This is a psychoanalytic approach that assumes that all the symptoms are meaningful and are related to the life history as subjectively experienced. The unconscious is taken seriously, and everything psychoanalysis has learned about human development and therapy is relevant.
Schizophrenia is a chronic terror syndrome.
Patients who develop psychotic symptoms have had lives that would drive anyone crazy. It is necessary to create a therapeutic alliance by offering real help with what the patient perceives as the problem. Severely disturbed patients need a warm, strong therapist who will deal with anything. The sicker the patient, the more structure and support the therapist must provide. Conscious insight is helpful, but it is only bearable within a strong, safe relationship.