHOANALYTIC TREATMENT

Arch NeurPsych. 1937;37(4):874-880. doi:10.1001/archneurpsyc.1937.02260160174017

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Abstract

The modifiability of schizophrenic reactions by psychoanalytic methods is a problem which has been much debated. I am reporting here the case history of a patient who came into analysis during her convalescence from a severe schizophrenic episode and who, in the course of that analysis, went through two subsequent upsets which were of diminished intensity and which showed progressively less schizophrenic and more affective features.

In the spring of 1933, a married woman aged 30 passed through a period of mild, unacknowledged depression which was characterized chiefly by an apathetic attitude toward friends, relatives and her 3 year old daughter, by difficulty in making decisions and by retreat into a routine of excessive smoking and intensive reading of murder mystery stories. In June, after a move to the country, the patient experienced insomnia and, for a few days, a certain amount of restless overactivity. Out of this background there

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