Author: Silvano Arieti M.D.
There are marked disagreements as to the treatment of choice in schizophrenia. Many psychiatrists prefer physical therapies, especially drug therapy; in recalcitrant cases, convulsive shock treatment or insulin therapy;
and, in some especially difficult cases some use of psychosurgery. Psychotherapy is not effective in every case. Although in the last two decades we have made great progress in this field, our technique is still not completely satisfactory. We often encounter patients (fortunately, in decreasing number) who do not improve. In rare cases, every interpersonal relation, even that with the experienced therapist, increases the anxiety of the patient to such a point as to enhance his psychological disintegration.