ABSTRACT

This chapter examines the history of psychoanalysis in America begins with Freud, whose interest in schizophrenia focused mainly on exploring the psychosis of Judge Schreber, who claimed that his somatic psychiatrist was murdering his soul. It ends with the murder, almost 100 years later, of Wayne Fenton, a psychiatrist who was a proponent of psychoanalytically driven approaches to treating schizophrenia. The book explores the question of whether psychoanalysis fell, pushed, or jumped from the treatment of severe psychoses in the United States and concludes that it probably jumped. Contrary to popular belief, it was not only the pharmaceutical companies, somatic psychiatrists, insurance companies or policy makers who pushed psychoanalysis away from treating schizophrenic patients. Rather, an in-depth exploration of the American psychoanalytic archive of abstract knowledge proves that it was psychoanalysis's own internal psychotic part that pushed it out of the field of severe mental illness and excluded schizophrenia from its domain.