Author: Kenneth Mark Colby M.D
Everything that we have said thus far about psychotherapy is subject to modification in the schizophrenias. By “schizophrenias” (admittedly a semantic monstrosity) I mean that group of psychological conditions characterized by the patient’s inability, of varying degree, to distinguish psychic thought from material reality. Material reality consists of perceptions which can be made to appear and disappear through motor activity. Everyone—normal, neurotic, and psychotic—has at times some degree of difficulty in differentiating whatperceptions are realistic and whatperceptions originate from mental processes. In normal and neurotic ego states the person can recognize unrealities spontaneously or when they are pointed out to him. Psychotic ego states hinder the function of this differential in proportion to their mild, moderate, or severe extent.