ABSTRACT
This chapter suggests that a theoretically eclectic approach to the psychotherapy of clients with schizophrenia or psychosis is the most empirical approach. Several detailed case studies of clients with psychosis who were seen over many years are described with reference to cognitive, phenomenological and psychoanalytic theories. Transference and counter-transference issues are described. Cognitive techniques occur within a framework of honouring the primary importance of the therapeutic relationship. It is suggested that being more aware of the interpersonal aspects of therapy, in particular during a long therapy, may be helpful for CBT. On the other hand, incorporating aspects of CBT into psychodynamic therapy is also helpful, as it is hard to imagine that many clients with chronic psychosis would be able to engage in traditional dynamic therapy, due to the nature of their problems.
