Abstract

The authors interviewed 185 individuals at 11 army posts to gather data on performance level of 13 soldiers who developed overtly schizophrenic psychoses after at least one year of service in the army. The level of work performance and the development of overt psychotic symptoms depended on the type of relationship established with significant other persons. Three types of relationships were distinguished: quasitherapeutic, pseudotherapeutic, and contratherapeutic. The quasitherapeutic relationship is one in which the significant other conveyed to the patient a feeling of acceptance as a person and an expectation of behavior in accordance with group norms, i. e., he both provided support and set limits. In the pseudotherapeutic relationship the significant other, who seemed to obtain some gratification from having the patient dependent upon him, provided solely support. Rigid expectations of work performance without any emotional support was characteristic of the significant other in the contratherapeutic...

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