ABSTRACT

The formulation of the dopamine hypothesis in the mid-1970s and the consolidation of evidence for the genetic component in the etiology of schizophrenia during those same years constituted the second stage of the neosomatic revolution in psychiatry. While in the previous decade psychiatry offered antipsychotic drugs, during 1970s it added a neurological phenomenology and genetic etiology of schizophrenia. Psychoanalysts who attempted to reengage with the field of schizophrenia formed two new versions of psychoanalysis namely, somatic psychoanalysis and psychological psychoanalysis. In addition to the split between somatic and psychological psychoanalysis, there was also a divide in the psychological psychoanalytic approach to schizophrenia: analysts who adhered to the deficit model of schizophrenia (the specific theory) suggested an adaptation of psychoanalytic treatment tailored specifically to schizophrenic individuals. Interventions stemming from the unitary theory dictate the use of classic analytic technique, which has been described in the literature as dangerous for schizophrenia, because empirical experience has shown that the classical approach increases regression.